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c/tirzepatide·posted 2 years ago by u/aksel_kjaer

tried tirzepatide for 15 weeks. here is what happened.

Titration Well Actually ×9 Sourced ×1 Receipts ×1

Posting this because I searched for it and got nothing useful.

Setup: 0.25mg, week 15, sulphur burps present but not ruining anything. I changed exactly one variable — SURPASS — and tracked it for 23 weeks.

Result: a difference, but a small one, and well inside what I would call noise if someone else posted it. So I am putting it here rather than presenting it as a finding. If two or three other people have done the same thing we might actually learn something.

Not medical advice, obviously. This is one person with a spreadsheet.

6,108 up / 1,898 down76% upvoted54 commentsid 1684lv18 Aug 2023

54 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/matias_salgado383 points·2 years ago

The SURMOUNT readouts are real but less consistent than STEP. Some people plateau earlier on tirz.

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u/certified_referenceQC221 points·2 years ago

Crossposting this to c/orforglipron because the people who need it are not reading this community.

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u/piotr_nascimento143 points·2 years ago·edited
saved. thank you.
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u/adnan_nascimento49 points·2 years ago

Hard agree. The food noise disappears differently on the two compounds.

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u/zeynep_zielinski39 points·2 years ago·edited

No. This is the kind of confident post that gets copied into a screenshot and repeated for years. Where is the evidence.

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u/zaid_balogun39 points·2 years ago

the fatigue from tirz is different, not necessarily worse

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u/hub_opssite staff18 points·2 years ago

stalled on sema, tried tirz, and the curves were actually different shapes

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u/forest_plot_fionastats9 points·2 years ago

Yeah, dual agonism does produce a different appetite profile than GLP-1 alone.

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u/matias_salgado41 points·2 years ago

the GIP side does different things than the GLP-1 side, that is the point

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u/mikkel_kimani21 points·2 years ago

the GIP side does different things than the GLP-1 side, that is the point

Yes, exactly this, and it is the bit that took me 22 weeks to accept.

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u/ghrp_history13 points·2 years ago

the GIP side does different things than the GLP-1 side, that is the point

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u/rania_marchand96 points·2 years ago

week 57 on Mounjaro and the appetite profile is genuinely different from sema

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u/tidy_vialdrawer_pls48 points·2 years ago

Not to be pedantic but Mounjaro and 15mg are being used interchangeably and they are not interchangeable in real life.

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u/yusuf_ramos24 points·2 years ago

SURMOUNT data is messier than STEP data but the weight loss is there

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u/aksel_kjaerOP27 points·2 years ago

Not to be pedantic but Mounjaro and 15mg are being used interchangeably and they are not interchangeable in real life.

Adding to this: SURPASS is doing more work than the comment implies.

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[removed]11 points·2 years ago

[removed by moderator]

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u/cato_girard66 points·2 years ago·edited

I am going to push back on this slightly.

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u/dexa_twice_yearlyMOD30 points·2 years ago

Retitled to remove editorialising. Put the evidence in the body.

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u/aurel_lindqvist37 points·2 years ago

the fatigue from tirz is different, not necessarily worse

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u/aksel_kjaerOP29 points·2 years ago

Switched from sema at 0.5mg to tirz at 0.25mg. Different drugs, cannot compare the doses directly.

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u/throwaway_titration23 points·2 years ago

I am going to push back on this slightly.

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u/spain_receta-36 points·2 years ago

nope, the equivalence to semaglutide is not known, comparing 15mg tirz to 2.4mg sema is guessing

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u/britt_okwuosa46 points·2 years ago

How long at each step before you escalated?

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u/mikkel_ogunleye37 points·2 years ago

stalled on sema, tried tirz, and the curves were actually different shapes

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u/dexa_twice_yearlybody comp36 points·2 years ago

Cosigning. The GIP contribution is real and the side effects are not simply scaled versions.

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u/cato_girard18 points·2 years ago

The confident tone is doing a lot of work that the evidence is not.

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u/two_mil_or_one5 points·2 years ago

the 15mg is the top of the pen, not the required dose

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u/mod_cold_roommod · c/coldchain25 points·2 years ago

Switched from sema at 1.7mg to tirz at 1.0mg. Different drugs, cannot compare the doses directly.

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u/throwaway_wl20268 points·2 years ago

I am going to push back on this slightly.

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About c/tirzepatide

Tirzepatide-specific discussion: the dual-agonist pharmacology, the 2.5 → 15mg ladder, the appetite profile people describe as different from semaglutide, and the SURMOUNT/SURPASS trial programme. Comparisons with semaglutide are welcome as long as they are specific about dose equivalence being unknown.

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