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GLP-1 Decoder

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

Yes. In the Zepbound trials, 7% of people on 15 mg had fatigue, against 3% on placebo: about 2 times the placebo rate. It is the seventh most common side effect in that table.

In the Zepbound label
Yes, with a rate
On Zepbound 15 mg
7%
On placebo
3%
Rank in the label table
7 of 16

Zepbound facts at a glance

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 days, half is gone, and about 3% remains after five half-lives (27.5 days).

Main trial: how much weight people lost
SURMOUNT-1: 5 mg weekly15%SURMOUNT-1: 10 mg weekly19.5%SURMOUNT-1: 15 mg weekly20.9%Placebo3.1%

SURMOUNT-1's 72-week result shows 20.9% of body weight versus 3.1% on placebo.

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

Monthly prices in US dollars include the list price and self-pay offers, each taken from the maker's price page.

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

Zepbound vs placebo: how often it shows up

The label trials separate Zepbound fatigue by dose group. In that same trial, the placebo serves as the comparison group.

Fatigue shown in the Zepbound label
Medicine and doseFatiguePlaceboMore than placeboPeople in the trials
Zepbound 5 mg5%3%+2 pointsAdults with obesity or overweight (weight management)
Zepbound 10 mg6%3%+3 pointsAdults with obesity or overweight (weight management)
Zepbound 15 mg7%3%+4 pointsAdults with obesity or overweight (weight management)

Source: Zepbound label (DailyMed).

How Fatigue on Zepbound compares with other GLP-1s

Each label describes its own trials, which involved different groups of people. Use this as a rough guide.

You can find Foundayo listed with the pill forms in the table.

Fatigue across GLP-1 labels
MedicineHighest rate in the labelDose groupPlaceboPeople in the trials
Wegovy11%2.4 mg5%Adults with obesity or overweight (weight management)
Foundayo9%17.2 mg4%Adults with obesity or overweight (weight management)
Saxenda7.5%all doses4.6%Adults with obesity or overweight (weight management)
Zepbound7%15 mg3%Adults with obesity or overweight (weight management)
Trulicity5.6%1.5 mg2.6%Adults with type 2 diabetes
Byetta4%all doses2%Adults with type 2 diabetes
OzempicListed, no rate given–––
MounjaroListed, no rate given–––
RybelsusNot listed–––
VictozaNot listed–––

Sources: Wegovy label (DailyMed), Zepbound label (DailyMed), Foundayo label (DailyMed), Trulicity label (DailyMed), Saxenda label (DailyMed), Byetta label (DailyMed).

The cited source is FDA label (DailyMed).