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  • Illustration of a woman using a Zepbound alternative for weight loss.
Weight Management

Zepbound Alternatives: Compare Top Weight Loss Medications

Jan 14, 2025 | 3 Min Read

Written by the RedBox Rx Editorial Team

Medically reviewed by Daniel Fick, MD

Contents

As options for GLP-1 weight loss medications expand, how do you know which is right for you?

All forms of GLP-1 medications currently available have been clinically proven to help people lose weight. Medication selection will come down to your preferences, budget and how well you tolerate the side effects.

Learn more here about GLP-1 medication Zepbound® and its alternatives in head-to-head comparisons.

What is Zepbound®?

Zepbound (tirzepatide) is an injectable medication prescribed to help individuals with obesity lose weight.1 It belongs to a class of medications called glucose-dependent insulinotropic polypeptide (GIP) receptor and glucagon-like peptide-1 (GLP-1) receptor agonists. It helps users lose weight by slowing food movement through digestion and reducing appetite.2

Zepbound is prescribed as a weekly single-use injection pen or in a single-dose vial with a syringe. It starts with smaller doses and increases until the maintenance dosage is reached. A common course of dosing would be 2.5 mg, 5 mg, 7.5 mg, 10 mg, 12.5 mg and 15 mg.3

The average retail price without insurance is approximately $1,272 per month.4

Common side effects of Zepbound include:5

  • Nausea.

  • Diarrhea.

  • Vomiting.

  • Constipation.

  • Stomach (abdominal) pain.

  • Indigestion or heartburn.

  • Injection site reactions.

  • Feeling tired.

  • Allergic reactions.

  • Belching.

  • Hair loss.

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What are alternative GLP-1 medications used for weight loss?

Chart outlining the alternative GLP-1 medications used for weight loss - Zepbound, Semaglutide, Tirzepatide, Liraglutide.

There are various GLP-1 medications available as alternatives to Zepbound. All the medications work similarly, but have some variations in availability, price, administration and side effects. Commonly prescribed medications fall into three categories: tirzepatide, semaglutide and liraglutide.

Tirzepatide

Tirzepatide belongs to the class of medications called glucose-dependent insulinotropic polypeptide (GIP) receptor and glucagon-like peptide-1 (GLP-1) receptor agonists.

Under the brand name Mounjaro®, injectable tirzepatide is prescribed to lower blood sugar in individuals with type 2 diabetes. Under the brand name Zepbound, injectable tirzepatide is prescribed for weight loss in individuals with obesity. It works by slowing the movement of food through digestion and reducing appetite.6

Compounded tirzepatide is prescribed as a weekly injection and a daily oral tablet. It has the same active ingredient as the name brands. However, it is produced by a state-licensed compounding pharmacy instead of the brand name manufacturer.

In one clinical study of tirzepatide, participants lost an average of 20.9% of their body weight after 72 weeks.7

Some common side effects of tirzepatide include:8

  • Nausea.

  • Diarrhea.

  • Decreased appetite.

  • Vomiting.

  • Constipation.

  • Upset stomach.

Semaglutide

Semaglutide is a GLP-1 agonist prescribed to lower blood sugar in individuals with type 2 diabetes and to aid weight loss in individuals with obesity. Weekly injectable semaglutide is FDA approved under the brand name Ozempic® to treat type 2 diabetics and Wegovy® as a weight loss aid.9 Semaglutide is also available as a daily oral pill under the brand name RYBELSUS®.

Compounded semaglutide is produced in a state-licensed compounding pharmacy instead of by a brand name manufacturer. It is available as a weekly injection and as a daily oral tablet.

Semaglutide works for weight loss by slowing gastric emptying and reducing appetite. In a study published in The New England Journal of Medicine, participants lost an average of 15% of their body weight after 68 weeks of semaglutide use.10

Some common side effects of semaglutide include:11

  • Nausea.

  • Vomiting.

  • Diarrhea.

  • Abdominal pain.

  • Constipation.

  • Heartburn.

  • Burping.

Liraglutide

Liraglutide is an injectable medication prescribed to lower blood sugar for type 2 diabetics and as a weight loss aid. It belongs to a class of medications called incretin mimetics. It slows gastric emptying and decreases appetite to help users lose weight.12

Liraglutide is produced under the brand name Saxenda®13 for weight management and under the brand name Victoza®14 for lowering blood sugar in type 2 diabetics.

In one clinical study of liraglutide, nearly 63% of participants lost more than 10% of their body weight over 52 weeks.15

Some common side effects of liraglutide include:16

  • Headache.

  • Constipation.

  • Heartburn.

  • Runny nose, sneezing or cough.

  • Tiredness.

  • Difficulty urinating, or pain or burning during urination.

  • Injection site rash or redness.

Tirzepatide Alternatives to Zepbound

Review head-to-head comparisons of tirzepatide alternatives to Zepbound.

Compounded Tirzepatide vs. Zepbound

Chart outlining the differences between compounded tirzepatide and Zepbound.

Semaglutide Alternatives to Zepbound

Review head-to-head comparisons of semaglutide alternatives to Zepbound.

Wegovy vs. Zepbound

Chart outlining the differences between Wegovy and Zepbound.

Compounded Semaglutide vs. Zepbound

Chart outlining the differences between compounded semaglutide and Zepbound.

Liraglutide Alternatives to Zepbound

Review head-to-head comparisons of liraglutide alternatives to Zepbound.

Saxenda vs. Zepbound

Chart outlining the differences between Saxenda and Zepbound.

Zepbound Alternatives Comparison Chart

Chart outlining the differences between all of the Zepbound alternatives.

How RedBox Rx can help

Illustration of man using tirzepatide injections. As low as $429/month for compounded tirzepatide injections & $397/month for dissolvable tablets. Free express shipping available.

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Benefits of RedBox Rx include:

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About the Medical Reviewer

Picture of Daniel Fick, MD

Dr. Daniel Fick is chief medical officer for RedBox Rx’s parent company, Hy-Vee, Inc. In this role, Fick helps oversee Hy-Vee’s health and medical initiatives, including RedBox Rx, and works alongside patients, employers, benefit providers and health care professionals. Fick has been a physician for more than 30 years, and holds a bachelor’s degree from the University of Northern Iowa. He graduated from the Carver College of Medicine at the University of Iowa in 1989, and completed his Family Medicine residency and Sports Medicine Fellowship at the University of Iowa Hospitals and Clinics.

Tags:
Weight Loss
GLP-1 Medications
Semaglutide
Tirzepatide

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