{"id":176582,"date":"2025-12-10T04:09:12","date_gmt":"2025-12-10T04:09:12","guid":{"rendered":"https:\/\/www.newsbeep.com\/nz\/176582\/"},"modified":"2025-12-10T04:09:12","modified_gmt":"2025-12-10T04:09:12","slug":"why-you-might-tolerate-one-weight-loss-drug-better-than-another","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/nz\/176582\/","title":{"rendered":"Why You Might Tolerate One Weight Loss Drug Better Than Another"},"content":{"rendered":"<p id=\"mntl-sc-block_2-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> Tirzepatide and semaglutide may cause similar side effects, like nausea and diarrhea. Tolerance depends on the person.\u00a0\n<\/p>\n<p id=\"mntl-sc-block_5-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> Semaglutide and tirzepatide share many similarities. Both are <a href=\"https:\/\/www.health.com\/glp-1-receptor-agonists-8624663\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"internalLink\" data-ordinal=\"1\" rel=\"nofollow noopener\" target=\"_blank\">GLP-1 receptor agonists<\/a> that work on receptors in the brain, pancreas, and digestive tract. They help control blood sugar levels, slow stomach emptying, and decrease hunger and food cravings.\n<\/p>\n<p id=\"mntl-sc-block_7-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> Tirzepatide and semaglutide also share a number of side effects\u2014nausea, <a href=\"https:\/\/www.health.com\/acid-reflux-overview-7481216\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"internalLink\" data-ordinal=\"1\" rel=\"nofollow noopener\" target=\"_blank\">acid reflux<\/a> or indigestion, constipation, and complete loss of appetite (beyond the intended effect) are most common, said <a href=\"https:\/\/weillcornell.org\/rbkumar\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"2\" rel=\"nofollow noopener\" target=\"_blank\">Rekha Kumar, MD<\/a>, an endocrinologist at Weill Cornell Medicine.\n<\/p>\n<p id=\"mntl-sc-block_9-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> Beyond these, the labels for Zepbound, Mounjaro, Ozempic, and Wegovy all warn users about possible <a class=\"recommendation-inline-link\" href=\"https:\/\/www.health.com\/condition\/diarrhea-overview\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"internalLink\" data-ordinal=\"1\" rel=\"noopener noreferrer nofollow\" target=\"_blank\">diarrhea<\/a>, vomiting, and stomach pain.\n<\/p>\n<p id=\"mntl-sc-block_11-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> There are slight variations beyond these side effects, particularly with the weight-loss versions of these medications. Both Wegovy and Zepbound users may have fatigue, belching, and <a class=\"recommendation-inline-link\" href=\"https:\/\/www.health.com\/heartburn-pyrosis-8383785\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"internalLink\" data-ordinal=\"1\" rel=\"noopener noreferrer nofollow\" target=\"_blank\">heartburn<\/a>.\u00a0\n<\/p>\n<p id=\"mntl-sc-block_13-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> Zepbound might also lead to injection site reactions, allergies, or hair loss. Wegovy may cause headaches, dizziness, <a class=\"recommendation-inline-link\" href=\"https:\/\/www.health.com\/how-to-reduce-bloating-7550924\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"internalLink\" data-ordinal=\"1\" rel=\"noopener noreferrer nofollow\" target=\"_blank\">bloating<\/a>, low blood sugar, stomach flu, gas, or a runny nose and sore throat.\n<\/p>\n<p id=\"mntl-sc-block_15-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> These side effects are fairly similar. For both medications, symptoms tend to improve over time as people get used to them, said <a href=\"https:\/\/www.yalemedicine.org\/specialists\/jorge-moreno\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" rel=\"nofollow noopener\" target=\"_blank\">Jorge Moreno, MD<\/a>, internal medicine and obesity medicine physician at Yale Medicine.\n<\/p>\n<p id=\"mntl-sc-block_17-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> According to <a href=\"https:\/\/pharmacy.utexas.edu\/directory\/morgan-stewart\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\" rel=\"nofollow noopener\" target=\"_blank\">Morgan Stewart, PharmD<\/a>, clinical associate professor of pharmacy practice at the University of Texas at Austin, side effects are often dose-dependent.\n<\/p>\n<p id=\"mntl-sc-block_19-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> Regardless of whether people are taking tirzepatide or semaglutide, side effects are \u201cmore likely to happen at higher doses,\u201d Stewart told Health.\n<\/p>\n<p id=\"mntl-sc-block_22-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> Though they\u2019re similar, tirzepatide and semaglutide are formulated differently. While semaglutide is just a GLP-1 agonist, tirzepatide is a dual-action medication. It\u2019s\u00a0both a GLP-1 agonist and a glucose-dependent insulinotropic polypeptide (GIP) receptor agonist.\n<\/p>\n<p id=\"mntl-sc-block_24-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> GIP is a hormone primarily responsible for lowering blood sugar. Tirzepatide, which acts on both GLP-1 and GIP receptors, can further lower blood sugar, promote weight loss, and improve lipid levels.\n<\/p>\n<p id=\"mntl-sc-block_26-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> This could be why both Zepbound and Mounjaro have been <a href=\"https:\/\/www.health.com\/mounjaro-weight-loss-ozempic-8676350\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"internalLink\" data-ordinal=\"1\" rel=\"nofollow noopener\" target=\"_blank\">shown to outperform<\/a> Wegovy and Ozempic in terms of weight loss benefits, said Stewart.\n<\/p>\n<p id=\"mntl-sc-block_28-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> It might also explain why some people tolerate the medications differently. Stewart said she&#8217;s noticed that \u201ctirzepatide sometimes causes more side effects than semaglutide because it works on two hormones instead of one.\u201d\n<\/p>\n<p id=\"mntl-sc-block_30-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> Dr. Kumar has seen the opposite. She said it\u2019s often easier to space out tirzepatide doses and increase them more gradually over time. She\u2019s noticed that tirzepatide is less likely to cause digestive discomfort among her patients than semaglutide.\n<\/p>\n<p id=\"mntl-sc-block_32-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> Dr. Moreno said that he\u2019s treated many people who had intense side effects with semaglutide that significantly lessened when they switched to tirzepatide.\n<\/p>\n<p id=\"mntl-sc-block_34-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> However, \u201cI\u2019ve had the reverse occur as well, where people tolerate semaglutide better,\u201d Dr. Moreno told Health.\n<\/p>\n<p id=\"mntl-sc-block_36-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> This kind of anecdotal evidence is all that\u2019s out there. There\u2019s little research putting tirzepatide and semaglutide\u2019s side effects head-to-head on a wide scale.\n<\/p>\n<p id=\"mntl-sc-block_38-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> It may be that tolerating tirzepatide or semaglutide simply comes down to each individual. People can have different tolerances to medication types and doses depending on their age, genetics, and sex, said Dr. Kumar.\n<\/p>\n<p id=\"mntl-sc-block_40-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> Lifestyle may also change things. Your activity levels, medications, and diet can affect your risk of GLP-1 side effects, said Dr. Kumar.\n<\/p>\n<p id=\"mntl-sc-block_42-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> The same is true for your starting dose. \u201cIf the starting dose is too high or increased too quickly, side effects like nausea are more likely,\u201d said Stewart.\n<\/p>\n<p id=\"mntl-sc-block_44-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> If you\u2019re having fewer side effects after switching from Ozempic to Mounjaro, for example, it could be because your body handles the formulation better. It could also be because a doctor started you on a lower dose, or you\u2019re now eating well and exercising more consistently.\n<\/p>\n<p id=\"mntl-sc-block_47-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> Regardless of which GLP-1 medication you\u2019re taking, there are a few steps you can take to lessen your chance of developing side effects.\n<\/p>\n<p id=\"mntl-sc-block_49-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> For one, you can start at a low dose and ramp up gradually over time, recommended Stewart.\n<\/p>\n<p id=\"mntl-sc-block_51-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> Eating smaller meals and limiting consumption of fried foods, desserts, and high-fat meats such as steak can also be incredibly helpful for some people, said Dr. Moreno. These foods can worsen digestive side effects.\n<\/p>\n<p id=\"mntl-sc-block_53-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> Prescription or over-the-counter (OTC) anti-nausea or constipation medications can also be a good way to ease side effects.\n<\/p>\n<p id=\"mntl-sc-block_55-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> It&#8217;s important to stay hydrated. Dr. Kumar said people often forget to drink water when their appetite is suppressed. \u201cI have seen such bad dehydration that people land in the [emergency room] with <a class=\"recommendation-inline-link-ai\" href=\"https:\/\/www.health.com\/kidney-failure-overview-7488917\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"internalLink\" data-ordinal=\"1\" rel=\"nofollow noopener\" target=\"_blank\">kidney failure<\/a>,\u201d Dr. Kumar told Health.\n<\/p>\n<p id=\"mntl-sc-block_58-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> If you continue to have harsh or uncomfortable side effects day after day, it\u2019s best to talk to a doctor\u2014especially if GLP-1 side effects are interfering with your ability to function.\n<\/p>\n<p id=\"mntl-sc-block_60-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> Dr. Kumar said she usually advises people to stop taking their GLP-1 to see if side effects go away.\n<\/p>\n<p id=\"mntl-sc-block_62-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> From there, she\u2019ll ask for a detailed account of her patient\u2019s diet to see if certain foods or beverages might have triggered the bad reaction. Depending on those answers, she\u2019ll have the person try a lower dose of the drug with a few behavioral changes, or she\u2019ll switch their medication.\n<\/p>\n<p id=\"mntl-sc-block_64-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> At the end of the day, every person\u2014and body\u2014is unique, said Dr. Moreno. Doctors should tailor the treatment plan to each person&#8217;s needs.\n<\/p>\n<p id=\"mntl-sc-block_66-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"> \u201cObesity treatment is not a one-size-fits-all approach,\u201d said Dr. Moreno.<\/p>\n","protected":false},"excerpt":{"rendered":"Tirzepatide and semaglutide may cause similar side effects, like nausea and diarrhea. Tolerance depends on the person.\u00a0 Semaglutide&hellip;\n","protected":false},"author":2,"featured_media":176583,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[33],"tags":[134,524,111,139,69],"class_list":{"0":"post-176582","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-medication","8":"tag-health","9":"tag-medication","10":"tag-new-zealand","11":"tag-newzealand","12":"tag-nz"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/176582","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/comments?post=176582"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/176582\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media\/176583"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media?parent=176582"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/categories?post=176582"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/tags?post=176582"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}