Based on clinical trial data, tirzepatide (Zepbound) currently shows the highest average weight loss at 15-22% of body weight, followed by semaglutide 2.4mg (Wegovy) at 15-17%. Retatrutide, still in trials, has shown up to 24% weight loss. However, individual responses vary significantly - some patients lose more weight on semaglutide than tirzepatide. The 'best' medication depends on your specific physiology, insurance coverage, side effect tolerance, and availability. No medication works without lifestyle modifications. Most obesity medicine specialists recommend starting with the medication your insurance covers best, then adjusting based on response.
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