Evidence library

Weight loss.

Weight-management evidence includes intensive lifestyle treatment, approved medicines, and surgery. The strongest results come from defined populations receiving structured follow-up; they do not make every option appropriate for every person.

10 evidence-ranked entries
Important limitations

What the evidence cannot settle yet

Average trial results can hide differences in eligibility, dose, adherence, discontinuation, maintenance, and access to ongoing care. Investigational toplines and short follow-up cannot substitute for completed pivotal trials or long-term outcome data.

Safety themes

Risks depend on the intervention

Gastrointestinal effects, contraindications, pregnancy precautions, medicine interactions, and monitoring needs vary by treatment. Surgery adds procedure-specific risks and lifelong nutritional follow-up, while prescription therapies require clinical oversight.

Strongest current evidence

Strong evidence leads this category

Ratings compare confidence in each entry's stated benefit—not whether every intervention is appropriate or recommended.

How ratings work
Browse the evidence

Every weight loss entry

Sorted from stronger to weaker evidence.

Open Semaglutide
Strong
Weight loss

Semaglutide

A prescription GLP-1 medicine with strong trial evidence for substantial weight loss in eligible adults when combined with lifestyle support.

Open Tirzepatide
Strong
Weight loss

Tirzepatide

A prescription GIP/GLP-1 medicine that produced substantial, sustained weight loss in a large phase 3 obesity trial.

Open Metabolic and Bariatric Surgery
Strong
Weight loss

Metabolic and Bariatric Surgery

The most durable established treatment for severe obesity, with large weight and metabolic benefits alongside procedure-specific lifelong risks and follow-up.

Open Liraglutide
Strong
Weight loss

Liraglutide

A daily GLP-1 receptor agonist with strong obesity-trial evidence for clinically meaningful weight loss, balanced against gastrointestinal effects, cost, and regain after stopping.

Open Orlistat
Strong
Weight loss

Orlistat

An oral intestinal lipase inhibitor that produces modest, durable weight loss but commonly causes meal-dependent gastrointestinal effects.

Open Phentermine + Topiramate
Strong
Weight loss

Phentermine + Topiramate

An effective once-daily oral obesity medicine whose weight-loss benefit must be balanced against pregnancy, cognitive, mood, and cardiovascular precautions.

Open Intensive Lifestyle Intervention
Strong
Weight loss

Intensive Lifestyle Intervention

A high-contact program of calorie reduction, physical activity, behavioral skills, and long-term support that can sustain meaningful weight loss without guaranteeing cardiovascular-event reduction.

Open Naltrexone + Bupropion
Moderate
Weight loss

Naltrexone + Bupropion

An oral prescription combination that produces modest average weight loss but has important opioid, seizure, blood-pressure, and psychiatric precautions.

Open Setmelanotide
Moderate
Weight loss

Setmelanotide

A daily MC4-receptor agonist for specific rare genetic and acquired hypothalamic obesity—not a general obesity drug.

Open Retatrutide
Emerging
Weight loss

Retatrutide

An investigational triple-hormone-receptor agonist with unusually large phase 2 weight-loss results and promising but not yet peer-reviewed phase 3 toplines.