7 approved treatments. Available as weekly injections, a daily injection, or daily pills. Trial results and monthly cost differ by drug — see how they compare. All require a prescription — a doctor will assess whether you qualify.
Weight loss in clinical trials — at a glance
Figures come from different trials, doses and lengths, so they are not a ranking. Individual results vary.
Averages from clinical trials at highest approved dose. Semaglutide pill figure (16.6%) is from OASIS 4 — with full adherence. Placebo groups typically lost 1–3%. Not everyone achieves these results.
Contrave (Naltrexone / Bupropion ER): 9.3% (about 20 lbs); Foundayo (Orforglipron): 12.4% (about 27 lbs); Qsymia (Phentermine / Topiramate ER): 9.8% (about 22 lbs); Saxenda (Liraglutide): 8% (about 18 lbs); Oral Wegovy (semaglutide pill): 16.6% (about 37 lbs); Wegovy (semaglutide injection): 14.9% (about 33 lbs); Xenical & Alli (Orlistat): 8.5% (about 19 lbs); Zepbound & Mounjaro (Tirzepatide): 20.9% (about 46 lbs)
All approved treatments
Foundayo
Orforglipron
Pill — take anytime, no food rules
Foundayo
Orforglipron
Pill — take anytime, no food rules
Zepbound & Mounjaro
Tirzepatide
Highest average weight loss in trials
Zepbound & Mounjaro
Tirzepatide
Highest average weight loss in trials
Wegovy & Ozempic
Semaglutide
Proven heart benefits + pill or injection
Wegovy & Ozempic
Semaglutide
Proven heart benefits + pill or injection
Saxenda
Liraglutide
10+ years of safety data
Saxenda
Liraglutide
10+ years of safety data
Contrave
Naltrexone / Bupropion ER
Helps quiet food cravings
Contrave
Naltrexone / Bupropion ER
Helps quiet food cravings
Qsymia
Phentermine / Topiramate ER
Most affordable (~$30–80/mo)
Qsymia
Phentermine / Topiramate ER
Most affordable (~$30–80/mo)
Xenical & Alli
Orlistat
No prescription needed (OTC)
Xenical & Alli
Orlistat
No prescription needed (OTC)
Other prescription options
Drugs and procedures outside the list above, each with its own page.
Note on weight loss figures
All percentages represent average weight loss from baseline in clinical trials at the stated dose and duration. People given a dummy pill (placebo) typically lost 1–3% of body weight in the same trials — the drug effect is on top of this. Not all participants achieve the maximum result.
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Built with agentic AI tools and not a substitute for medical advice