Wegovy vs Ozempic vs Mounjaro: Which Results in the Best Weight Loss?
Weight-loss injections have become a hot topic. Three in particular—Wegovy (semaglutide), Ozempic (semaglutide for diabetes), and Mounjaro (tirzepatide)—are often discussed. Here’s how they compare, based on evidence and FAQs.
Wegovy, Ozempic and Mounjaro: Which Weight Loss Injection Is Right for You?
In recent years, injectable medications for weight loss have gained enormous popularity. From celebrity endorsements to NHS pilot schemes, medications like Wegovy, Ozempic and Mounjaro have become common talking points in the UK. But with so many names—and even more hype—it’s easy to feel overwhelmed when trying to understand what they are, how they work, and whether they’re right for you.
This blog offers a clear, practical comparison of the three main injectable medications used for weight loss: Wegovy (semaglutide), Ozempic (semaglutide), and Mounjaro (tirzepatide). We'll explore how they work, how much weight people typically lose on them, common side effects, and frequently asked questions, so you can make an informed decision.
How They Work
All three medications help regulate appetite by mimicking hormones that affect blood sugar and feelings of fullness. Wegovy and Ozempic both contain semaglutide, which mimics the GLP-1 hormone. Mounjaro contains tirzepatide, which mimics both GLP-1 and another hormone called GIP, offering a dual-action approach.
These hormones slow digestion, reduce appetite, and help regulate insulin levels, making you feel fuller for longer and less likely to overeat. Mounjaro’s additional mechanism is believed to enhance its effectiveness compared to semaglutide-based treatments.
How Much Weight Can You Lose?
Clinical trials have shown significant differences in the level of weight loss achieved across the three medications.
Wegovy users lost, on average, about 14.9% of their body weight over 68 weeks in clinical trials. In comparison, Mounjaro users saw an average weight loss of up to 22% over 72 weeks, making it the most effective weight loss injection on the market today. Ozempic, which was originally developed for managing type 2 diabetes rather than weight loss, generally results in weight loss of around 10–15% of body weight, depending on the dose and the individual's circumstances.
It’s important to note that while these figures are averages from controlled clinical settings, real-world results vary. Weight loss may be lower for people who don’t make accompanying lifestyle changes, or who experience difficulties with side effects or adherence.
Side Effects to Be Aware Of
The most commonly reported side effects across all three medications include nausea, vomiting, constipation, diarrhoea, and stomach discomfort. These symptoms tend to occur most frequently when starting treatment or increasing the dose, and often settle over time.
In rare cases, more serious issues such as pancreatitis or gallbladder problems have been reported, which is why all of these medications should only be used under medical supervision. There have also been anecdotal reports of hair thinning, fatigue, and muscle loss, especially if weight is lost too rapidly.
An important point for many patients to consider is that weight is often regained when the medication is stopped—especially if lifestyle changes aren't maintained during and after treatment. Support around nutrition, mindset and movement is key to long-term success.
Mounjaro vs Wegovy vs Ozempic: A Quick Comparison
Feature | Wegovy | Ozempic | Mounjaro |
---|---|---|---|
Active Ingredient | Semaglutide | Semaglutide | Tirzepatide |
Original Use | Weight loss | Type 2 diabetes | Type 2 diabetes & weight loss |
Avg. Weight Loss | ~15% | ~10–15% | ~20–22% |
Hormone Target | GLP-1 | GLP-1 | GLP-1 & GIP |
Frequency | Weekly injection | Weekly injection | Weekly injection |
Side Effects | GI symptoms common | GI symptoms common | Slightly higher rate of GI issues but stronger results |
Available in UK? | Yes (NHS and private) | Yes (NHS and private) | Private only (as of 2025) |
Common Questions About Weight Loss Injections
Are these medications safe?
Yes, when prescribed and monitored by a qualified medical professional. However, they're not suitable for everyone, especially those with a history of certain cancers or pancreatitis.
Can I take them long-term?
Weight loss is maintained while on the medication, but many patients regain weight after stopping. Long-term treatment may be necessary, depending on your goals and health.
Will they work without diet and exercise?
You may see some results with medication alone, but combining it with a healthy lifestyle leads to significantly better and more sustainable outcomes.
Can I switch between them?
In some cases, yes—but this should be done under medical advice. Some patients begin with Ozempic and transition to Wegovy or Mounjaro depending on results and tolerance.
Which one is right for me?
That depends on your weight loss goals, medical history, budget, and how you respond to the treatment. A healthcare provider can help guide the decision.
Final Thoughts
All three medications—Wegovy, Ozempic and Mounjaro—offer safe and effective options to support weight loss when used appropriately. Mounjaro tends to deliver the most significant results, while Wegovy offers a strong, established option with wide availability. Ozempic may still be suitable, especially for patients with diabetes, though it’s slightly less potent for weight loss compared to the others.
Whichever route you choose, remember that these treatments are most successful when used as part of a wider plan that includes mindset support, physical activity, and healthy nutrition. Working with an experienced clinical team can help you stay on track and ensure your health and wellbeing are prioritised every step of the way.
References
- JAMA Internal Medicine: Comparison of Tirzepatide vs Semaglutide for Weight Loss
- Wired: Why GLP-1 Medications Don't Always Work for Everyone
- NHS: Weight loss treatments and medication eligibility
- Openhouse Clinic: SURMOUNT-5 trial outcomes for tirzepatide
- Health.com: GLP-1s and how they impact weight
- Which? Magazine: Weight loss injections explained
- WebMD: Understanding Mounjaro and Semaglutide differences
- The Sun: Regain of weight after stopping GLP-1 medications





