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EVIDENCE / EVIDENCE BRIEF

Results need a frame

A trial result is not a guarantee. Read who took part, what changed, how long it ran, and who paid for it.

Layered clear panels and red rules arranged like an evidence file on black steel

EVIDENCE CARDS

Three findings worth carrying into a visit

WEIGHTSURMOUNT-1 TRIAL

What changed during treatment

SURMOUNT is the name of a series of tirzepatide weight trials.

Across 72 weeks in SURMOUNT-1, average loss ranged from about 15% to 21% for participants without diabetes; the dummy-shot group lost about 3%.

Limit: These were group averages from a maker-supported trial with regular visits and lifestyle support.

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STOPPINGSURMOUNT-4 TRIAL

What happened after a switch

In the SURMOUNT-4 trial, everyone first took tirzepatide for about nine months.

Then some people were switched to a dummy shot: over the next year, they regained about 14% of their weight, while people who stayed on tirzepatide lost a little more.

Limit: The trial does not decide one person’s long-term plan.

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COMPAREHEAD TO HEAD

Tirzepatide and semaglutide

In a 72-week head-to-head trial, the tirzepatide group lost about 20% of body weight and the semaglutide group lost about 14%.

Limit: The study was open-label, meaning the people in it knew which drug they were getting. It was run and paid for by the maker of tirzepatide.

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SECOND LOOK

One review, same direction

Cochrane is an international research network that pools the results of many trials to see what they show together.

A Cochrane review found that tirzepatide lowered body weight by about 16% more than a dummy treatment over 12 to 18 months.

The reviewers also noted that every included trial was paid for by the drug maker.

A useful provider can explain the benefit without turning an average into a forecast for one person.

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