Orforglipron vs. Ozempic: Which Weight Loss Drug Works Better
By Dr. Jossy Onwude, MD
Reviewed by Dr. Daniel Uba, MD
Published Apr 22, 2025
8 min read

hich might be the better choice for weight loss and better health.
What Is Orforglipron?
Orforglipron (pronounced or-for-GLIP-ron) is an experimental weight loss drug being developed by the pharmaceutical company Eli Lilly, the same company behind the popular diabetes and weight loss drug Mounjaro (tirzepatide).
Orforglipron belongs to a class of drugs called GLP-1 receptor agonists. These medications work by mimicking a natural hormone in the body that helps regulate appetite, insulin, and digestion. Basically, they help you feel full longer, reduce hunger, and improve how your body processes sugar.
But what makes Orforglipron different—and why people are excited—is that it’s not an injection. It’s a pill. This is huge because until now, all the GLP-1 weight loss drugs like Ozempic and Wegovy had to be injected, usually once a week. That’s a dealbreaker for many people who are afraid of needles or just don’t like the idea of weekly shots.
In clinical trials, Orforglipron has shown impressive weight loss results, comparable to the injectables. People taking the highest dose lost an average of 14.7% of their body weight over 36 weeks, which is similar to what we see with Ozempic and other GLP-1 drugs.
At the time of writing, Orforglipron hasn’t yet received full FDA approval, but it’s moving through the process and could hit the market soon.
What Is Ozempic?
Ozempic (generic name: semaglutide) is a well-known prescription medication that was originally approved to treat type 2 diabetes. Like Orforglipron, it also belongs to the GLP-1 receptor agonist class, meaning it works by helping control blood sugar, slowing digestion, and reducing appetite.
Over time, doctors and researchers noticed that people using Ozempic were losing a lot of weight, so much so that a higher-dose version of semaglutide was eventually approved as a dedicated weight loss drug under the name Wegovy.
Ozempic is given by injection once a week, usually in the stomach, thigh, or upper arm. While the results are often impressive—some people lose 10–15% or more of their body weight—the need for regular injections turns some people off. Plus, Ozempic can be expensive, and many insurance plans don’t cover it for weight loss unless you also have diabetes.
Still, it’s one of the most effective weight loss drugs on the market today and has become wildly popular, to the point where shortages have been reported in many countries.
How Do Orforglipron and Ozempic Compare?

Now that we know the basics of both drugs, let’s talk about how they stack up. They’re both GLP-1 receptor agonists, both reduce appetite, and both help with weight loss, but there are key differences that might make one better for you than the other.
One of the biggest differences is how the drug is taken. Ozempic is an injection. Orforglipron is a pill. That’s a major convenience factor in favor of Orforglipron. For people who can’t or don’t want to inject themselves weekly, a once-daily pill may be much more appealing.
Another important point is weight loss effectiveness. In clinical trials, both drugs helped people lose a similar percentage of their body weight, around 14–15% on average over several months. While more long-term studies are needed, this suggests Orforglipron could be just as effective as Ozempic when it comes to shedding pounds.
However, Ozempic is already approved and available, while Orforglipron is still undergoing testing. So for now, Ozempic is the more established and accessible choice.
Both drugs also have similar side effects, especially early on. Most people experience some gastrointestinal symptoms like nausea, vomiting, diarrhea, or constipation. These tend to be worse at the beginning and usually get better as your body adjusts.
Why Orforglipron Could Be a Game-Changer
If Orforglipron gets approved and hits the market, it could be a game-changer in the world of weight loss medications for a few big reasons.
First, the convenience. A daily pill is just easier. There’s no refrigeration, no injections, no sharps disposal. It fits into most people’s routines without any extra hassle, which could lead to better long-term adherence.
Second, it could improve access. Right now, injectables like Ozempic and Wegovy are in high demand and short supply. A new oral option could help ease that pressure and give people more choices.
Third, Orforglipron may appeal to a wider group of people. Some people avoid Ozempic simply because it’s a shot. An effective pill could bring more people into treatment earlier, before obesity-related complications like diabetes, heart disease, and joint pain take hold.
Who Should Consider Orforglipron?
While we wait for the final approval, Orforglipron could be a great option for many people once it's available. If you’re someone who struggles with weight and hasn’t found success with diet and exercise alone, this could be worth a conversation with your doctor.
It might be especially helpful if:
- You’re afraid of needles or dislike injections.
- You want a simpler, more convenient medication routine.
- You’re looking for a newer option after trying other weight loss meds.
That said, it’s not going to be a magic fix. Like Ozempic and other GLP-1 drugs, Orforglipron works best when combined with a healthy lifestyle—balanced eating, regular movement, stress management, and sleep. It helps reduce hunger and makes weight loss easier, but it’s not a substitute for good habits.
RELATED READ: Metformin Dosage for Weight Loss: A Comprehensive Medical Guide
Are There Side Effects?
Yes, like most medications, both Ozempic and Orforglipron come with potential side effects. Because they both work on the same hormone system in the body, their side effects are pretty similar.
The most common ones include:
- Nausea
- Vomiting
- Diarrhea
- Constipation
- Abdominal discomfort or bloating
- Loss of appetite
These are usually more intense in the beginning and tend to get better over time. Doctors often start people on a low dose and gradually increase it to minimize these effects.
There are also some more serious but rare risks. GLP-1 drugs have been linked to:
- Pancreatitis (inflammation of the pancreas)
- Gallbladder problems
- Kidney issues (often due to dehydration from vomiting)
- A possible increased risk of thyroid tumors (in animal studies)
People with a history of certain cancers or pancreatic diseases may be advised to avoid these medications. Always talk to your healthcare provider about your medical history and whether these risks apply to you.
What Do Experts Think?

Experts are cautiously optimistic about Orforglipron. The early data is impressive, especially considering it’s a pill and not an injection. In fact, some researchers believe it could change the way we treat obesity altogether, making effective weight loss medications more accessible and acceptable for the average person.
A recent article from TIME highlighted how Orforglipron could shake up the weight loss industry, and researchers at Eli Lilly are betting big on its success. Some even say that, if it’s approved, it could eventually become one of the most widely used obesity medications in the world.
Still, experts warn that more data is needed, especially long-term studies. It’s one thing to lose weight over a few months; it’s another to keep it off safely overthe years. We'll need to see how Orforglipron holds up over time, how people tolerate it, and whether any new side effects emerge with longer use.
What Does the Future Hold?
The future of weight loss medication is changing fast. Just a few years ago, most doctors didn’t have many tools beyond lifestyle coaching and maybe some older appetite suppressants. Now, we have a new generation of drugs that actually work, and more are on the way.
GLP-1 receptor agonists are just the beginning. Drug companies are exploring combinations of hormones, like tirzepatide (in Mounjaro), and even triple-action drugs that could boost metabolism, reduce appetite, and improve energy use all at once.
With pills like Orforglipron coming soon, weight loss medications may finally become more practical, affordable, and acceptable for everyday people, not just celebrities or those with diabetes.
It’s a fast-moving field, and one thing is clear: We’re entering a new era in obesity treatment, where medication plays a much bigger role than ever before.
Final Thoughts: Should You Choose Orforglipron or Ozempic?
So, is Orforglipron better than Ozempic? The answer really depends on your individual needs.
If you’re looking for something right now, Ozempic is already available and highly effective. If you don’t mind weekly injections and can get coverage from your insurance, it’s a strong option.
But if you’re interested in a more convenient, needle-free experience, and you’re willing to wait for Orforglipron’s approval, it could be the better choice for you. The early results are promising, and the pill format may make it easier to stick with over time.
Either way, it’s important to remember that weight loss medications aren’t quick fixes. They’re tools—tools that work best when used alongside healthy habits. Talk to your doctor, consider your lifestyle, and choose the option that fits you best.
FAQs
1. What is Orforglipron used for?
Orforglipron is a weight loss drug being developed by Eli Lilly. It helps reduce appetite and improve blood sugar control by mimicking a hormone called GLP-1.
2. Is Orforglipron better than Ozempic?
Both drugs are similar in effectiveness. Orforglipron may be more convenient since it's a pill, while Ozempic is an injection.
3. When will Orforglipron be available?
It is still in clinical trials as of 2025 but could be approved soon if all goes well.
4. Does Orforglipron have side effects?
Yes, common side effects include nausea, diarrhea, and constipation. These are similar to Ozempic and usually improve over time.
5. Do I need a prescription for Orforglipron?
Yes, once it is approved, Orforglipron will be available by prescription only.
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