Informational only. Not medical advice.INFORMATIONAL PLATFORM ONLY — NOT MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT
Informational only. Not medical advice.INFORMATIONAL PLATFORM ONLY — NOT MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT
Head-to-head comparison of Orforglipron and Survodutide — mechanism, dosing, side effects, legal status, and pricing.
Orforglipron (brand name Foundayo) is Eli Lilly's oral non-peptide small-molecule GLP-1 receptor agonist. Unlike oral semaglutide (Rybelsus), it does not require the SNAC absorption enhancer or fasting/water restrictions — it can be taken any time of day. Not a peptide.
Survodutide is a dual GLP-1 / glucagon receptor agonist co-developed by Boehringer Ingelheim and Zealand Pharma. NOT FDA-approved; received FDA Breakthrough Therapy Designation in 2024 for non-cirrhotic MASH with moderate/advanced fibrosis. Phase 3 ongoing (SYNCHRONIZE in obesity/T2DM; LIVERAGE and LIVERAGE-Cirrhosis in MASH).
Orforglipron
Survodutide
Category
Legal Status
Mechanism
Dose Range
Route
Frequency
Dosing Notes
COA-verified vendors · trust score ≥70 required · single-vial price — bulk/bundle deals may be lower
Orforglipron
No pricing data yet.
Check Orforglipron prices →Survodutide
COA corpus from Disclosed Labs — independently tested batches only.
Orforglipron
2
COAs
99.3%
Avg purity
2
Labs
Survodutide
10
COAs
99.7%
Avg purity
4
Labs
ATTAIN-1 Phase 3 (n=3,127, non-diabetic obesity): mean body-weight change -11.2% with 36 mg at week 72 vs -2.1% placebo; ~59.6% of the 36 mg arm achieved ≥10% loss (Wharton et al., NEJM 2025). ATTAIN-2 (T2D obesity) and the ACHIEVE program (T2D glycemic control) were also positive. FDA approved April 1, 2026 as Foundayo under the Commissioner's National Priority Voucher program for adults with obesity or overweight with ≥1 weight-related comorbidity — the first oral small-molecule GLP-1 RA approved in the US.
Key references
Phase 2 MASH trial (Sanyal et al., NEJM 2024; 48 weeks, F1–F3 fibrosis): MASH resolution without worsening of fibrosis in 47% (2.4 mg), 62% (4.8 mg), and 43% (6.0 mg) vs 14% placebo. Phase 2 obesity trial reported ~19% weight loss at 46 weeks at the highest dose. Dose-dependent heart-rate elevation has been observed.
Orforglipron and Survodutide are both in the Metabolic category and may have overlapping mechanisms. Researchers should review both profiles carefully, understand the mechanisms of action, and monitor the relevant biomarkers when combining compounds in the same class. As always, consult a licensed healthcare provider before making any decisions about combining research compounds.
This platform provides informational tools only, not medical advice. This comparison is for educational purposes only. Consult a licensed provider.
Side Effects
Contraindications
Lab Testing
Disclosed Labs