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PepDose blogs

Peptides studied for the same goal, side by side: what each trial found, side effects and FDA status. Numbers from separate trials are labelled as such, and every one links to its source. PepDose sells no peptides and takes no vendor money.

Guides · Syringe maths

Comparisons · Weight loss

Semaglutide vs tirzepatide

In SURMOUNT-5, the one head-to-head obesity trial, average weight change over 72 weeks was −20.2% on tirzepatide and −13.7% on semaglutide. Semaglutide acts on the GLP-1 receptor; tirzepatide acts on GIP and GLP-1. Both are FDA-approved, and semaglutide also has a large heart-outcome trial (SELECT).

Includes a head-to-head trial

Tirzepatide vs retatrutide

Tirzepatide acts on two receptors (GIP and GLP-1) and is FDA-approved. Retatrutide adds a third, glucagon, and is not approved. In separate trials, top-dose weight change was −20.9% at 72 weeks on tirzepatide 15 mg (SURMOUNT-1) and −25.0% at 80 weeks on retatrutide 12 mg (TRIUMPH-1). No head-to-head trial exists.

Separate trials, no head-to-head

Semaglutide vs retatrutide

Retatrutide acts on three receptors (GIP, GLP-1 and glucagon) and is not FDA-approved. Semaglutide, sold as Wegovy and Ozempic, acts on one (GLP-1) and is approved. In separate trials, weight change was −25.0% at 80 weeks on retatrutide 12 mg (TRIUMPH-1) and −14.9% at 68 weeks on semaglutide 2.4 mg (STEP 1). No head-to-head trial exists.

Separate trials, no head-to-head

Weight-loss peptides compared

Three once-weekly peptides have large obesity trials. Semaglutide (GLP-1) showed −14.9% average weight change, tirzepatide (GIP and GLP-1) −20.9%, and retatrutide (GIP, GLP-1 and glucagon) −25.0% on their top doses. Semaglutide and tirzepatide are FDA-approved; retatrutide is not. Only semaglutide and tirzepatide have been compared head to head.

Separate trials, no head-to-head

Comparisons · Healing and recovery

Comparisons · Growth hormone

Comparisons · Blends