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The verdict: Semaglutide or Tirzepatide for serious weight loss Choose semaglutide if: First time using weight loss peptides Want proven FDA-approved option Budget is moderate 15-20% weight loss is sufficient Choose tirzepatide if: Need maximum weight loss Semaglutide didn't work well enough Pre-diabetic or diabetic Budget allows Consider AOD 9604 if: Can't tolerate GLP-1 side effects Only need modest fat loss Budget is tight See Ozempic alternatives and peptides for fat loss