Interactive tool · FDA prescribing information anchored

Brand-Switch Dose-Equivalence Calculator

Moving between weight-loss GLP-1s? Set out below: each FDA label's dose ladder, what it requires on re-titration, and the cross-trial efficacy data — for all four FDA-approved chronic-weight-management GLP-1 medications: Saxenda, Foundayo, Zepbound and Wegovy. Walk into the appointment knowing them.

Medical disclaimer — read before using this tool

This tool does not provide medical advice. It is a patient-education aid, showing published trial data and FDA-label dose information word for word. Starting dose, timing, washout — every part of a brand switch is for a licensed prescriber to decide, with you. There is no FDA-approved dose-equivalence conversion between any of the four drugs listed here. Weight loss percentages are from independent phase 3 trials with different populations; they are not head-to-head equivalences. Compounded semaglutide and compounded tirzepatide are not FDA-approved; their dose ladders may differ from FDA-label doses.

Step 1 — Which drug now, and which drug next

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About this tool

Four FDA-approved GLP-1 medications carry the chronic weight management indication in adults, and all four are here:

  • Wegovy (semaglutide 2.4 mg weekly injection, Novo Nordisk) — FDA-approved June 2021; HD 7.2 mg tier approved September 2025
  • Zepbound (tirzepatide weekly injection, Eli Lilly) — FDA-approved November 2023
  • Foundayo (orforglipron once-daily oral tablet, Eli Lilly) — FDA-approved 2025
  • Saxenda (liraglutide 3 mg daily injection, Novo Nordisk) — FDA-approved December 2014

Mounjaro (tirzepatide for T2D) and Ozempic (semaglutide for T2D) are not included because they carry a diabetes indication, not a primary obesity indication — their dose ladders are listed in the GLP-1 Titration Planner.

All dose ladders are sourced verbatim from FDA-approved prescribing information via DailyMed (NIH). DailyMed SetIDs: Wegovy (ee06186f-2aa3-4990-a760-757579d8f77b); Zepbound (487cd7e7-434c-4925-99fa-aa80b1cc776b); Foundayo (8ac446c5-feba-474f-a103-23facb9b5c62); Saxenda (3946d389-0926-4f77-a708-0acb8153b143).

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Medical disclaimer

Patient education is the whole of what this tool is for. Nothing here is a treatment recommendation, a diagnosis, or medical advice. All brand-switch, dose, and timing decisions must be made with a licensed prescriber who can review your complete medical history, comorbidities, current medications, and insurance coverage. FDA-label dose ladders represent minimum titration intervals; your prescriber may individualize these based on tolerability. No FDA-approved conversion exists for dose equivalence between any two of the four drugs here. Cross-trial efficacy comparisons are not head-to-head data (except SURMOUNT-5 for Zepbound vs Wegovy). Compounded versions of semaglutide and tirzepatide are not FDA-approved products; consult your prescriber and compounding pharmacy for their specific dose ladders.

Data freshnessLast verified ·Next review ·Cadence: annual

Sources: Wegovy FDA Prescribing Information §2 (DailyMed SetID ee06186f-2aa3-4990-a760-757579d8f77b); Zepbound FDA Prescribing Information §2 (DailyMed SetID 487cd7e7-434c-4925-99fa-aa80b1cc776b); Foundayo FDA Prescribing Information §2 (DailyMed SetID 8ac446c5-feba-474f-a103-23facb9b5c62); Saxenda FDA Prescribing Information §2 (DailyMed SetID 3946d389-0926-4f77-a708-0acb8153b143); SURMOUNT-5 PMID 40353578; STEP-1 PMID 33567185; SURMOUNT-1 PMID 35658024; ATTAIN-1 PMID 40960239; SCALE PMID 26132939.

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8.5

Strut Health

Semaglutide at $99/month, 48% under the register median

7.9

Oak

Semaglutide at $119/month, 37% under the register median

6.5

Direct Meds

Compounded semaglutide at $249/month