glp·helper

Average weight loss on Zepbound, based on your BMI.

Answer a few questions and find out how much weight you could lose and how quickly.

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Which GLP-1 medication are you on, or thinking about?

This is an educational estimate. Figures are population means from randomized trials and will differ for any individual based on dose, adherence, diet, activity, and physiology. It is not a prediction, a guarantee, or medical advice. Talk to a licensed clinician before starting or changing any medication.

Zepbound and Mounjaro are the same molecule on different labels, and Mounjaro vs Zepbound shows where their approved uses differ. To compare it with semaglutide, see Wegovy vs Zepbound.

The same tool for other medications: GLP-1 weight loss calculator, Ozempic weight loss calculator, Wegovy weight loss calculator, Semaglutide weight loss calculator, Mounjaro weight loss calculator, and Tirzepatide weight loss calculator.

Sources: STEP-1 ↗ · SURMOUNT-1 ↗

Compare these medicationsBrowse weight loss doctorsRead the research

Related: Zepbound · Wegovy vs Zepbound · Tirzepatide

How the Zepbound weight loss calculator works

Zepbound = tirzepatideSURMOUNT-1Estimate, not medical advice
Dr. Fahad Akhtar, M.D.
Medically reviewed by Dr. Fahad Akhtar, M.D.
Physician at g1v.me, an affiliated practice
Updated

Enter your weight and height, then pick a medication and dose. The tool takes the average weight loss measured in that drug's main clinical trial: STEP-1 for semaglutide, SURMOUNT-1 for tirzepatide. It maps that trial figure onto your starting weight, plotting your projected weight and BMI week by week. The numbers come straight from the published trials, not a generic calorie formula.

0%−5%−10%−15%−20%−25%012243648607215 mgweeks
Percent of body weight lost by week on Zepbound 15 mg. Dose steps from the FDA label: 2.5 mg to start, 5 mg after 4 weeks, 7.5 mg after 8 weeks, 10 mg after 12 weeks, 12.5 mg after 16 weeks, then 15 mg after 20 weeks. Those are the label's weeks for each step. Your prescriber sets the pace. The trial measured people at week 72 (SURMOUNT-1). The curve before it is our estimate. Loss is fastest early and flattens by about month 17. Source: SURMOUNT-1 ↗

What SURMOUNT-1 found

SURMOUNT-1 gave 2,539 adults with obesity, or overweight with a weight-related condition, and no diabetes, weekly tirzepatide or placebo for 72 weeks. Mean weight change was −15.0% on 5 mg, −19.5% on 10 mg, and −20.9% on 15 mg, against −3.1% on placebo. The first 20 weeks were dose escalation.

GroupMean weight change, week 72Lost 5% or more
Tirzepatide 5 mg−15.0%85%
Tirzepatide 10 mg−19.5%89%
Tirzepatide 15 mg−20.9%91%
Placebo−3.1%35%
Trial means, not a prediction for any one person. Sources: SURMOUNT-1 on PubMed · Zepbound FDA label
§ 02Questions people ask
cited · trials, labels, CDC

How much weight will I lose in 4 months on Zepbound?

No published figure answers this for month 4. SURMOUNT-1 reported weight at week 72. Its first 20 weeks were a dose-escalation period. The calculator's curve before week 72 is our model of how the trial average builds, not a measured value. Enter your weight above and read week 16 off the chart.

What is the average first month weight loss on Zepbound?

Neither SURMOUNT-1's published results nor the Zepbound label give a first-month average. The first 4 weeks are the 2.5 mg starting dose, which the Zepbound label says is for treatment initiation and is not approved as a maintenance dosage.

Can you lose 20 pounds in 2 months on Zepbound?

Twenty pounds in two months is about 2.3 pounds a week. The CDC says people who lose weight at a gradual, steady pace of about 1 to 2 pounds a week are more likely to keep it off. SURMOUNT-1 reports an average at week 72, not at two months. Enter your weight above to see where the modeled curve sits at week 8.

What is a healthy amount of weight to lose per week on Zepbound?

The CDC describes about 1 to 2 pounds a week as a gradual, steady pace, and says people who lose at that pace are more likely to keep the weight off. SURMOUNT-1 reports an average at week 72, not a weekly target. Your prescriber is the one to judge your own pace.