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Projection · SURMOUNT-1

Zepbound weight loss from 250 lb

If you match the trial average at 15 mg, you'd be about 198 lb by week 72.

Clinician review pending Updated
Avg loss by week 72
−52lb
15 mg, 20.9%
Weight at week 72
198lb
if you match the average
Placebo group
−8lb
3.1%, same trial
Trial length
72weeks
SURMOUNT-1
Show the math
Loss = 250 lb × 20.9% = 52 lb
Projected weight from 250 lb
1942092242392540122436486072weeks

Zepbound 15 mgZepbound 10 mgZepbound 5 mgPlacebo

Week by week

WeekZepbound 15 mgZepbound 10 mgZepbound 5 mg
Week 4−8 lb · 242−8 lb · 242−6 lb · 244
Week 8−16 lb · 234−15 lb · 235−11 lb · 239
Week 12−22 lb · 228−20 lb · 230−16 lb · 234
Week 16−27 lb · 223−25 lb · 225−19 lb · 231
Week 24−35 lb · 215−32 lb · 218−25 lb · 225
Week 36−43 lb · 207−40 lb · 210−31 lb · 219
Week 52−49 lb · 201−45 lb · 205−35 lb · 215
Week 72−52 lb · 198−49 lb · 201−38 lb · 212

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

What each milestone means at 250 lb

LossPoundsNew weight
5%12 lb238 lb
10%25 lb225 lb
15%38 lb212 lb
20%50 lb200 lb
25%62 lb188 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

Zepbound at 230 lbZepbound at 240 lbZepbound at 260 lbZepbound at 270 lbWegovy at 250 lbWegovy pill at 250 lbSaxenda at 250 lb

Common questions

How much weight can you lose on Zepbound at 250 lb?

If you matched the SURMOUNT-1 average at 15 mg (20.9%), you'd lose about 52 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 35 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