Obesity

Six‐Month Real‐World Effectiveness, Persistence and Safety of Low‐to‐Moderate Dose Tirzepatide in Adults With Obesity: A Multicentre Observational Study

Diabetes Obes MetabPublished Retrospective observational study

Authors' conclusion

In routine clinical practice, low-to-moderate dose tirzepatide was associated with clinically meaningful weight loss at 6 months, high treatment persistence, and acceptable tolerability.

Study context

Population
Adults with obesity initiating tirzepatide in routine practice, 15 endocrinology clinics in Greece, December 2024–May 2025208 completed 6 months
Participants
260 adults
Outcome
Weight-loss outcomes, treatment persistence and safety
Follow-up
6 months
Methodological detailsmulticentre, real-world
  • Multicentre
  • Real-world

Main finding

As reported in the abstract

Weight loss
Achieved ≥ 5% weight loss
94.2%
Achieved ≥ 10% weight loss
77.9%
Achieved ≥ 15% weight loss
47.1%
Achieved ≥ 20% weight loss
≈20%
Body weight and body mass index (BMI) decreased significantly from baseline, with a large effect size
p < 0.001

Observational data: associations, not effects.

Further findings

Weight loss by baseline BMI, obesity class and sex · 6 months

Women achieved greater percentage weight loss than men
P = 0.042
Weight-loss magnitude independent of baseline BMI and obesity class

Treatment persistence · 6 months

Treatment discontinuation, mostly during titration, primarily due to goal achievement, cost, non-response or adverse events
20%

Safety

Gastrointestinal adverse events most frequent but rarely led to discontinuation

Original publication

Six‐Month Real‐World Effectiveness, Persistence and Safety of Low‐to‐Moderate Dose Tirzepatide in Adults With Obesity: A Multicentre Observational Study. Diabetes Obes Metab. Published 27 April 2026. doi:10.1111/dom.70810

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