What Is Tirzepatide?

Category: Peptide

A dual GLP-1/GIP receptor agonist for weight management and type 2 diabetes. Clinical trials showed up to 22.5% body weight reduction. Brand names include Mounjaro and Zepbound.

Detailed Explanation

Tirzepatide is a first-in-class dual GIP (glucose-dependent insulinotropic polypeptide) and GLP-1 receptor agonist. FDA-approved as Mounjaro for type 2 diabetes and Zepbound for weight management, it activates two incretin hormone receptors simultaneously, producing superior metabolic effects compared to GLP-1-only agonists. The SURMOUNT clinical trials demonstrated unprecedented weight loss results of up to 22.5% of body weight, the most of any approved weight loss medication.

Practical Context

Tirzepatide is dosed once weekly via subcutaneous injection. The recommended titration starts at 2.5mg weekly for 4 weeks, then increases by 2.5mg every 4 weeks up to a maximum of 15mg weekly. Like semaglutide, slow titration is essential to minimize GI side effects. Tirzepatide requires refrigeration and has excellent stability after reconstitution (up to 6 weeks). It is important to maintain adequate protein intake and exercise during tirzepatide use to preserve lean muscle mass.

Frequently Asked Questions

Is tirzepatide better than semaglutide?

Head-to-head trials show tirzepatide produces greater weight loss (up to 22.5% vs 17%) and slightly better blood sugar control. However, semaglutide has more long-term safety data. Both are highly effective.

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