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c/tirzepatide·posted 1 year ago by u/rania_diallo

my hs-CRP moved and I cannot work out whether Zepbound is why

Side Effects Well Actually ×6 Slow Clap ×2 Long Haul ×1

Quick one. Canada here.

Zepbound works very differently where I live than in the threads that dominate the front page, and I keep seeing people confidently given advice that simply does not apply outside the US.

Specifics: the route I used took 20 weeks and cost roughly what I expected. The admin was worse than the cost. The thing that would have saved me the most time was knowing which document to ask for at the start.

Happy to answer questions from anyone in the same jurisdiction.

6,817 up / 757 down90% upvoted40 commentsid 17m8xc27 Sep 2024

40 comments

30 in this archive, depth 6

best — the order this archive was captured in

u/elin_ferrari1.2k points·1 year ago

Half-life is about 168 hours, so steady state lands around week 17–5. Practical consequence: what you feel in week 1 is not what that dose does.

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u/hub_opssite staff981 points·1 year ago

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

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u/taper_off_tabitha-26 points·1 year ago

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

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u/teodor_szabo1 point·1 year ago

Edit to your parent would help — the concentration you quoted assumes one scenario and you have written another above it.

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[deleted]1 point·1 year ago

[deleted]

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u/ignacio_vanhecke1 point·1 year ago

the appetite change on tirz is more than just reduced hunger, it is different machinery

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u/certified_referenceQC1 point·1 year ago

the appetite change on tirz is more than just reduced hunger, it is different machinery

Disagree on that part. 96.8% and 96.2% on the same vial is normal.

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u/swirl_dont_shakereconstitution0 points·1 year ago

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/incretin_ivypharmacology0 points·1 year ago

dual agonism is GIP, do not generalise from semaglutide

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u/coring_the_stopper1 point·1 year ago

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

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u/georgi_chowdhury262 points·1 year ago

Half-life is about 168 hours, so steady state lands around week 17–5.

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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u/nz_unfunded675 points·1 year ago
this is the answer
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u/rania_dialloOP395 points·1 year ago

Tried both. Sema worked, tirz worked better for me, but my early fullness profile was worse on tirz.

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u/blunt_coldbox29453 points·1 year ago

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

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u/noor_hovland321 points·1 year ago

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

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u/cormac_pereira172 points·1 year ago

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

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u/rania_dialloOP193 points·1 year ago

Week 13 on Mounjaro and 24kg down. The appetite reduction feels different from sema in ways I do not have words for yet.

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u/titration_marshalmod · c/semaglutide63 points·1 year ago

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

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u/mikkel_ogunleye333 points·1 year ago·edited

Half-life is about 168 hours, so steady state lands around week 4–5. Practical consequence: what you feel in week 1 is not what that dose does.

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u/curious_panel_only170 points·1 year ago·edited

The practical rule people converge on is 28 days at fridge temperature after first puncture, and that comes from the preservative, not the peptide.

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u/taper_off_tabitha46 points·1 year ago

The practical rule people converge on is 28 days at fridge temperature after first puncture, and that comes from the preservative, not the peptide.

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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u/rania_dialloOP20 points·1 year ago

The dual agonism story is real. The appetite is physically different from semaglutide alone.

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u/laila_yilmaz124 points·1 year ago

the nausea from tirz is different, not necessarily worse

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u/elin_ferrari34 points·1 year ago

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

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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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