Comparison: Semaglutide vs Tirzepatide
Both items are reviewed at US Telehealth Review against the v3.0 transparency rubric and published clinical evidence.
Key differentiators
- Mechanism: semaglutide is GLP-1-only; tirzepatide is dual GLP-1/GIP.
- Weight loss: tirzepatide produced ~47% greater weight loss than semaglutide 1 mg in SURPASS-2 head-to-head.
- CV outcomes: semaglutide has SELECT (20% MACE reduction); tirzepatide doesn't yet have a published CV outcomes trial.
- Kidney outcomes: semaglutide has FLOW; tirzepatide doesn't.