Clinical comparison in English

Wegovy vs Mounjaro: which is better for weight loss?

We compare Wegovy, Mounjaro and Ozempic by active ingredient, authorised indication, frequency, follow-up and safety. The key is not choosing the “strongest” medicine, but identifying what is indicated and safe for you.

See comparison table
Wegovy penWegovySemaglutide
Mounjaro penMounjaroTirzepatide
Ozempic penOzempicSemaglutide
They are not three versions of the same treatmentOzempic is authorised for type 2 diabetes; Wegovy and Mounjaro have weight-management indications under their product information.
Quick answer

Which is better for weight loss?

There is no universal answer. The decision depends on the indication, BMI and associated conditions, current medicines, risks and tolerance.

Weight management

Wegovy

Semaglutide specifically authorised for weight management in people who meet the clinical criteria.

Dual action

Mounjaro

Tirzepatide, with GIP and GLP-1 activity, authorised for weight management and type 2 diabetes under its product information.

Type 2 diabetes

Ozempic

Semaglutide authorised for type 2 diabetes. It should not be presented as an interchangeable general weight-loss treatment.

Direct comparison

Table: Wegovy vs Mounjaro vs Ozempic

TreatmentActive ingredientHow it worksRelevant indicationFrequencyPrescription
WegovyWeight managementSemaglutideGLP-1 receptor agonistAuthorised weight management when criteria are metWeeklyYes
MounjaroWeight and diabetesTirzepatideDual GIP/GLP-1 agonistWeight management and type 2 diabetesWeeklyYes
OzempicType 2 diabetesSemaglutideGLP-1 receptor agonistNot indicated for general weight loss; authorised for type 2 diabetesWeeklyYes
Wegovy and Ozempic contain semaglutide, but they do not have the same indication and should not be interchanged without medical advice.
Each option

Differences that matter

Wegovy pen with semaglutide

Wegovy

Its indication is focused on weight management and the dose is increased gradually.

  • Weekly administration
  • Prescription and follow-up
  • No guaranteed result
Mounjaro pen with tirzepatide

Mounjaro

It acts on GIP and GLP-1. The choice should not be based only on kilograms or percentages.

  • Weekly administration
  • Gradual dose escalation
  • Individual assessment
Clinical decision

How treatment is chosen

A responsible comparison considers more than the average weight reported in one study.

1

Indication

BMI, associated conditions, diabetes and goals.

2

Safety

Medical history, medicines and contraindications.

3

Tolerance

Digestive effects and response to the dose.

4

Follow-up

Effectiveness, hydration, dosing and warning signs.

5

Dose and schedule

Appropriate escalation and previous experience.

6

Preferences

A shared decision after discussing alternatives.

Scientific data

Weight loss observed in studies

These charts summarise average results from two separate trials in adults with obesity or overweight without diabetes, alongside lifestyle intervention.

STEP 1 · semaglutide 2.4 mg

Wegovy · 1,961 participants · week 68
Mean weight−14.9%
Placebo−2.4%
Lost ≥5%86.4%

SURMOUNT-1 · tirzepatide 15 mg

Mounjaro · 2,539 participants* · week 72
Mean weight−20.9%
Placebo−3.1%
Lost ≥5%91%

Mean change from the beginning to the end of each study

The line connects only the baseline and published final result; it does not represent intermediate measurements.

Mean weight change at the end of STEP 1 and SURMOUNT-1Wegovy reached a mean reduction of 14.9 percent at week 68 and Mounjaro 15 milligrams a mean reduction of 20.9 percent at week 72, in separate trials.0%−5%−10%−15%−20%Start68–72 weeksWegovy −14.9%Mounjaro −20.9%
STEP 1 · 68 weeksSURMOUNT-1 · 72 weeks
Important: this is not a direct comparison between medicines. The trials used different designs, durations and dosing schedules; SURMOUNT-1 studied several doses and the figure above is for 15 mg. Ozempic is not included because its authorised indication is type 2 diabetes, not general weight management.

How to interpret the results

An average percentage does not predict an individual result. Tolerated dose, adherence, nutrition, activity, associated conditions and follow-up all affect response.

Side effects and urgent care

Nausea, vomiting, diarrhoea, constipation and abdominal discomfort are common. Seek urgent care for severe and persistent abdominal pain, repeated vomiting with dehydration, breathing difficulty or an allergic reaction.

Online consultation

Book, speak with the doctor and receive a prescription if appropriate

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Book

Choose a time.

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Consult

Telephone or video.

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Prescription

REMPe if appropriate.

Online consultation for €39. Medicine is not included; a prescription is not guaranteed.

Frequently asked questions

Questions about the comparison

Does Mounjaro produce more weight loss than Wegovy?

Average results from separate studies cannot always be compared directly. Indication, safety, tolerance and individual response matter.

Can Ozempic be used for weight loss?

Ozempic is authorised for type 2 diabetes and is not a general substitute for a medicine authorised for weight management.

Are Wegovy and Ozempic the same?

They share semaglutide, but have different indications and presentations.

Can I switch from Wegovy to Mounjaro?

Only after medical assessment of the previous dose, tolerance, indication and medical history.

Which causes fewer side effects?

Both can cause gastrointestinal effects; tolerance differs between people.

Do I need a prescription?

Yes. All three medicines are prescription only.

Does the consultation include the medicine?

No. The consultation costs €39 and the medicine is paid for separately at the pharmacy.

Which costs less?

It depends on the brand, presentation and dose. Confirm price and availability with an authorised pharmacy.