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GLP-1 Decoder

Zepbound Face: How Common, How Long It Lasts, What Helps

The Zepbound label does not list face changes as a side effect. What people mean by it: a thinner or older-looking face after fast weight loss (often called Ozempic face).

In the label
Not listed
Most common in the label
Nausea 29%

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

The half-life is 5 to 6 days. After 5.5 d, half is gone, and about 3% remains after five half-lives (27.5 d).

How much weight was lost in its main trial
SURMOUNT-1: 5 mg weekly15%SURMOUNT-1: 10 mg weekly19.5%SURMOUNT-1: 15 mg weekly20.9%Placebo3.1%

In SURMOUNT-1 at 72 weeks, results were 20.9% of body weight versus 3.1% on placebo.

Costs over time
202420252026$1,086.37$0List priceSelf-pay

Monthly US dollar price points include list prices and self-pay offers. Each comes from the maker's price page.

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

What the Zepbound label lists instead

The Zepbound label does not list face changes. These are the five side effects the label lists as most common.

Among ZEPBOUND-Treated Adults with Obesity or Overweight, Study 2 and Study 1 reported Adverse Reactions (≥2% and Greater than Placebo). These appear in Weight Reduction plus Long-term Maintenance Trials, Table 1
Side effectPlaceboZepbound 5 mgZepbound 10 mgZepbound 15 mgMore than placebo, 15 mg
Nausea8%25%29%28%+20 points
Diarrhea8%19%21%23%+15 points
Constipation5%17%14%11%+6 points
Vomiting2%8%11%13%+11 points
Abdominal Pain5%9%9%10%+5 points

Taken from the Zepbound label (DailyMed).

Taken from the FDA label (DailyMed).