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Why semaglutide and tirzepatide are in the news: what experts reveal about their popularity and study results

By Sacred Leaves Global Medical News | July 2025

 

 

Semaglutide and tirzepatide continue to attract media attention as research and real-world data highlight their broader health effects, evolving usage patterns, and clinical advantages. Experts are analyzing their profound impact beyond weight loss, including hormonal changes and national market trends.

 

 

1. Testosterone Increase in Men

 

A study presented at ENDO 2025 by Dr. Shellsea Portillo Canales showed that GLP‑1 agonists—semaglutide, dulaglutide, and tirzepatide—significantly improved testosterone levels in obese men. Normal testosterone increased from 53% to 77% over 18 months, correlating with weight reduction The Scottish Sun+15Reuters+15Gastroenterology Advisor+15EurekAlert!+2New England Journal of Medicine+2The Scottish Sun+2Lilly Investor Relations.

 

 

2. Market Boom and Misuse Fears

 

In India, these drugs now account for 75% of the anti-obesity market. Experts warn of misuse, particularly by non-obese individuals seeking quick cosmetic results, prompting calls for stricter prescribing protocols The Economic Times.

 

 

3. Tirzepatide’s Superior Weight Loss

 

Phase IIIb SURMOUNT‑5 and NEJM‑published head-to-head trials show tirzepatide achieved 20.2% body weight reduction versus 13.7% with semaglutide after 72 weeks The Scottish Sun+15People.com+15Applied Clinical Trials+15.

 

 

4. Real‑World vs Clinical Settings

 

A Cleveland Clinic study comparing trial outcomes to clinical practice found real-world patients lost significantly less weight—average ~8.7% in a year—due to lower doses and discontinuation Cleveland Clinic+1The Scottish Sun+1.

 

 

5. Rising Supply and New Competitors

 

Eli Lilly captured a 60% market share with tirzepatide. The company is now developing an oral GLP‑1/GIP pill—Orforglipron—for 2026, aimed at improving convenience and affordability tctmd.com+15Business Insider+15Barron's+15.

 

 

Expert Insights

 

  • Effectiveness: Tirzepatide offers 6–7% greater weight loss than semaglutide.

  • Hormonal Benefits: Notable improvement in male testosterone levels adds an unexpected advantage.

  • Challenges: Real-world efficacy is tempered by adherence issues and dosing variability.

  • Oversight Needs: Growing off-label use and supply inconsistencies highlight the need for medical supervision and policy updates.

 

What’s Next

 

Ongoing research will explore cardiovascular, cognitive, and hormonal outcomes. Healthcare systems are also refining usage guidelines, focusing on long-term support and the integration of lifestyle interventions alongside medication.

Both drugs mark a major shift in chronic disease management. While tirzepatide leads in efficacy, achieving optimal outcomes depends on consistent use, physician guidance, and holistic care.

 

 

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