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
Pick your current drug above and the destination selector opens.
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).
Related tools
- GLP-1 Titration Schedule Planner — a week-by-week calendar from whatever date you start
- GLP-1 Missed Dose Guide — per-drug FDA-label guidance
- GLP-1 Washout Calculator — how long the drug you are on lingers
- GLP-1 Decision Quiz — which drug suits your profile
- GLP-1 Weight Loss Calculator — trial-anchored outcome projections
- GLP-1 Savings Calculator — monthly cost, drug against drug
Related research
- Foundayo ↔ Zepbound switch dose-equivalence guide (detailed article)
- Wegovy ↔ Zepbound switch guide — SURMOUNT-5 anchored
- Switching between GLP-1 medications — whole-class guide
- Foundayo vs Wegovy vs Zepbound full comparison
- The full 2026 GLP-1 medication list — every drug the FDA has approved
- Weight loss injections guide 2026
- Raising your Mounjaro dose for weight loss — a titration decision guide
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.
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Strut Health
Semaglutide at $99/month, 48% under the register median
From $99/mo
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Semaglutide at $119/month, 37% under the register median
From $119/mo
Get started →Direct Meds
Compounded semaglutide at $249/month
From $249/mo
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