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c/tirzepatide·posted 5 months ago by u/crosspost_bot_no

what changed for me between week 65 and week 19

Lab Long Haul ×6 Slow Clap ×1 Cold Box ×2

Been lurking in c/compounding for about 24 months and finally have something worth posting.

Short version: week 80, 7.5mg, and GIP is the bit I still cannot get a straight answer on. I have read the wiki, I have read the last 7 threads, and the answers split roughly down the middle.

What I actually want to know is whether the people saying it does not matter have measured it, or whether it is just repeated confidently. Happy to be told I am overthinking this — I probably am — but I would rather overthink it now than at week 74.

4,938 up / 781 down86% upvoted40 commentsid 1sd45f2 Mar 2026

40 comments

24 in this archive, depth 5

best — the order this archive was captured in

u/teodor_szabo331 points·4 months ago

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

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u/ahmed_fonseca117 points·4 months 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 91 weeks to accept.

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u/blunt_coldbox29263 points·4 months ago

dual agonism is dual agonist, do not generalise from semaglutide

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u/ignacio_vanhecke0 points·4 months ago
i wish i had read this 4 months ago
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u/certified_referenceQC1 point·4 months ago

Disagree. What you are describing is consistent with Zepbound, not with what you concluded.

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u/elin_ferrari0 points·4 months ago

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

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u/matias_salgado103 points·4 months ago

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

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u/signe_villalobos72 points·4 months ago

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

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u/noor_hovland31 points·4 months ago

dual agonism is Mounjaro, do not generalise from semaglutide

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u/zeynep_zielinski10 points·4 months ago

the the food-noise thing from tirz is different, not necessarily worse

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u/amara_halonen23 points·4 months ago·edited

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

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u/signe_villalobos16 points·4 months ago

week 77 on Mounjaro and the appetite profile is genuinely different from sema

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u/crosspost_bot_noOP9 points·4 months ago

Switched from sema at 2.5mg to tirz at 5mg. Different drugs, cannot compare the doses directly.

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u/certified_referenceQC67 points·4 months ago

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

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u/dexa_twice_yearlybody comp-19 points·4 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/neha_falk1 point·4 months ago·edited

What was the trial arm you are quoting from? SURMOUNT-1, -2, -3 are all different.

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u/titration_marshalmod · c/semaglutide1 point·4 months ago

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

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u/rania_marchand1 point·4 months ago

Sceptical. If this were true we would see it reflected in the data and we do not.

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u/crosspost_bot_noOP1 point·4 months ago

This matches the trial data. SURMOUNT-1 was 94.2% body weight at 8 weeks.

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[removed]1 point·4 months ago

[removed by moderator]

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u/mod_cold_roommod · c/coldchain33 points·4 months ago
n=1 but same
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u/britt_okwuosa9 points·4 months ago

dual agonism is Mounjaro, do not generalise from semaglutide

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u/cato_girard26 points·4 months ago·edited

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

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u/dexa_twice_yearlybody comp15 points·4 months ago

How long at each step before you escalated?

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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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