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In the OASIS 4 trial, people taking the pill lost an average of 13.6% of their body weight over 64 weeks
2.3%) and there was no difference in the percentage of participants with acute pancreatitis or malignant neoplasms between the two groups [110]
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The price gap reflects different approved indications and dose ceilings (Ozempic tops at 2.0 mg weekly, Wegovy at 2.4 mg)
Cash-pay is now a real market in 2026, and the headline numbers are scattered: Wegovy tablets list a $149/month starter price, Zepbound vials list $299/month for the 2.5 mg starting dose, and a long tail of telehealth platforms publishes compounded semaglutide and tirzepatide pricing anywhere from sub-$150 first-month promos to $299/month standard
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