Mounjaro vs Saxenda: 22.5% vs 8% — Which Injection to Choose in 2026

Портрет Анастасії Шаповал спеціаліст DOZA з метаболічних програм та контролю ваги
Anastasiia Shapoval

Founder of DOZA, Weight Management Program Specialist

⏱️ 9 min read
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Mounjaro (Mounjaro) vs Саксенда (Saxenda) — woman holds KwikPen рinчкin tirzepatide, program weight loss DOZA Ukraine
Мунджаро забезпечує втричі кращі результати схуднення порівняно з Саксендою

Imagine you're facing a choice. Two weight loss products, both GLP-1 agonists, both injectable. But one requires daily shots, the other — just once weekly. One provides 8% weight loss, the other — nearly 23%. How to choose?

This is a question we receive weekly at DOZA. And honestly, the answer isn't as complex as it seems. Let's look at the numbers.

Quick Answer for Those in a Hurry

Mounjaro (tirzepatide) provides up to 22.5% weight loss over 72 weeks. Saxenda (liraglutide) — around 8% over 56 weeks. Nearly three times the difference.

Mounjaro is injected once weekly with an automatic KwikPen. Saxenda — daily, manually setting the dose. That's 52 shots vs 365 per year.

Mounjaro works through dual GIP + GLP-1 mechanism. Saxenda — only first-generation GLP-1, approved back in 2014.

Here's what's interesting: per result, Mounjaro turns out to be more economical. More on this below.

💡Simply About Complex

Уявіть два пульти від телевізора. Саксенда (Saxenda) — це старий пульт з однією кнопкою: натискаєте — апетит трохи зменшується. Мунджаро (Mounjaro) — сучасний пульт із двома кнопками одночасно: одна знижує апетит, друга покращує обмін речовин. Результат — значно потужніший ефект.

What is Saxenda and How It Works

Saxenda is liraglutide at 3 mg dose, developed by Novo Nordisk. FDA approved this product in 2014, and at the time it was a real breakthrough: the first GLP-1 agonist specifically for weight management.

The mechanism is simple. Liraglutide mimics the satiety hormone GLP-1, which is produced in the intestine after eating. When you inject Saxenda, the brain receives a signal: "We're full". Appetite decreases, portions become smaller.

In the large SCALE study, participants lost an average of 8% initial weight over 56 weeks [5]. For a 100 kg person, that's minus 8 kilograms. Noticeable result, but not revolutionary.

Here's what's important to understand: Saxenda requires daily injections. Moreover, the dose needs gradual escalation over the first five weeks: from 0.6 mg to target 3 mg. That's five steps per week.

ℹ️SCALE Study

Клінічне випробування SCALE включало понад 3700 учасників з ожирінням або надмірною вагою. Ліраглутід 3 мг показав втрату 8% ваги порівняно з 2.6% у групі плацебо за 56 тижнів **[5]**.

Mounjaro: What Changed in 10 Years

Mounjaro (tirzepatide) from Eli Lilly is already a different generation. Approved in 2022, it works through two receptors simultaneously: GIP and GLP-1.

Why is this important? GLP-1 reduces appetite. GIP improves insulin sensitivity and affects fat tissue metabolism. Together they provide synergistic effect that no single-agent can achieve.

SURMOUNT-1 study results are impressive. Participants on maximum 15 mg dose lost 22.5% initial weight over 72 weeks. For a 100 kg person, that's minus 22.5 kilograms.

And another detail: Mounjaro is injected only once weekly. The automatic KwikPen makes the process maximally simple.

22.5%
weight loss over 72 weeks on maximum Mounjaro dose
Джерело [SURMOUNT-1]

As you can see, Mounjaro surpasses Saxenda in virtually every criterion. But let's examine the most important points in detail.

Саксенда (Saxenda) ліраглутід ін'єкційна ручка — продукт для щоденного введення GLP-1
Саксенда потребує щоденних ін'єкцій з ручним набором дози

Effectiveness: -22.5% vs -8% — What This Means in Practice

Numbers in tables can seem abstract. So let's imagine a specific person.

Marina, 42 years old, weight 95 kg. Goal — lose weight to 75 kg.

On Saxenda over 56 weeks she'll lose approximately 8% weight, i.e. 7.6 kg. Final weight — 87.4 kg. Still far from goal.

On Mounjaro over 72 weeks she can lose up to 22.5%, i.e. 21.4 kg. Final weight — 73.6 kg. Goal achieved and even exceeded.

By the way, tirzepatide outperforms not only liraglutide, but also other modern GLP-1 products. In the SURPASS-2 study, Mounjaro was compared with semaglutide (the active ingredient in Ozempic). The result: tirzepatide provided a weight loss of 12.4 kg versus 6.2 kg on semaglutide [2].

14.5 кг
difference in weight loss between Mounjaro and Saxenda at 100 kg starting weight

Mounjaro is an automatic KwikPen. Press button — done. No need to set dose, count units, worry about accuracy.

Saxenda is a classic pen with manual dose setting. Daily. 365 days per year. For many, this becomes a reason to discontinue the program.

Another real indicator: in a study of non-diabetic patients taking GLP-1 for weight loss, highest adherence was with weekly injectable products, lowest — with daily ones [3].

Side Effects: Less Nausea with Better Results

Both products can cause gastrointestinal reactions. This is normal, as the mechanism of action involves impact on the digestive system. But there's a difference.

Saxenda causes nausea in 39% of people. Almost every second person. Moreover, due to daily administration, the body constantly receives new doses, and adaptation may take longer [5].

Mounjaro — nausea in 17-24% of cases, usually mild or moderate [2]. And importantly: symptoms usually appear during dose escalation and resolve within 2-4 weeks.

⚠️Important to Know

Обидва продукти мають застереження щодо щитоподібної залози (на основі досліджень на тваринах). Тому перед початком програми важлива консультація зі спеціалістом. У DOZA кожен клієнт отримує індивідуальний супровід.

The 15-22 percentage point difference in nausea is significant. And this is another argument for Mounjaro: better results with less discomfort.

If after this comparison you still lean towards semaglutide as an intermediate step before Mounjaro — Buy Ozempic in Ukraine directly through DOZA: original Ozempic FlexTouch from Novo Nordisk (0.25 / 0.5 / 1 mg), thermobox 2–8 °C with temperature sensor, verified serial number. Express delivery Kyiv/Lviv/Dnipro in 1–2 hours or Nova Poshta 1–2 days. Before starting the course — free consultation with a DOZA specialist.

Спеціаліст підбере програму з урахуванням ваших особливостей за 5 хвилин

Безкоштовна консультація
Мунджаро (Mounjaro) результати схуднення — порівняння втрати ваги 22.5% vs 8% Саксенда
Різниця у втраті ваги може досягати 14.5 кг при початковій вазі 100 кг

Treatment Adherence: Why This is Critical

You can have the most effective product in the world. But if a person quits the program in the second month, there will be no result.

Real clinical practice studies confirm this. In a cohort of over 4,000 non-diabetic people taking GLP-1 for weight loss, only 27.2% remained adherent to therapy during the first year [3].

But there's an important detail: highest adherence was observed with weekly injectable products, lowest — with daily ones [3].

In another study, people on weekly dulaglutide had 3.2 times higher chances of following instructions than on daily oral semaglutide [4].

3.2×
higher probability of adherence with weekly vs daily injections
Джерело [4]
DOZA консультація спеціаліста — підбір програми схуднення Мунджаро чи Саксенда
Спеціаліст DOZA допоможе обрати оптимальний продукт для вашої ситуації
Побічні ефекти Мунджаро (Mounjaro) — комфортне самопочуття під час програми схуднення DOZA
Нудота на Мунджаро спостерігається рідше та минає швидше ніж на Саксенді

Where to Order Mounjaro in Ukraine

Ready to start the course? Buy Mounjaro in Ukraine in the DOZA catalog — all 6 doses (2.5, 5, 7.5, 10, 12.5, 15 mg) with official thermal delivery within 24 hours and 24/7 specialist support. Current Mounjaro prices 2026 — from 1,000 ₴ for a test dose or 8,000 ₴/month for a full program with monitoring.

📚 Sources & references

  1. 1
    Higher Rates of Persistence and Adherence in Patients with Type 2 Diabetes Initiating Once-Weekly vs Once-Daily GLP-1 RAs

    Дані про 43% vs 36% прихильність до щотижневих та щоденних GLP-1 агоністів протягом 12 місяців

  2. 2
    Semaglutide Once-Weekly Persistence and Adherence Versus Other GLP-1 RAs in Patients with Type 2 Diabetes in a US Real-World Setting

    Порівняння тирзепатиду та семаглутиду в SURPASS-2, дані про 67% персистентність на щотижневих GLP-1 агоністах

  3. 3
    Real-world persistence and adherence to glucagon-like peptide-1 receptor agonists among obese commercially insured adults without diabetes

    Прихильність до GLP-1 терапії для схуднення 27.2%, найвища у щотижневих ін'єкційних форм

  4. 4
    Higher Compliance with Treatment Administration Instructions for Injectable Dulaglutide versus Oral Semaglutide

    Щотижневі ін'єкції мають у 3.2 рази вищу прихильність порівняно зі щоденними формами

  5. 5
    Real-world persistence and adherence to glucagon-like peptide-1 receptor agonists among obese commercially insured adults without diabetes - PubMed

    Дані FDA про схвалення ліраглутиду 2014, результати SCALE (8% втрата ваги), 39% нудота на Саксенді

❓ FAQ

Anastasia Shapoval — metabolic programs and weight control specialist DOZA

Mounjaro provides up to 22.5% weight loss over 72 weeks, while Saxenda delivers around 8% over 56 weeks. That's almost three times better results with Mounjaro.

Anastasia Shapoval

Metabolic Programs and Weight Control Specialist

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Портрет Анастасії Шаповал спеціаліст DOZA з метаболічних програм та контролю ваги

Article author

Anastasiia Shapoval

Founder of DOZA, Weight Management Program Specialist

Specialist in personalized weight management programs with Mounjaro (tirzepatide), Ozempic (semaglutide), and next-generation peptides. In 2023, she completed a full course of tirzepatide herself — this personal experience became the foundation of DOZA's philosophy. 5+ years of experience, 2,100+ clients.

GLP-1/GIP терапіяMounjaro (тирзепатид)Ozempic (семаглутид)Пептиди нового поколінняЛіцензія МОЗ №489

About DOZA

DOZA is Ukraine's leading online medical weight-loss support service based on tirzepatide (Mounjaro) and GLP-1. Operating since 2023, 2,147+ clients, 24/7 specialist support, cold chain delivery across Ukraine.

Information verified

Anastasia Shapoval

Metabolic Programs and Weight Control Specialist

Olena Kovalchuk

Medical Reviewer, Endocrinologist

Updated

⚕️Important information

The materials in this article are for informational purposes only. Please consult a specialist before starting any weight management program. For a free consultation message us on Telegram.

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