✓ Medically reviewed by Dr. Anjmun Sharma, MD · Updated 2026-06-023 min read

Wegovy vs Zepbound: Which Is Right for Weight Loss?

Both are FDA-approved for weight loss but use different drugs. Here is the honest, plain comparison.

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The short answer

Wegovy is semaglutide (Novo Nordisk); Zepbound is tirzepatide (Eli Lilly). Both are FDA-approved for chronic weight management, but Zepbound works on two appetite-hormone pathways (GIP and GLP-1) while Wegovy works on one (GLP-1). In trials of the brand drugs, tirzepatide produced larger average weight loss.

The trial numbers

Wegovy (semaglutide 2.4 mg) averaged about 14.9% body-weight loss at 68 weeks in STEP 1 (PMID 33567185). Zepbound (tirzepatide 15 mg) averaged about 20.9% at 72 weeks in SURMOUNT-1 (PMID 35658024). These studied the brand drugs; individual results vary.

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How to choose

Higher average loss is not automatically the right choice for you. Tolerability, side effects, cost, other conditions, and your history all matter, which is why a physician decides. Zepbound is also FDA-approved for obstructive sleep apnea in adults with obesity.

How this relates to what we offer

We do not dispense Wegovy or Zepbound. We offer physician-supervised compounded semaglutide and tirzepatide, which use the same active ingredients but are not FDA-approved or brand-identical.

What you can start today at New Hope Weight Loss

After a one-time $119 medical review with Dr. Sharma, eligible patients begin physician-supervised compounded semaglutide from $166 a month or compounded tirzepatide from $233 a month, with a $199 one-month Skeptics' Trial. Compounded semaglutide and tirzepatide are prepared by licensed U.S. pharmacies and are not FDA-approved, not brand-identical, and not reviewed by the FDA for safety, effectiveness, or quality. In person in Orange County and by telehealth across California and additional states.

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Frequently asked questions

Is Zepbound stronger than Wegovy?

In brand trials, tirzepatide (Zepbound) produced larger average weight loss (about 20.9%) than semaglutide (Wegovy, about 14.9%). It works on two hormone pathways. The right choice still depends on your situation, tolerability, and cost.

Are Wegovy and Zepbound the same drug?

No. Wegovy is semaglutide; Zepbound is tirzepatide. Both are FDA-approved for weight management but are different molecules from different companies.

Which has fewer side effects?

Both are mostly gastrointestinal and usually transient. Individual tolerance varies; a physician helps you weigh it.

Does New Hope offer Wegovy or Zepbound?

We do not dispense the brand products. We offer physician-supervised compounded semaglutide and tirzepatide (not FDA-approved or brand-identical) after a $119 review.

Which is cheaper?

Brand pricing varies; both can be expensive without coverage. Our compounded semaglutide starts at $166/mo and tirzepatide at $233/mo after a $119 review.

This article is informational only and not medical advice. Speak with a licensed physician before starting or changing any GLP-1 therapy. Individual results vary. New Hope Weight Loss is a physician-supervised medical weight loss clinic in Costa Mesa, CA. Eligibility for treatment is determined during the medical consultation. Compounded semaglutide and compounded tirzepatide are not the same products as Wegovy®, Ozempic®, Mounjaro®, or Zepbound®.

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