GLP-1 medications, compared

Semaglutide, tirzepatide, retatrutide and the rest of the class — what they are, how they differ, and how to tell which one fits. A plain-English map of every major GLP-1 drug, side by side.

By the GLP Index editorial team · Updated July 16, 2026

What are GLP-1 drugs?

GLP-1 receptor agonists are a class of medications that mimic gut hormones your body releases after eating — lowering blood sugar and reducing appetite. They were developed for type 2 diabetes, and their strong effect on weight led to a second wave of approvals for obesity. Most are once-weekly injections; a few are daily, and one (Rybelsus) is a pill.

What separates them is how many hormone receptors each one activates. The original drugs hit a single receptor (GLP-1). Newer ones add a second (GIP) or a third (glucagon) — and more receptors have generally meant more weight loss.

Every GLP-1 drug, side by side

Here's the comparison no one else puts in one place — effectiveness, dosing, price, and mechanism for each drug, in a single table. Each drug links to its full guide.

Drug Sold as Receptors Avg. weight loss Dosing List price Status
Tirzepatide Mounjaro · Zepbound Dual (GIP/GLP-1) ~21% Weekly injection ~$1,060–$1,070/mo FDA approved
Retatrutide Triple (GIP/GLP-1/glucagon) ~24% Investigational
Semaglutide Ozempic · Wegovy · Rybelsus Single (GLP-1) ~15% Weekly injection · Daily pill ~$935–$1,349/mo FDA approved
Liraglutide Victoza · Saxenda Single (GLP-1) ~7% Daily injection FDA approved
Dulaglutide Trulicity Single (GLP-1) Weekly injection FDA approved

Weight-loss figures are average total body-weight loss in each drug's pivotal trials, at the top dose, over different durations and populations, so they are directional, not head-to-head. ⚠ Draft figures pending verification.

How GLP-1 drugs work

All of them mimic GLP-1, a hormone that curbs appetite and prompts insulin release after meals. The difference is how many receptors they hit — the single clearest way to understand why some produce more weight loss than others.

Single-agonist — semaglutide, liraglutide, dulaglutide. Hits GLP-1 only.

Receptors it activates

Single agonist · GLP-1

  • GLP-1

    Curbs appetite and triggers insulin after meals

  • GIP

    Not activated

  • glucagon

    Not activated

Dual-agonist — tirzepatide (Mounjaro, Zepbound). Adds the GIP receptor.

Receptors it activates

Dual agonist · GLP-1 + GIP

  • GLP-1

    Curbs appetite and triggers insulin after meals

  • GIP

    Amplifies the insulin response and how the body handles fat

  • glucagon

    Not activated

Triple-agonist — retatrutide (investigational). Adds glucagon on top of GIP and GLP-1.

Receptors it activates

Triple agonist · GLP-1 + GIP + glucagon

  • GLP-1

    Curbs appetite and triggers insulin after meals

  • GIP

    Amplifies the insulin response and how the body handles fat

  • glucagon

    Lifts energy expenditure, so the body burns more

The GLP-1 drugs, one by one

Each profile links to a full guide with dosing, cost, side effects, and how to get it.

  1. Sold as
    Mounjaro, Zepbound
    Used to treat
    Type 2 diabetes · Weight management & sleep apnea
    Class
    GIP/GLP-1 receptor agonist
    Avg. weight loss
    ~21%
  2. 2. Retatrutide Investigational
    Sold as
    Used to treat
    Class
    GIP/GLP-1/glucagon receptor agonist
    Avg. weight loss
    ~24%
  3. Sold as
    Ozempic, Wegovy, Rybelsus
    Used to treat
    Type 2 diabetes · Weight management
    Class
    GLP-1 receptor agonist
    Avg. weight loss
    ~15%
  4. Sold as
    Victoza, Saxenda
    Used to treat
    Type 2 diabetes · Weight loss
    Class
    GLP-1 receptor agonist
    Avg. weight loss
    ~7%
  5. Sold as
    Trulicity
    Used to treat
    Type 2 diabetes
    Class
    GLP-1 receptor agonist
    Avg. weight loss

Side effects and safety across the class

The GLP-1 drugs share a side-effect profile: mostly digestive, mostly early, and mostly temporary. Nausea, diarrhea, constipation, and vomiting are the common ones, worst after a dose increase and easing as the body adjusts. Rare but serious risks include pancreatitis, gallbladder problems, kidney injury from dehydration, and serious allergic reactions.

Which GLP-1 is right for you?

The strongest option isn't automatically the right one. Tirzepatide leads on weight loss, but semaglutide has a longer record and the only pill; liraglutide is the cheapest (and the only one with a generic); and the best real-world choice usually comes down to what your insurance covers, how you tolerate it, and whether you want an injection or a tablet.

What GLP-1 drugs cost

Brand-name GLP-1s list around $1,000 a month or more before insurance, though what people actually pay ranges widely with coverage, savings cards, and self-pay vial programs. Generic liraglutide is the cheapest legitimate option; retatrutide has no price because it isn't approved. See each drug's guide for its full cost breakdown, and our blog roundups on the cheapest ways to get a GLP-1.

FAQ

Common questions about GLP-1 drugs

What are GLP-1 drugs?

GLP-1 receptor agonists are medications that mimic glucagon-like peptide-1, a hormone your gut releases after eating. They prompt insulin release when blood sugar is high, slow stomach emptying, and reduce appetite. They treat type 2 diabetes and, at higher doses, obesity.

Which GLP-1 is best for weight loss?

In trials, tirzepatide (Zepbound) produced the most weight loss of any approved option — about 21% — ahead of semaglutide (Wegovy) at ~15%. Investigational retatrutide posted even higher numbers (~24%) but is not yet FDA-approved. The "best" one also depends on cost, insurance, side effects, and whether you want an injection or a pill.

Are GLP-1 drugs safe?

The approved ones have large trial and real-world safety records. The most common side effects are digestive and usually temporary; rare serious risks include pancreatitis and gallbladder problems. All carry a boxed warning for thyroid C-cell tumors and are not for people with a personal or family history of medullary thyroid cancer or MEN 2.

Do you regain weight after stopping a GLP-1?

Often, yes. In withdrawal studies, people regained a large share of lost weight within a year of stopping. GLP-1 drugs are generally treated as long-term therapy for a chronic condition, not a short course.

Is there a natural GLP-1?

Your body makes GLP-1 naturally, and food, fiber, and protein nudge it up modestly — but no supplement or food matches the effect of the medications, which deliver a far larger, longer-lasting dose. Be skeptical of products marketed as "natural Ozempic."

How much do GLP-1 drugs cost?

Brand-name GLP-1s list around $1,000+ a month before insurance, though savings cards, insurance, and self-pay vial programs can lower that substantially. Generic liraglutide is the cheapest legitimate option. Cost varies widely by drug, diagnosis, and coverage.

Sources

Every claim on this page traces to primary literature or FDA labeling. Browse the full evidence library.

  1. GLP-1 agonists (overview) (Cleveland Clinic)
  2. Tirzepatide Once Weekly for the Treatment of Obesity (SURMOUNT-1) (New England Journal of Medicine, 2022)
  3. Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1) (New England Journal of Medicine, 2021)
This page is for informational purposes only and isn't medical advice. Talk to a licensed healthcare provider about your situation before starting, stopping, or changing any medication. See our medical disclaimer and editorial policy.

Written by the GLP Index editorial team · Updated July 16, 2026 · How we source