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Science7 min read

Best GLP-1 Medication for Weight Loss in 2026

Comparing semaglutide, tirzepatide, and liraglutide for weight loss. Which GLP-1 medication works best? Clinical data, side effects, and cost compared.

The Three Main GLP-1 Medications

Three GLP-1-based medications dominate the weight loss market: semaglutide (Ozempic/Wegovy), tirzepatide (Mounjaro/Zepbound), and liraglutide (Saxenda). Each works differently, produces different results, and comes at a different price point.

Understanding these differences is key to choosing the right treatment. Learn more about how GLP-1 medications work.

Our top 2 picks

Our two recommended GLP-1 providers, shown with the same verified pricing and ratings as our full comparison.

1
embody logo

Excellent

9.6out of 10

Limited Offer - GLP-1 for $69/mon

Money-back guaranteeFree expedited delivery

Treatments offered

Compounded semaglutide injections (GLP-1) · Compounded tirzepatide injections (GLP-1 + GIP) · 100% online doctor review and prescription · Dosage adjustments through the patient portal

Starting price

$79$69/month

*Compounded medications are not FDA-approved.

  • Compounded semaglutide ($69/mo) and tirzepatide ($119/mo)
  • 5-minute health qualifier; doctor review usually within 24 hrs
  • Free 1-2 day shipping - temperature-controlled, tracked, insured
  • No insurance required, no clinic visits, cancel anytime

from $69/month

Visit SiteRead full review
3.8Trustpilot(8,398)

embody offers doctor-prescribed GLP-1 weight loss treatment - compounded semaglutide and tirzepatide injections - through a 100% online process. Getting started takes a roughly 5-minute health qualifier, after which a medical practitioner reviews your chart (embody says usually within 24 hours, often under 5). Pricing is flat and simple: $69/month for semaglutide and $119/month for tirzepatide, with no insurance required, no hidden fees, and no clinic visits. Medication ships in 1-2 days in temperature-controlled, tracked, insured packaging, and embody is LegitScript-certified and works with US-based 503A compounding pharmacies. On Trustpilot, embody averages 3.8 across 8,398 reviews - an honest, mixed-to-positive record whose recent reviews cluster around two themes: responsive, proactive customer service ('from my very first inquiry I've had excellent communication... customer service updated me every step,' writes one tirzepatide patient) and the no-surprises pricing ('Love the fact that there are no surprises as in costly up front cost'). A 3.7 also means a minority of customers had negative experiences - worth reading both ends of the reviews before deciding, as with any provider.

Read full embody review
2
altRx logo

Exceptional

9.7out of 10

Most Comprehensive GLP-1 Medication Access

Transparent pricingNo insurance required

Treatments offered

Compounded semaglutide (GLP-1) injection · Compounded tirzepatide (GLP-1 + GIP) injection · Brand-name Zepbound and Wegovy · One simple injection per week

Starting price

$199$89/month

*Compounded medications are not FDA-approved.

  • Compounded GLP-1 from $89/mo, GLP-1 + GIP from $149/mo
  • Brand-name options too: Zepbound and Wegovy
  • Clinician-guided - physician, PA, or nurse practitioner
  • Free shipping (about 5-7 days)

from $89/month

altRx bills itself as "the #1 most affordable GLP-1 program," and its published prices largely back that up: compounded GLP-1 (semaglutide) from $89/month and GLP-1 + GIP (tirzepatide) from $149/month - flat at every dose, so the price doesn't climb as you titrate up - alongside one of the few genuine brand-name shelves in this space (Ozempic $1,149, Zepbound $1,249, Wegovy $1,579 per month). It's a self-pay telehealth service: you complete a short assessment, a licensed provider (physician, PA, or nurse practitioner) reviews it, and if appropriate a prescription goes to a licensed US pharmacy, with free shipping in about 5-7 days. No insurance is required, Buy Now, Pay Later is available, and you can pause or cancel anytime. Two things to know before the details: shipping is slower than the 1-2 day providers (embody, DirectMeds), and Trustpilot does not currently display an aggregate score on altRx's profile - the individual reviews we quote on this page are real, but there's no independent average to lean on the way there is for rivals like Medvi (4.3 across 14,836) or embody (3.8 across 8,398). One of the real 4-star reviews we surface notes a refill 'yet to be fulfilled with zero reason as to why' - worth factoring in alongside the price advantage.

Read full altRx review

Tirzepatide: The Most Effective

Clinical data consistently shows tirzepatide produces the greatest weight loss - up to 22.5% of body weight in the SURMOUNT trials. As a dual-agonist targeting both GLP-1 and GIP receptors, it has a broader metabolic effect.

Available as Mounjaro (diabetes) and Zepbound (weight loss). See our Zepbound vs Wegovy comparison.

Semaglutide: The Most Established

Semaglutide is the most widely used GLP-1 for weight loss, with the longest track record and broadest availability through telehealth providers. The STEP trials showed ~15% average weight loss. Available as brand-name (Ozempic, Wegovy) and compounded versions. Compare semaglutide providers.

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Liraglutide: The Third Option

Liraglutide (Saxenda) was the first GLP-1 approved specifically for weight loss. It produces more modest results (~5-8% body weight) compared to semaglutide and tirzepatide, and requires daily rather than weekly injections. It's less commonly prescribed now but remains an option for patients who don't respond well to other GLP-1s.

What To Know Before Starting GLP-1 Treatment

Before starting GLP-1 treatment, it's important to understand a few key things. These medications require a prescription from a licensed clinician and aren't suitable for everyone. Some people may experience side effects, especially during the first few weeks as the body adjusts.

GLP-1s also tend to work best when combined with basic lifestyle habits like balanced nutrition and regular physical activity.

That's why choosing a provider that offers proper medical screening and ongoing follow-up support is essential for both safety and long-term success.

Woman preparing GLP-1 weight loss injection

Cost Comparison

Brand-name costs: Wegovy $1,300+/month, Zepbound $1,000+/month, Saxenda $1,300+/month. Compounded versions are significantly cheaper - semaglutide from ~$199/month and tirzepatide from ~$349/month. See our semaglutide cost breakdown and full cost guide.

Which Should You Choose?

For maximum weight loss: tirzepatide. For the most established option with widest availability: semaglutide.

For patients who prefer or need an alternative: liraglutide. Your provider can help determine which is best based on your health profile. Take our quiz to find a provider that offers the medication best suited to your goals.

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Sources & medical references

Treatment facts on this page are grounded in regulatory guidance and peer-reviewed research. Pricing and plan details come from each provider's published information. This content is for information only and is not medical advice - always consult a licensed clinician before starting treatment.

  1. 1.Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1 trial) - New England Journal of Medicine, 2021
  2. 2.Tirzepatide Once Weekly for the Treatment of Obesity (SURMOUNT-1 trial) - New England Journal of Medicine, 2022
  3. 3.FDA Approves New Drug Treatment for Chronic Weight Management (semaglutide / Wegovy) - U.S. Food & Drug Administration, 2021
  4. 4.FDA Approves New Medication for Chronic Weight Management (tirzepatide / Zepbound) - U.S. Food & Drug Administration, 2023
  5. 5.FDA's Concerns with Unapproved GLP-1 Drugs Used for Weight Loss - U.S. Food & Drug Administration
  6. 6.Human Drug Compounding (503A pharmacy standards) - U.S. Food & Drug Administration
  7. 7.Semaglutide Injection - drug information - MedlinePlus, U.S. National Library of Medicine (NIH)