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A preprint analysis and Reuters report this week found that Eli Lilly’s tirzepatide, while producing larger average weight loss than Novo Nordisk’s semaglutide, was linked with greater losses of lean body mass.
The Massachusetts data‑analytics firm nference analysed roughly 1,800 tirzepatide users and about 6,200 semaglutide users, finding tirzepatide associated with an average 1.1% greater lean mass loss at three months and about 2.0% more after 12 months.
The preprint categorised a “depletive GLP‑1 metabotype” (>20% total weight loss and >5% lean mass loss) in 10.3% of tirzepatide patients versus 6.7% on semaglutide in the first year.
Higher doses, longer treatment and baseline musculoskeletal pain correlated with greater lean mass decline for both drugs.
Separately, U.S. prescription data for the week ending April 10 show Eli Lilly’s newly approved oral weight‑loss pill Foundayo had about 1,390 prescriptions versus more than 113,000 for Novo’s Wegovy pill in the same period.
Market commentary and investor notes circulated April 16–17 highlighted potential competitive and access implications as the two companies press in the global GLP‑1 market.
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🕰️ The Story So Far: An Evolving Timeline
Friday, April 17, 2026 22:21 UTC
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