GLP 1 & Weight Loss

Does Zepbound Affect Cholesterol Levels?

Linda Girgis | MD

Medically reviewed by Linda Girgis | MD, Girgis Family Medicine on August 21st, 2026.

Yes, Zepbound can positively affect cholesterol levels in many patients. Clinical trials showed that tirzepatide (Zepbound's active ingredient) reduced LDL cholesterol by 15-20% and increased HDL cholesterol by 8-16% compared to placebo. These improvements typically occur alongside weight loss, as excess weight contributes to elevated cholesterol levels. The medication works by slowing digestion and improving insulin sensitivity, which helps regulate lipid metabolism. Most patients see cholesterol improvements within 12-16 weeks of starting treatment, with effects becoming more pronounced as weight loss progresses.

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