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c/tirzepatide·posted 2 months ago by u/kaia_cabrera

switched from 1.0mg to 2.5mg and the the food-noise thing got better, not worse

Question Sourced ×8 Long Haul ×1

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

The claim: SURMOUNT matters. The counter-claim: it is measurement error. Both sides have been asserting it confidently for about 11 months without either producing anything.

What would actually settle it is 27 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.

1,481 up / 350 down81% upvoted61 commentsid 1r92l616 May 2026

61 comments

24 in this archive, depth 5

best — the order this archive was captured in

u/alcohol_aversion175 points·2 months ago

This matches the trial data. SURMOUNT-1 was 97.9% body weight at 19 weeks.

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u/aurel_lindqvist257 points·2 months ago

I am going to push back on this slightly.

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u/nz_unfunded60 points·2 months 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/taper_off_tabitha131 points·2 months ago

Every time this gets posted it hits the front page and every time someone has to re-explain it.

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u/aurel_lindqvist91 points·2 months ago

dual agonism is Mounjaro, do not generalise from semaglutide

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u/sanne_novak32 points·2 months ago

I am going to push back on this slightly.

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u/incretin_ivypharmacology22 points·2 months ago

Water content matters more than people think. If a vial is carrying residual moisture, your "10mg" is not 10mg of peptide.

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u/cormac_pereira46 points·2 months ago·edited

This is the "correlation is mechanism" thing again. You changed three variables at once.

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u/neha_falk35 points·2 months ago

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

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u/endpoint_creep0 points·2 months ago

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

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u/adnan_nascimento1 point·2 months ago·edited

dual agonism is SURPASS, do not generalise from semaglutide

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u/teodor_szabo1 point·2 months ago·edited

This matches the trial data. SURMOUNT-1 was 97.4% body weight at 16 weeks.

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u/hugo_bergstrom39 points·2 months ago

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

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[deleted]28 points·2 months ago

[deleted]

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u/ingrid_correia-33 points·2 months ago

Slight fix: the number was 98.7, not 98.3. Decimal point, but a fairly consequential one.

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u/forest_plot_fionastats-48 points·2 months ago

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

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u/santiago_villalobos18 points·2 months ago

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

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u/bastian_eriksen20 points·2 months 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.

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u/quiet_moderatormod18 points·2 months ago

Switched from sema at 10mg to tirz at 2.5mg. Different drugs, cannot compare the doses directly.

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u/bastian_ekstrom8 points·2 months ago

You have restated the marketing copy. What is the actual substance here.

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u/tove_vasquez5 points·2 months ago

week 45 on Mounjaro and the appetite profile is genuinely different from sema

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u/incretin_ivypharmacology5 points·2 months ago

How long at each step before you escalated?

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u/kaia_cabreraOP2 points·2 months ago

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

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u/quiet_moderatormod5 points·2 months ago

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

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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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