Retatrutide is a triple agonist (GLP-1, GIP and glucagon receptors) developed by Eli Lilly. It is investigational and approved nowhere. In TRIUMPH-1, an 80-week phase 3 trial of 2,339 adults with obesity, or overweight with at least one weight-related condition, without diabetes, body weight fell by 19%, 25.9% and 28.3% on the 4 mg, 9 mg and 12 mg arms, against 2.2% on placebo. Source The retatrutide guide lists its side effects from the same trials and its regulatory status, and the retatrutide Philippines 2026 guide covers the Philippine picture.
Semaglutide is a GLP-1 receptor agonist developed by Novo Nordisk, the active ingredient in Ozempic (approved by the US FDA for type 2 diabetes in 2017) and Wegovy (approved for weight management in 2021). In STEP 1, a 68-week phase 3 trial of 1,961 adults with BMI of 30 or greater (27 or greater with at least one weight-related coexisting condition), without diabetes, body weight fell by 14.9% on the 2.4 mg arm, against 2.4% on placebo. Source Start with the semaglutide Philippines 2026 guide.
Tirzepatide is a dual agonist (GLP-1 and GIP receptors) developed by Eli Lilly, the active ingredient in Mounjaro and Zepbound. In SURMOUNT-1, a 72-week phase 3 trial of 2,539 adults with BMI of 30 or more, or 27 or more with at least one weight-related complication, excluding diabetes, body weight fell by 15%, 19.5% and 20.9% on the 5 mg, 10 mg and 15 mg arms, against 3.1% on placebo. Source Read the tirzepatide Philippines 2026 guide.
These trials enrolled different populations over different lengths of time, so the figures are not a head-to-head comparison. Each compound page places the adverse events from the same trials next to the outcomes.