VIAL
Compound comparison

Retatrutide vs Semaglutide

Ozempic, Wegovy, Rybelsus

Retatrutide (metabolic) and Semaglutide (weight loss) are evaluated side by side on Vial: Retatrutide is not FDA approved for human use with clinical-trial evidence, and Semaglutide is an FDA-approved drug with compounding now restricted with FDA-approval-level clinical evidence.

Vial summary · compiled from public records

At a glance

Retatrutide

Category
Metabolic
FDA / legal status
Gray Market
Route
Subcutaneous
0providers on Vial →

Semaglutide

Sold as Ozempic, Wegovy, Rybelsus

Category
Weight Loss
FDA / legal status
Compounding Restricted
Route
Subcutaneous, oral
28providers on Vial →

Side by side

FieldRetatrutideSemaglutide
CategoryMetabolicWeight Loss
Brand namesOzempic, Wegovy, Rybelsus
FDA / legal statusGray MarketCompounding Restricted
Evidence tierClinical TrialsFDA Approved
Administration routeSubcutaneousSubcutaneous, oral
Compounding accessNot FDA approved, limited regulated accessCompounding limited to documented case-by-case 503A need
Providers on Vial0 listed28 listed
Typical price bandVaries by provider$ to $$

Verified providers offering each

Ranked by Confidence Rating, Vial’s 0 to 100 score built from federal and state public records. The score evaluates the provider, not the compound.

85+ High Confidence70 to 84 Well Documented50 to 69 Limited ConfidenceUnder 50 Flagged

About each compound

About Retatrutide

Retatrutide is a triple agonist targeting GLP-1, GIP, and glucagon receptors simultaneously, representing the most mechanistically advanced anti-obesity peptide in late-stage clinical development. Phase II trials reported mean body weight reductions of 24% over 48 weeks — the largest pharmacological weight loss ever recorded in a randomized controlled trial. It is being developed by Eli Lilly and is expected to enter Phase III trials in 2025–2026.

About Semaglutide

A synthetic glucagon-like peptide-1 (GLP-1) receptor agonist, semaglutide mimics the incretin hormone GLP-1 to stimulate glucose-dependent insulin secretion, suppress glucagon release, and slow gastric emptying. The compound also acts on hypothalamic receptors to reduce appetite and food intake. Primary clinical applications include the management of type 2 diabetes mellitus and chronic weight management in individuals with obesity or overweight with weight-related comorbidities.

Descriptions compiled from public FDA records and manufacturer labeling where available. Not medical advice.

This page evaluates compliance signals, not clinical outcomes. Consult a licensed physician before starting any therapy, medication, or treatment. Vial does not provide medical advice.

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