Research

Adherence

Tirzepatide significantly reduces ad libitum energy intake and body weight in adults with overweight or obesity, primarily by decreasing fasting appetite, food cravings, and disinhibition rather than increasing cognitive restraint.

Tirzepatide, a once-weekly injectable medication, significantly reduces food intake and body weight in adults with overweight or obesity. It works by lowering appetite, reducing food cravings, and decreasing the tendency to overeat, rather than by increasing willpower or cognitive restraint. While gastrointestinal side effects like nausea are common, they are often mild and tend to occur more frequently after the first injection. This suggests that tirzepatide can be an effective tool for managing energy intake and promoting weight loss, particularly for those who struggle with appetite and cravings.

GoodSupportsHIGH confidence
Tirzepatide reduced energy intake versus placebo at week 3 (estimated treatment difference −524.6 kcal... P < 0.0001)... tirzepatide decreased overall appetite, food cravings, tendency to overeat, perceived hunger and reactivity to foods in the environment but did not impact volitional restriction of dietary intake.
Corby K. Martin et al. · Nature Medicine · 2025

Why this rating

Randomized, placebo-controlled Phase 1 trial with a reasonable sample size (n=114) and statistically significant primary outcomes.

Source

Tirzepatide on ingestive behavior in adults with overweight or obesity: a randomized 6-week phase 1 trial

Corby K. Martin et al. · Nature Medicine · 2025

rct · n=114Cited 32×
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