- Survodutide is a new weight loss drug that is still being researched.
- The drug has a dual effect on weight loss.
- The drug is expected to hit the market in 2026 or 2027.
What is Survodutide?
Survodutide is being developed by Boehringer Ingelheim and Zealand Pharma.
It is a promising new player in the field of weight loss medication. The medicine has not yet been approved and is therefore not available yet.
Just like Ozempic, Wegovy and Mounjaro will survodutide be used as a weekly injection. For those hoping for a pill, please wait a little longer.
In short: Research is underway into survodutide, as a possible new drug for obesity.
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Possible effects
Survodutide is being tested for two purposes: as weight loss treatment and as a possible solution for non-alcoholic steatohepatitis (NASH).
NASH is a serious form of fatty liver disease that is not caused by alcohol, but in many cases by obesity. Millions of people are struggling with this without knowing it.
Double slimming effect
All right, another weight-loss medicine, then? Yes, but it looks like it goes a step further than the existing resources.
Indeed, Survodutide belongs to an innovative class of drugs known as “dual receptor agonists”.
This means that it works on two fronts at the same time:
- GLP-1 receptor
This receptor has been in the news a lot recently, due to the growing popularity of weight loss medication. By activating the GLP-1 receptor:
- Do you feel full faster.
- Does it take longer for your stomach to empty.
- It stimulates insulin production, which helps regulate your blood sugar.
- Glucagon receptor [1,2]
This is where survodutide stands out. By also activating the glucagon receptor, survodutide can:
- Increase your body's energy consumption.
- Stimulate fat burning.
- May help address fat deposits in the liver (such as fatty liver disease or NASH).
The result? An approach that not only focuses on eating less, but also on burning more.
Extra powerful
Thanks to this dual effect, survodutide is seen as a promising alternative for people whose GLP-1 injections have insufficient effect.
But note: no final comparative figures have been published yet.
In short: Survodutide has a dual effect, targeting both GLP-1 and the glucagon receptor.
When will survodutide be available?
Survodutide is still in the research phase. The phase 3 obesity trial started in 2024 and, if everything goes according to plan, we can expect approval in Europe around 2026-2027 [6].
In short: Survodutide isn't available yet, but it's coming. Expected availability: within 1-2 years.
What do the studies say?
The fact that survodutide is promising is not only shown by theory. It also shows impressive results in practice.
In a 2023 phase 2 study conducted on obese people but without diabetes, participants were followed for nearly a year (46 weeks). The group that received the highest dose of survodutide lost an average of 18.7% of their body weight [3].
It is remarkable that:
- 67% of the participants with the highest dose > 15% lost weight.
- Almost 40% even achieved > 20% weight loss.
By comparison, with Wegovy, the average weight loss is usually between 15-17%, which is already impressive [4].
So suppose someone weighs 100 kilos at the start of the treatment.
After 46 weeks on the highest dose of survodutide:
- Average weight loss: 18.7 pounds
- 67% lose more than 15 kilos
- 4 out of 10 people even lose more than 20 kilos
By comparison, at Wegovy:
An average of 15 to 17 kilos of loss at a starting weight of 100 kilos.
In short: the difference may not be tens of kilos, but for people for whom every extra pound counts, or for whom semaglutide does not give enough results, that extra few percent weight loss can be just the difference.
And the side effects?
The side effects of survodutide were similar to those of existing GLP-1 agents:
- Nausea
- Decreased appetite
- Diarrhea
- Sometimes vomiting
These symptoms mainly occurred in the first weeks of treatment, are mild to moderate, and often temporary. There are currently no signs of serious unexpected side effects, although larger and longer studies are still needed to confirm this.
In short: In early studies, Survodutide showed greater weight loss than existing drugs, with similar side effects.

Why this drug and not Ozempic?
Although slimming medication as Ozempic, Wegovy and Saxenda is very effective, survodutide tackles obesity just a little smarter, it:
- Stimulates fat burning via the glucagon receptor.
- Increases energy consumption, even at rest.
- Tackles liver fat more strongly (ideal for those dealing with early fatty liver disease or persistent belly fat).
For people whose GLP-1 alone does not provide sufficient results, or whose metabolism is in “save mode”, this can be a game changer.
In short: Survodutide is a type of GLP-1-plus medication. More fat burning, more energy consumption, more results.
Conclusion
Survodutide is a promising new player in the field of weight loss medication.
By combining GLP-1's appetite suppression with glucagon fat burning, the drug shows impressive results in early studies.
Two important points:
- It hasn't been approved yet.
- It is no substitute for healthy food, exercise and lifestyle choices.
Are you curious if you are eligible for weight loss medication? Fill out our short questionnaire and find out right away.

FAQs
Is survodutide een injectie of een pil?
Survodutide wordt op dit moment alleen getest als wekelijkse injectie, vergelijkbaar met Ozempic, Wegovy en Mounjaro. Een pilversie is (nog) niet beschikbaar.
Hoe verschilt het van Ozempic of Wegovy?
Survodutide werkt op twee hormoonreceptoren in plaats van één. Naast de GLP-1 receptor (die je eetlust remt), activeert het ook de glucagonreceptor, wat zorgt voor:
- Extra vetverbranding
- Verhoogd energieverbruik
- Mogelijk meer effect op levervet
Voor mensen bij wie GLP-1 alleen niet genoeg doet, kan dit net het verschil maken.
Wanneer is survodutide beschikbaar in Nederland?
De verwachting is dat survodutide in 2026 of 2027 op de markt komt, afhankelijk van de Europese goedkeuring.
Voor NASH (leververvetting) kan de toelating iets later volgen.
Hoeveel val je ermee af?
In een fase 2-studie verloor de groep met de hoogste dosis gemiddeld 18,7% van hun lichaamsgewicht in 46 weken. Ter vergelijking: met Wegovy ligt dit gemiddeld op 15-17%.
Wat zijn de bijwerkingen van survodutide?
De meest voorkomende bijwerkingen zijn vergelijkbaar met die van andere GLP-1-middelen:
- Misselijkheid
- Diarree
- Verminderde eetlust
- Soms braken
Deze klachten treden meestal in de eerste weken op en zijn vaak tijdelijk.
Wat als ik geen NASH heb?
Geen zorgen. Je hoeft geen leververvetting te hebben om baat te hebben bij survodutide.
Ook zonder NASH:
- Verlies je gewicht
- Verhoogt je vetverbranding
- Blijft je lever gezond (er zijn geen negatieve levereffecten gevonden)
Let op: dit zijn mogelijke effecten. Het middel is nog niet goedgekeurd.
Is het een wondermiddel?
Nee, maar het komt wel in de buurt van de volgende grote stap in afslankmedicatie.
Het is géén vervanging voor gezonde leefstijl, maar mogelijk wél een extra hulpmiddel voor mensen bij wie afvallen niet makkelijk gaat.
Resources
[1] Finan, B., et al. (2013). Unimolecular dual incretins maximize metabolic benefits in rodents, monkeys, and humans. Science Translational Medicine, 5(209), 209ra151(bron).
[2] le Roux, C. W., et al. (2024). Glucagon and GLP-1 receptor dual agonist survodutide for obesity: a randomised, double-blind, placebo-controlled, dose-finding phase 2 trial. The Lancet. Diabetes & Endocrinology, 12(3), 162-173 (bron).
[3] Sanyal, A. J., et al. (2024). A phase 2 randomized trial of survodutide in MASH and fibrosis. The New England Journal of Medicine, 391(4), 311-319 (bron).
[4] Wilding, J. P. H., et al. (2021). Once-weekly semaglutide in adults with overweight or obesity. New England Journal of Medicine, 384(11), 989-1002 (bron).
[6] European Medicines Agency. (2024). Clinical trial registry: BI 456906 (bron).
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