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

small win: dual agonist stopped being a problem at week 66

Discussion Slow Clap ×4 Sourced ×3 Well Actually ×2

Trying to settle this properly because the thread from last year went in circles.

The claim: tirzepatide matters. The counter-claim: it is measurement error. Both sides have been asserting it confidently for about 14 months without either producing anything.

What would actually settle it is 23 people measuring the same thing the same way. I have started; my numbers are below. They lean one way but not strongly enough for me to declare victory.

If you have data, post the data. If you have an opinion, flair it as an opinion.

3,693 up / 585 down86% upvoted44 commentsid 18g7qf24 Jul 2024

44 comments

15 in this archive, depth 4

best — the order this archive was captured in

u/zaid_balogun685 points·2 years 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/dexa_twice_yearlyMOD328 points·2 years ago

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

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u/alcohol_aversionOP168 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/alcohol_aversionOP101 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_referenceQC250 points·2 years ago

Not convinced. The evidence does not support that reading.

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u/georgi_chowdhury107 points·2 years ago·edited

Is that on Mounjaro pens or research tirzepatide?

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u/coring_the_stopper146 points·2 years ago

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

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u/hair_shed_hannah109 points·2 years ago

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

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u/slow_logbook_ftw71 points·2 years ago

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

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

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u/alcohol_aversionOP47 points·2 years ago·edited

week 13 on Mounjaro and the appetite profile is genuinely different from sema

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u/quiet_moderatormod135 points·2 years ago

This matches the trial data. SURMOUNT-1 was 93.7% body weight at 4 weeks.

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u/samir_falk68 points·2 years ago·edited

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

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u/laila_wikstrom35 points·2 years ago

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

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u/hassan_nilsen9 points·2 years ago

Slight fix: the number was 98.0, not 98.1. Decimal point, but a fairly consequential one.

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u/ferritin_low-35 points·2 years ago

This matches the trial data.

Yes, exactly this, and it is the bit that took me 13 weeks to accept.

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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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