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GLP-1 Decoder

Tirzepatide Muscle Loss: How Common, How Long It Lasts

The tirzepatide labels do not list muscle loss as a side effect. What people mean by it: losing muscle along with fat while losing weight.

In the label
Not listed
Most common in the label
Nausea 18%

Zepbound in brief

How long it remains in your body
100%50%25%0%05.5 d11 d16.5 d22 d27.5 d50%25%12.5%time after the dose

Half-life 5 to 6 days: after 5.5 d half is gone, and after five half-lives (27.5 d) about 3% is left.

Its main trial's weight loss results
SURMOUNT-1: 5 mg weekly15%SURMOUNT-1: 10 mg weekly19.5%SURMOUNT-1: 15 mg weekly20.9%Placebo3.1%

SURMOUNT-1 reported 20.9% of body weight at 72 weeks, compared with 3.1% on placebo.

Cost as time goes on
202420252026$1,086.37$0List priceSelf-pay

In US dollars, the monthly price points cover the list price as well as self-pay offers, all taken from the maker's price page.

Sources: FDA label (DailyMed), Eli Lilly 1 2, cnbc.com.

What the Mounjaro label lists instead

The Mounjaro label does not list muscle loss. It does list these five side effects most often.

Adverse Reactions in Pool of Placebo-Controlled Trials Reported in ≥5% of MOUNJARO-treated Adult Patients with Type 2 Diabetes Mellitus appear in Table 1
Side effectPlaceboMounjaro 5 mgMounjaro 10 mgMounjaro 15 mgMore than placebo, 15 mg
Nausea4%12%15%18%+14 points
Diarrhea9%12%13%17%+8 points
Decreased Appetite1%5%10%11%+10 points
Vomiting2%5%5%9%+7 points
Dyspepsia3%8%8%5%+2 points

Source: Mounjaro label (DailyMed).

Source: FDA label (DailyMed).