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While current warning labels list changes in vision as a potential side effect, they do not mention the potential for optic neuropathy

So while there are these guidelines, your symptoms and your experience should really guide that

Semaglutide Clinical Trial Results (STEP Program): STEP 1 Trial (Wegovy 2.4 mg): Participants: 1,961 adults with obesity or overweight with comorbidities Duration: 68 weeks Average Weight Loss: 14.9% of body weight Placebo Group: 2.4% weight loss Patients Losing 5% or More: 86.4% Patients Losing 10% or More: 69.1% Patients Losing 15% or More: 50.5% STEP 2 Trial (Participants with Type 2 Diabetes): Average Weight Loss: 9.6% of body weight Duration: 68 weeks Notable: Lower weight loss in diabetic population, which is typical STEP 3 Trial (With Intensive Behavioral Therapy): Average Weight Loss: 16.0% of body weight Duration: 68 weeks Notable: Highest weight loss when combined with intensive lifestyle intervention STEP 4 Trial (Maintenance Study): Finding: Participants who stopped semaglutide regained most of their lost weight Continuation Group: Maintained weight loss and continued to lose more weight Conclusion: Suggests long-term use is needed to maintain results Tirzepatide Clinical Trial Results (SURMOUNT Program): SURMOUNT-1 Trial (Zepbound 15 mg highest dose): Participants: 2,539 adults with obesity or overweight Duration: 72 weeks Average Weight Loss (15 mg dose): 22.5% of body weight Average Weight Loss (10 mg dose): 21.4% of body weight Average Weight Loss (5 mg dose): 15.0% of body weight Placebo Group: 2.4% weight loss Patients Losing 5% or More (15 mg): 96% Patients Losing 10% or More (15 mg): 89% Patients Losing 15% or More (15 mg): 78% Patients Losing 20% or More (15 mg): 63% SURMOUNT-2 Trial (Participants with Type 2 Diabetes): Average Weight Loss (15 mg dose): 15.7% of body weight Duration: 72 weeks Notable: Diabetic participants still achieved substantial weight loss SURMOUNT-3 Trial (Maintenance After Initial Weight Loss): Finding: Continued tirzepatide after initial weight loss led to additional 5.5% weight loss Withdrawal Group: Regained 14% of weight Conclusion: Ongoing treatment maintains and continues weight loss progress Direct Comparison: Real-World Weight Loss Examples: Starting Weight: 250 pounds Semaglutide (14.9% loss): Final weight ~213 pounds (37 pounds lost) Tirzepatide (22.5% loss): Final weight ~194 pounds (56 pounds lost) Difference: 19 additional pounds lost with tirzepatide Starting Weight: 200 pounds Semaglutide (14.9% loss): Final weight ~170 pounds (30 pounds lost) Tirzepatide (22.5% loss): Final weight ~155 pounds (45 pounds lost) Difference: 15 additional pounds lost with tirzepatide Important Context: Clinical trial results represent averages

It is very important to note that these substances of abuse remain prohibited and athletes can still be given sanctions up to four years for presence of a substance of abuse if they cannot establish that its use was out-of-competition and unrelated to sport

In terms of weight loss effectiveness , semaglutide GLP-1 does have an edge over liraglutide, according to current research