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On the other hand, tirzepatide is a dual GIP and GLP-1 receptor agonist, meaning it targets two different pathways to regulate blood sugar levels and appetite. This dual mechanism of action could potentially make tirzepatide more effective for weight loss than semaglutide. Clinical Efficacy In clinical trials, both semaglutide and tirzepatide have been shown to help patients lose significant amounts of weight. Semaglutide has been studied in the STEP trials, which included participants with obesity or overweight who also had other health conditions such as type 2 diabetes. The results showed that semaglutide led to an average weight loss of around 15-17% of initial body weight. Tirzepatide has also shown promising results in clinical trials, with some studies reporting weight loss of up to 20% of initial body weight. Side Effects Both semaglutide and tirzepatide can cause side effects such as nausea, vomiting, diarrhea, and constipation. 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