the right choice depends on your health needs and goals
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Robert Kushner: Well, the BMI classifications, the cut points you mentioned, have actually now been removed by the FDA for semaglutide and the other drug called tirzepatide, the two major drugs on the market
A 2025 meta-analysis in PMC (covering 36,754 tirzepatide and 106,057 semaglutide participants across multiple studies) confirmed tirzepatides advantage, finding an average 4.23 percentage points greater weight loss with tirzepatide an effect that was both dose- and duration-dependent
The trade-off is pace
The standard titration schedule for Ozempic begins at 0.25 mg once weekly for four weeks, increasing to 0.5 mg weekly, with further escalation to 1 mg or 2 mg if additional glycaemic control is required