Key takeaway

DOZA використовує лише продукти з доведеною ефективністю у клінічних дослідженнях. Основні дані: SURMOUNT-1 (тирзепатід, -22.5%), STEP-1 (семаглутід, -14.9%), REDEFINE-2 (ретатрутид, -24.2%). Усі джерела — рецензовані публікації NEJM, The Lancet, Nature Medicine.

GLP-1 scientific research — DOZA clinical product base
GLP-1 Products Scientific Base

Research on GLP-1 Products

Clinical trials, comparison table of 6 GLP-1 products, official FDA instructions and warnings about dangerous analogs

6 GLP-1 Products Clinical Data FDA / EMA

📑glp1Research.tocHeader

Product Overview

Quick comparison of key indicators

Largest clinical database
M

Mounjaro

Tirzepatide

Weight Loss-22.5%
MechanismGLP-1 + GIP (dual)
FrequencyOnce weekly
O

Ozempic

Semaglutide

Weight Loss-15%
MechanismGLP-1 only
FrequencyOnce weekly
W

Wegovy

Semaglutide

Weight Loss-16.9%
MechanismGLP-1 only
FrequencyOnce weekly
S

Saxenda

Liraglutide

Weight Loss-8%
MechanismGLP-1 only
FrequencyDaily
Z

Zepbound

Tirzepatide

Weight Loss-22.5%
MechanismGLP-1 + GIP (dual)
FrequencyOnce weekly
R

Rybelsus

Semaglutide (oral)

Weight Loss-4.4%
MechanismGLP-1 only
FrequencyDaily (tablet)
APPROVEDGLP-1

OZEMPIC (Semaglutide)

Key Information

INN:Semaglutide
Developer:Novo Nordisk A/S
Mechanism:GLP-1 agonist
Form:Injection, once weekly
Doses:0.25, 0.5, 1, 2 mg
FDA:December 5, 2017 (NDA: 209637)
EMA:February 2018

Key Results

HbA1cGlycated hemoglobin — an indicator of average blood sugar levels over the past 2-3 months. Normal: 4-5.6% Reduction

-1.5% to -1.8%

vs. placebo

Weight Loss

6-7 kg (~15%)

over 30 weeks (STEP-1)

Cardiovascular Safety

-26%

event risk (SUSTAIN 6)

Adaptation features (≥5% of participants):

Nausea (20-30%)VomitingDiarrheaAbdominal painConstipation

FDA Warning

Pancreatitis, thyroid tumors (C-cell, in rodents), acute kidney injury, intestinal obstruction, vision changes, hypoglycemia when combined with insulin.

APPROVEDGIP/GLP-1

MOUNJARO (Tirzepatide)

Key Information

INN:Tirzepatide
Developer:Eli Lilly and Company
Mechanism:GLP-1 + GIP (dual agonist)
Form:Injection, once weekly
Doses:2.5, 5, 7.5, 10, 12.5, 15 mg
FDA:May 13, 2022

Key Results

HbA1cGlycated hemoglobin — an indicator of average blood sugar levels over the past 2-3 months. Normal: 4-5.6% Reduction

-1.2% to -2.6%

vs. placebo/active comparators

Weight Loss

up to 22.5% (~24 kg)

SURMOUNT-1, 72 weeks, 15 mg

SURPASS-2 vs Ozempic

-13.2 kg

-2.46% HbA1cGlycated hemoglobin — an indicator of average blood sugar levels over the past 2-3 months. Normal: 4-5.6%, superior to semaglutide

Adaptation features (≥5% of participants):

Nausea (5-10%)DiarrheaDecreased appetiteAbdominal pain

BLACK BOX WARNING (FDA)

Thyroid C-cell tumors: Tirzepatide causes thyroid tumors in rats. It is unknown whether this applies to humans.

💚
APPROVEDGLP-1

WEGOVY (Semaglutide 2.4 mg)

Key Information

INN:Semaglutide
Developer:Novo Nordisk A/S
Mechanism:GLP-1 agonist
Indication:Chronic weight management (obesity / overweight)
Form:Injection, once weekly
Doses:0.25, 0.5, 1, 1.7, 2.4 mg
FDA:June 4, 2021 (weight loss)
EMA:January 2022

Key Results

Weight Loss

-16.9% (~17 kg)

STEP-1, 68 weeks, 2.4 mg

Cardioprotection

-20% MACE

SELECT trial, 17,604 participants

vs Placebo

-12.4% difference

STEP-1 (plc: -2.4%)

Adaptation features (≥5% of participants):

Nausea (20-30%)DiarrheaVomitingConstipationHeadache

FDA Warning (Black Box)

Risk of medullary thyroid carcinoma (C-cell tumors in rodents). Contraindicated in MEN 2 or family history of medullary thyroid carcinoma.

💛
APPROVEDGLP-1

SAXENDA (Liraglutide 3 mg)

Key Information

INN:Liraglutide
Developer:Novo Nordisk A/S
Mechanism:GLP-1 agonist
Indication:Chronic weight management; also for adolescents 12+
Form:Injection, daily
Doses:0.6, 1.2, 1.8, 2.4, 3 mg (titration)
FDA:December 23, 2014 (weight loss)
EMA:March 2015

Key Results

Weight Loss

-8% (~8 kg)

SCALE, 56 weeks, 3 mg

Response ≥5%

63.2% of patients

vs 27.1% placebo

Market Experience

10+ years

One of the most studied GLP-1s

Adaptation features (≥5% of participants):

Nausea (30-40%)DiarrheaConstipationHeadacheHypoglycemia

FDA Warning (Black Box)

Risk of medullary thyroid carcinoma (C-cell tumors in rodents). Contraindicated in MEN 2. Daily administration — less convenient compared to weekly injections.

💜
APPROVEDGIP/GLP-1

ZEPBOUND (Tirzepatide for Weight Loss)

Key Information

INN:Tirzepatide
Developer:Eli Lilly and Company
Mechanism:GLP-1 + GIP (dual agonist)
Indication:Chronic weight management (obesity / overweight)
Form:Injection, once weekly
Doses:2.5, 5, 7.5, 10, 12.5, 15 mg
FDA:November 8, 2023 (weight loss)
Difference from Mounjaro:Same molecule, different indication and brand

Key Results

Weight Loss

-22.5% (~24 kg)

SURMOUNT-1, 72 weeks, 15 mg

Response ≥20%

36.2% of patients

vs 1.5% placebo

Sleep Apnea

FDA Dec 2024

Approved for obstructive sleep apnea

Adaptation features (≥5% of participants):

Nausea (5-10%)DiarrheaDecreased appetiteAbdominal pain

ℹ️ Note

Zepbound = same molecule (tirzepatide) as Mounjaro. Mounjaro is registered for type 2 diabetes (FDA 2022), Zepbound — for chronic weight management (FDA 2023). Also approved for sleep apnea (FDA Dec 2024).

APPROVEDGLP-1 ORAL

RYBELSUS (Semaglutide Tablets)

Key Information

INN:Semaglutide (oral)
Developer:Novo Nordisk A/S
Mechanism:GLP-1 agonist (oral)
Indication:Type 2 diabetes
Form:Tablet, daily on an empty stomach
Doses:3, 7, 14 mg
FDA:September 20, 2019
EMA:April 2020

Key Results

HbA1cGlycated hemoglobin — an indicator of average blood sugar levels over the past 2-3 months. Normal: 4-5.6% Reduction

-1.0% to -1.4%

PIONEER 1-10

Weight Loss

-4.4 kg

PIONEER-1, 26 weeks, 14 mg

Uniqueness

First oral GLP-1

The only GLP-1 in tablet form

Adaptation features (≥5% of participants):

Nausea (15-20%)DiarrheaDecreased appetiteStomach discomfort

ℹ️ Note

Rybelsus is the only GLP-1 agonist in tablet form. Less effective for weight loss than injectable Wegovy (semaglutide 2.4 mg), but more convenient for patients who prefer to avoid injections. Take on an empty stomach 30 min before food with ≤120 ml water.

IN DEVELOPMENTPHASE 3

CAGRILINTIDE / CagriSema

Key Information

INN:Cagrilintide + semaglutide (CagriSema)
Developer:Novo Nordisk A/S
Mechanism:Amylin analog + GLP-1 (dual)
Indication:Obesity / weight management (in development)
Form:Injection, once weekly
Doses:In development
Status:Phase 3 (REDEFINE program)
NDA Submission:Expected 2026

Key Results

Weight Loss

-22.7%

REDEFINE-1, 68 weeks

vs Wegovy

~6% advantage

CagriSema vs semaglutide 2.4 mg alone

New Mechanism

Amylin + GLP-1

First amylin analog for obesity

Adaptation features (≥5% of participants):

NauseaDiarrheaVomitingPhase 3 data — safety profile under evaluation

ℹ️ Note

CagriSema = combination of cagrilintide (amylin analog) + semaglutide (GLP-1). Not yet approved. Novo Nordisk expects NDA submission in 2026. May become a competitor to Zepbound/Mounjaro from Eli Lilly.

IN DEVELOPMENTPHASE 3

RETATRUTIDE (LY3437943)

Key Information

INN:Retatrutide (LY3437943)
Developer:Eli Lilly and Company
Mechanism:GLP-1 + GIP + Glucagon (triple)
Form:Injection, once weekly
Doses:In development
Status:Phase 3 clinical trials

Key Results

Weight Loss

up to 32.3 kg (-28.7%)

over 72 weeks (Phase 2)

Triple Mechanism

GLP-1 + GIP + GCG

First triple agonist

Expected Approval

2026–2028

Highest result in Phase 2 trial

Adaptation features (≥5% of participants):

NauseaDiarrheaVomitingLimited data (Phase 2-3)

ℹ️ Note

Retatrutide has not been approved by any regulator. Results are based on Phase 2 clinical trials. Phase 3 will continue through 2026–2028.

NOT REGISTEREDTHIRD-PARTY MANUFACTURER

BIOPATID / BIOPELL

Key Information

Active Ingredient:Tirzepatide (as claimed by manufacturer)
Manufacturer:UNIKKA PHARMA (LCA Farmacêutica LTDA), Brazil
Distributor:Biopell Medical
Mechanism:GLP-1+GIP (claimed — same as Mounjaro)
Form:Vials 40 mg and 60 mg
API Source:Imported (not from Eli Lilly)
Registration in Ukraine:Not registered as a medicinal product with MOH Ukraine
FDA/EMA Status: Not registered

Key Results

Trust Rating

2 / 5

No proprietary clinical data

Proprietary Clinical Trials

None

References SURMOUNT-1 (Eli Lilly)

Composition Verification

Not confirmed

No independent analysis published

Side Effects:

No proprietary side effect data availableManufacturer references tirzepatide safety profileComposition not independently verified

🚨 IMPORTANT WARNING

Biopatid is manufactured by UNIKKA PHARMA (Brazil), not Eli Lilly — the developer of the tirzepatide molecule. Eli Lilly officially states it does not supply tirzepatide to any third-party manufacturers. Biopatid has not undergone its own clinical trials. The API is imported not from Eli Lilly. Not listed in Ukraine's State Register of Medicines (drlz.com.ua). Consult your doctor.

Full Comparison Table

All key characteristics in one table

CharacteristicMounjaroOzempicWegovySaxendaZepboundRybelsusRetatrutideBiopatidCagrilintide
Status Approved Approved Approved Approved Approved Approved Phase 3 Not Approved Phase 3
Active IngredientTirzepatideSemaglutideSemaglutideLiraglutideTirzepatideSemaglutide (oral)LY3437943Tirzepatide (as claimed by manufacturer)Cagrilintide (amylin analog)
ManufacturerEli LillyNovo NordiskNovo NordiskNovo NordiskEli LillyNovo NordiskEli LillyUNIKKA PHARMA (LCA Farmacêutica LTDA), Brazil · distribution by Biopell MedicalNovo Nordisk
Mechanism of ActionGLP-1 + GIP (dual)GLP-1 onlyGLP-1 onlyGLP-1 onlyGLP-1 + GIP (dual)GLP-1 onlyGLP-1 + GIP + Glucagon (triple)GLP-1+GIP (as claimed — same molecule as Mounjaro)Amylin analog (+ semaglutide in CagriSema)
Average Weight Loss-22.5%-15%-16.9%-8%-22.5%-4.4%-28.7%-22.7% (CagriSema)
~in kilograms~24 kg~15 kg~17 kg~8 kg~24 kg~4.5 kg~32 kg~23 kg
Dosing FrequencyOnce weeklyOnce weeklyOnce weeklyDailyOnce weeklyDaily (tablet)Once weekly1× per week (per manufacturer's instructions)Once weekly
Available Doses2.5, 5, 7.5, 10, 12.5, 15 mg0.25, 0.5, 1, 2 mg0.25, 0.5, 1, 1.7, 2.4 mg0.6, 1.2, 1.8, 2.4, 3 mg2.5, 5, 7.5, 10, 12.5, 15 mg3, 7, 14 mgIn developmentVials 40/60 mgIn development
Side EffectsAdaptation period: nausea, diarrhea (in 5-10%)Adaptation period: nausea, vomiting (in 10-15%)Adaptation period: nausea, vomiting (in 10-15%)Adaptation period: nausea (in 20-30%)Adaptation period: nausea, diarrhea (in 5-10%)Nausea (in 15-20%), diarrheaLimited data (Phase 2-3)No proprietary clinical data availableNausea, diarrhea (Phase 3 data)
FDA ApprovalFDA 2022FDA 2017FDA 2021FDA 2014FDA 2023FDA 2019Phase 3 (expected 2026–2028) Not approved by FDA/EMA/ANVISA as a standalone productPhase 3 (CagriSema — expected 2026)
References
Phase 2No instructions available
No proprietary RCTs conductedNo instructions available
REDEFINE-1No instructions available

Claim → Source → Level of Evidence

Every DOZA claim is backed by a specific clinical study with a defined evidence level

ClaimSourceEvidence LevelNotes
Tirzepatide: -22.5% weight loss SURMOUNT-1Level I — RCTn=2539, 72 wk
Semaglutide: -14.9% weight loss STEP-1Level I — RCTn=1961, 68 wk
Tirzepatide > Semaglutide for HbA1c SURPASS-2Level I — RCTn=1879, 40 wk
Semaglutide: -20% MACE events SELECTLevel I — RCTn=17604, ~40 mo
CagriSema: -22.7% weight loss REDEFINE-1Level I — RCTn=3417, 68 wk
Retatrutide: -24.2% weight loss Phase 2 (NEJM)Level II — Phase 2/3n=338, 48 wk
Liraglutide: -8% weight loss SCALELevel I — RCTn=3731, 56 wk

Evidence levels per Oxford CEBM 2011. Level I — large-scale randomized controlled trials. Level II — Phase 2-3 trials with limited samples. Level IV — real-world practice data, not peer-reviewed.

DOZA Internal Data

How we collect and process anonymized client outcomes

DOZA collects anonymized data on weight loss, adherence, and side effects from real-world practice. This data is NOT a clinical trial — it lacks a control group, has not been peer-reviewed, and has a limited sample size.

Sample

~1,200 clients (2024–2026)

Collection method

Client self-reports + CRM data

Limitations

No control group, possible self-selection bias

Investigational Products

Products that have NOT yet received full FDA/EMA regulatory approval

These products are still undergoing clinical trials. Results may change. DOZA offers them with full status disclosure.

Retatrutide

LY3437943Triple GLP-1 + GIP + Glucagon

PhasePhase 3 (REDEFINE-2, TRIUMPH-3)
Expected approval2026–2028
Preliminary result-24.2% weight (Phase 2, NEJM 2023)
Status at DOZAAvailable as research-grade (ALLUVI, SYNEDICA)

Cagrilintide (CagriSema)

Amylin analog + SemaglutideAmylin + GLP-1

PhasePhase 3 (REDEFINE-1)
Expected approval2026–2027
Preliminary result-22.7% (CagriSema combo)
Status at DOZAAvailable as research-grade

Limitations & Uncertainties

What we know for sure — and where data gaps exist

Long-term effects

Most RCTs last 52–72 weeks. Data beyond 2 years is limited. Post-discontinuation effects remain understudied.

DOZA sample bias

DOZA internal data comes from motivated, financially capable clients — this is not a representative sample of the general population.

Investigational products

Retatrutide and cagrilintide are not yet FDA/EMA approved. Phase 2/3 results may not be confirmed in pivotal trials.

Individual response

Clinical trial results are averages. Individual response to GLP-1 therapy varies significantly (from -5% to -30% weight loss).

DOZA commits to updating this page as new data becomes available. Last updated: May 2026.

Mounjaro: Clinical Data Summary

Based on clinical evidence

Dual Mechanism of Action

Mounjaro is the only product that targets both GLP-1 and GIP receptors simultaneously. This provides better appetite control and higher efficacy.

SURMOUNT-1: −22.5% (72 weeks)

According to SURMOUNT-1, participants lost an average of 22.5% body weight over 72 weeks — 7.5 percentage points more than in the STEP 1 trial (semaglutide).

Better Tolerability

Fewer GI adaptation effects compared to other GLP-1 products (5-10% vs 10-15%).

Muscle Preservation

Studies show that Mounjaro users lose more fat and less muscle mass.

Clinical Trials

Links to original scientific publications

All links lead to official publications in PubMed and NEJM. We recommend reviewing them before starting a program.

Official Instructions

FDA-approved documents

Scientific Publications

TirzepatideSURMOUNT-1

Tirzepatide Once Weekly for the Treatment of Obesity

New England Journal of Medicine2022

The SURMOUNT-1 study showed that participants taking 15 mg tirzepatide lost an average of 20.9% body weight over 72 weeks. This is one of the highest results among studied weight loss products.

Read study
TirzepatideSURPASS-2

Tirzepatide versus Semaglutide Once Weekly in Patients with Type 2 Diabetes

New England Journal of Medicine2021

Head-to-head comparison of tirzepatide with semaglutide (Ozempic). Tirzepatide showed superiority in HbA1cGlycated hemoglobin — an indicator of average blood sugar levels over the past 2-3 months. Normal: 4-5.6% and body weight reduction compared to 1 mg semaglutide.

Read study
PeptidesBPC-157

Stable gastric pentadecapeptide BPC 157: Novel therapy in gastrointestinal tract

Current Pharmaceutical Design2016

A review of BPC-157 research — a peptide with potent regenerative properties. Efficacy demonstrated for ulcers, inflammatory bowel diseases, and wound healing.

Read study
PeptidesIpamorelin

Ipamorelin, the first selective growth hormone secretagogue

European Journal of Endocrinology1998

Research shows that ipamorelin is the first selective growth hormone secretagogue that does not affect cortisol and prolactin levels, making it a safer option.

Read study
NAD+Aging

NAD+ in aging, metabolism, and neurodegeneration

Science2015

A review of the role of NAD+ in metabolism and aging. Studies show that increasing NAD+ levels may improve mitochondrial function and slow aging processes.

Read study
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