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

[Results] 57 weeks, 20kg, and tirzepatide was the hard part

Results Well Actually ×1 Clean Column ×2 Cold Box ×2

Confession thread, sort of.

I went from 2.5mg to 1.0mg much faster than I should have because the scale had stalled and I got impatient. The stall broke about 13 weeks later, at which point I had no way of knowing whether the dose increase did anything or whether it would have broken anyway.

So now I have sulphur burps I did not need and a data point I cannot interpret. Two lessons in one.

Posting it in the hope that somebody at week 93 reads it before doing the same thing.

11,263 up / 1,943 down85% upvoted35 commentsid 18g4kx9 Jan 2024

35 comments

27 in this archive, depth 4

best — the order this archive was captured in

u/ewan_marchand1.7k points·2 years ago

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

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u/fatima_wojcik1.1k points·2 years ago

week 89 on Mounjaro and the appetite profile is genuinely different from sema

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u/sten_palacios856 points·2 years ago

My fasting insulin moved faster on tirz than on sema at the same timepoint, which matches what people report.

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u/kaia_wojcik520 points·2 years ago

week 89 on Mounjaro and the appetite profile is genuinely different from sema

Yes, exactly this, and it is the bit that took me 3 weeks to accept.

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u/fatima_wojcik746 points·2 years ago

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

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u/yusuf_ramos349 points·2 years ago·edited

the muscle cramps from tirz is different, not necessarily worse

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u/sofia_nascimento173 points·2 years ago

the dual agonism hits different and that is why people describe it differently

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u/curious_panel_only224 points·2 years ago

That is net peptide content, not purity. Different number, different meaning.

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u/matias_salgado53 points·2 years ago

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

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u/ahmed_iyer0 points·2 years ago

Three years on this site and the questions have not changed at all. Which is depressing or reassuring depending on the day.

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u/neha_falk0 points·2 years ago

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

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u/emil_wojcik594 points·2 years ago

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

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u/sanne_novak293 points·2 years ago·edited

Did the muscle cramps feel the same as on tirz or genuinely different?

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u/incretin_ivyMOD284 points·2 years ago

Tracking number removed. It identifies both ends of a shipment.

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u/dario_stanescu84 points·2 years ago

That is net peptide content, not purity. Different number, different meaning.

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u/alcohol_aversion263 points·2 years ago

This matches the trial data. SURMOUNT-1 was 99.2% body weight at 20 weeks.

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u/ignacio_vanhecke183 points·2 years ago

How long at each step before you escalated?

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u/alcohol_aversion75 points·2 years ago

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

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u/throwaway_titration45 points·2 years ago

How long at each step before you escalated?

Yes, exactly this, and it is the bit that took me 68 weeks to accept.

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u/b12_baseline16 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/teodor_szabo299 points·2 years ago·edited

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

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u/tove_vasquezOP170 points·2 years ago

Did you stay on semaglutide or switch? The outcome is different if you are comparing.

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u/piotr_nascimento66 points·2 years ago

Zepbound and Mounjaro are literally the same drug, the name is the only difference

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u/cormac_pereira188 points·2 years ago·edited

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

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u/sten_bhattacharya63 points·2 years ago

Strongly agree. Tirz is better than sema is not a claim without a comparator dose.

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u/aurel_lindqvist125 points·2 years ago·edited

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

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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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