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Tirzepatide

Dual GIP/GLP-1: the current efficacy leader.

Tirzepatide is a dual GIP/GLP-1 receptor agonist, FDA approved as Mounjaro (2022, type 2 diabetes) and Zepbound (2023, obesity). We grade Tirzepatide A- on evidence and C for worth-it at about $1000+ without insurance (US) per month.

A-

Evidence

C

Worth it

Typical cost: $1000+ without insurance (US)/month

What it does

Tirzepatide is a dual GIP/GLP-1 receptor agonist, FDA approved as Mounjaro (2022, type 2 diabetes) and Zepbound (2023, obesity). SURMOUNT-1 showed about 20.9% mean weight loss at 72 weeks on the 15 mg dose.

What the research says

  • Weight loss in obesity

    Evidence: strong. SURMOUNT-1: ~20.9% at 72 weeks, the largest effect in the class to date.

DRAFT: large RCTs, approved indications; everything beyond that is off-label.

Is it worth it?

C

DRAFT: same story as semaglutide: works, costs a lot without coverage.

Typical cost

$1000+ without insurance (US)/month

Common form, not a brand recommendation

Dosage contextestablished

Zepbound: up to 15 mg weekly titration. Only as prescribed.

Safety notes

PRESCRIPTION DRUG: GI side effects common; same rare pancreatitis/gallbladder cautions as the class. Only under a prescriber's care. Talk to your doctor. This page is information, not medical advice.

Longevity Lab Report

Tirzepatide news, graded when it happens.

New studies, dose debates, and expert shifts on tirzepatide, in one email a week. Free.

Changelog

Last updated 2026-10-15

  • 2026-10-15|Batch 3 entry, DRAFT. Grades provisional; expert positions unsourced unless noted.