Second Nature logo

US

GLP-1s

Mounjaro vs Ozempic

Robbie Puddick
Written by

Robbie Puddick

Medically reviewed by

Fiona Moncrieff

4 min read
Last updated February 2025
Share
FacebookTwitter
title

Jump to: How do Mounjaro and Ozempic work? | Clinical effectiveness | Making your choice | Take home message

Mounjaro leads to significantly greater weight loss compared to Ozempic (21.4% vs 11.2% body weight reduction at 40 weeks), based on a randomised controlled trial of 1,897 patients.

However, this enhanced effectiveness comes with a slightly higher rate of side effects because the dose in Mounjaro is higher than in Ozempic.

Both medications work by mimicking natural hormones that help regulate hunger and blood sugar levels.

However, Mounjaro’s dual-action targeting two hormones, GLP-1 and GIP, contributes to its increased effectiveness for weight loss.

The drug in Mounjaro is tirzepatide, while it’s semaglutide in Ozempic.

2025 UK Treatment Overview
Mounjaro: £230-£300 monthly (private), dual hormone action
Ozempic: £300 monthly (private), single hormone action
NHS access: Ozempic for type 2 diabetes, Mounjaro for weight loss and type 2 diabetes

Medication-assisted weight loss with a future focus

Start with Mounjaro, transition to habit-based health with our support

Mounjaro pen

How do Mounjaro and Ozempic work?

When we eat food, our body releases several hormones that help regulate hunger and blood sugar levels. One of these crucial hormones is GLP-1 (glucagon-like peptide-1), which plays a vital role in metabolism and appetite control.

GLP-1 works in multiple ways to support weight loss. It improves insulin function, helping to lower blood sugar levels, while also slowing down the rate at which food leaves our stomach, helping us feel fuller for longer.

Additionally, GLP-1 communicates directly with our brain’s appetite control centre, the hypothalamus, reducing food-seeking behaviours

However, the GLP-1 we produce in the body has a significant limitation: it’s quickly broken down by an enzyme called DPP-4, with up to 50% being removed by the body in under 2 minutes.

Mounjaro and Ozempic have been specifically designed to avoid this breakdown, allowing them to remain active in the body much longer.

What sets Mounjaro apart is its additional function. Beyond mimicking GLP-1, it also mimics the hormone GIP (glucose-dependent insulinotropic polypeptide).

This dual action contributes to its enhanced effectiveness in supporting weight loss.

Do you lose more weight on Ozempic or Mounjaro?

Clinical research demonstrates significant differences in effectiveness between these medications.

A comprehensive study involving 1,897 individuals revealed that Mounjaro leads to more substantial weight loss compared to Ozempic after 40 weeks of treatment.

Clinical Outcomes Comparison
Clinical Measure Mounjaro (15mg) Ozempic (1mg)
Average Weight Loss 21.4% body weight 11.2% body weight
HbA1c Reduction 2.3% reduction 1.8% reduction
Side Effect Rate 6-8.5% discontinuation 4% discontinuation

These results demonstrate Mounjaro’s enhanced effectiveness, likely due to its dual action.

However, it’s important to note that individual responses to these medications can vary significantly, and what works best for one person may not be optimal for another.

The higher effectiveness of Mounjaro comes with a slightly increased rate of side effects, which should be carefully considered when making your treatment choice.

More patients discontinued Mounjaro in clinical trials due to adverse events compared to Ozempic (6-8.5% vs 4%).

Making your choice

If you’re looking for a weight-loss injection in the UK, you’d only be able to access Mounjaro if you were eligible, as Ozempic is only available as a type 2 diabetes medication.

The drug in Ozempic, semaglutide, is available for weight loss but is sold under the brand name Wegovy.

While Mounjaro typically leads to greater weight loss, Ozempic’s established safety profile and lower side effect rate might make it a more suitable choice for some individuals.

Your healthcare team will consider various factors when recommending either medication, including your medical history, current health status, and treatment goals.

They’ll also take into account any other medications you’re taking and your personal preferences.

Both medications are administered as weekly injections, though the exact dosing schedules may differ. Your healthcare provider will typically start you on a lower dose and gradually increase it based on your response and tolerance.

Mounjaro dosing schedule:

A graphic showing the dosing schedule of Mounjaro.

Ozempic dosing schedule:

  • Weeks 1-4: 0.25 mg
  • Weeks 5-8: 0.5 mg
  • Weeks 9+: 0.5 mg (or 1 mg if clinical targets aren’t being met)

Take home message

Weight-loss injections like Mounjaro and Ozempic can be valuable tools to kickstart weight loss and lower blood sugar levels, particularly when combined with sustainable lifestyle changes.

While Mounjaro demonstrates more significant average weight loss, Ozempic offers a well-established safety profile with fewer reported side effects.

Remember that these medications work best when combined with healthy habits, like eating a diet based on whole foods, regular physical activity, and adequate sleep.

They can help create the space needed to develop and maintain healthy habits for long-term success.

Second Nature’s medication programmes

Second Nature offers comprehensive support through our Mounjaro weight-loss programme.

Why choose Second Nature over other providers if you’re eligible?

For peace of mind.

Second Nature has worked with the NHS for over 6 years, providing evidence-based weight-loss programmes across the UK.

While our medication programmes are private, we maintain the same high standards of scientific evidence, patient safety, and data security that have earned us NHS trust since 2017.

Please note: We generally recommend speaking with your GP/doctor before you start taking any new medication like Mounjaro. If you do sign up for Second Nature's Mounjaro programme, then we'll also send your GP a letter to let them know you've started a medication-supported weight-loss journey.

Medication-assisted weight loss with a future focus

Start with Mounjaro, transition to habit-based health with our support

Mounjaro pen
Meal Plan

Maximise your weight loss on Mounjaro with our free 7-day meal plan

Get expert advice from our team of registered dietitians to make losing weight feel easier while on medication. Subscribe to our newsletter to get access today.

I've read and agreed to the Terms of Service & Privacy Policy.

You might also like

Make losing weight feel Second Nature

The first step on your Second Nature journey is to take our health quiz.

Hand holding phone

Write a response

Evelyn M Taylor-humphrey

30 October, 2023

What is my. Starting dose for Monjaro, I’ve currently use Ozempic at 2mg.?


As seen on

The GuardianThe TimesChannel 4The Sunday Telegraph
Evening Standard
Metro