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Projection · SURMOUNT-1

Zepbound weight loss from 190 lb

If you match the trial average at 15 mg, you'd be about 150 lb by week 72.

Clinician review pending Updated
Avg loss by week 72
−40lb
15 mg, 20.9%
Weight at week 72
150lb
if you match the average
Placebo group
−6lb
3.1%, same trial
Trial length
72weeks
SURMOUNT-1
Show the math
Loss = 190 lb × 20.9% = 40 lb
Projected weight from 190 lb
1471591701821930122436486072weeks

Zepbound 15 mgZepbound 10 mgZepbound 5 mgPlacebo

Week by week

WeekZepbound 15 mgZepbound 10 mgZepbound 5 mg
Week 4−6 lb · 184−6 lb · 184−5 lb · 185
Week 8−12 lb · 178−11 lb · 179−9 lb · 181
Week 12−16 lb · 174−15 lb · 175−12 lb · 178
Week 16−20 lb · 170−19 lb · 171−15 lb · 175
Week 24−26 lb · 164−25 lb · 165−19 lb · 171
Week 36−32 lb · 158−30 lb · 160−23 lb · 167
Week 52−37 lb · 153−35 lb · 155−27 lb · 163
Week 72−40 lb · 150−37 lb · 153−28 lb · 162

Pounds lost · weight. A curve shaped to the trial endpoint, not trial data for each week.

What each milestone means at 190 lb

LossPoundsNew weight
5%10 lb180 lb
10%19 lb171 lb
15%28 lb162 lb
20%38 lb152 lb
25%48 lb142 lb

At 15 mg, about 9 in 10 people lost at least 5% of body weight and more than half lost at least 20%.

How this projection works

We take the average loss reported in SURMOUNT-1 (2,539 adults with obesity or overweight, without diabetes) and fit a smooth curve that reaches it at week 72. Real progress is lumpier: early weeks include water, increases follow the dose steps, and individual results range widely around the average. Diet and activity changes were part of the trial for everyone, including placebo.

Other start weights

Common questions

How much weight can you lose on Zepbound at 190 lb?

If you matched the SURMOUNT-1 average at 15 mg (20.9%), you'd lose about 40 lb over 72 weeks. Many people lose more or less.

How fast does Zepbound weight loss happen?

Loss is fastest in the first months and slows as you near the plateau. By week 24, the curve here shows about 26 lb at 15 mg.

Is this a guarantee?

No. It's an average from a trial, applied to your start weight. Your prescriber and your own weigh-ins are the real guide.

Sources

  1. Zepbound prescribing information (FDA label on DailyMed)
  2. SURMOUNT-1 trial publication

Clinician review pending. Drafted from primary sources and waiting for sign-off by a licensed clinician (MD, DO or PharmD) before launch. Every number is checked against its source. Drug facts are re-checked quarterly, prices monthly and whenever a label changes. How we review · Report an error