GLPHubglpresearchhub.com
Read-only archive. GLP Research Hub is a static community record — nothing here is for sale, no account is needed, and no vote you cast is counted. Why?
1.9k
c/tirzepatide·posted 8 months ago by u/ghrp_history

SURPASS — 5 things I got wrong before I got it right

Titration Clean Column ×8 Sourced ×1

Confession thread, sort of.

I went from 7.5mg to 2.4mg much faster than I should have because the scale had stalled and I got impatient. The stall broke about 12 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 injection-site soreness I did not need and a data point I cannot interpret. Two lessons in one.

Posting it in the hope that somebody at week 36 reads it before doing the same thing.

2,493 up / 559 down82% upvoted40 commentsid 1sn6wm1 Dec 2025

40 comments

18 in this archive, depth 4

best — the order this archive was captured in

u/rania_marchand262 points·7 months ago

week 40 on Mounjaro and the appetite profile is genuinely different from sema

replysharereportpermalink
u/titration_marshalmod · c/semaglutide212 points·7 months ago

week 40 on Mounjaro and the appetite profile is genuinely different from sema

Yes, exactly this, and it is the bit that took me 27 weeks to accept.

replysharereportpermalink
u/laila_wikstrom61 points·7 months ago

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

replysharereportpermalink
u/piotr_nascimento-19 points·8 months ago

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

replysharereportpermalink
u/ghrp_historyOP1 point·8 months ago

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

replysharereportpermalink
load more comments (1) →
u/kaia_cabrera127 points·8 months ago

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

replysharereportpermalink
u/marit_sandvik59 points·7 months ago

week 67 on Mounjaro and the appetite profile is genuinely different from sema

replysharereportpermalink
u/kaia_wojcik32 points·7 months ago

Slight fix: the number was 98.7, not 98.6. Decimal point, but a fairly consequential one.

replysharereportpermalink
u/sten_palacios15 points·7 months ago

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

replysharereportpermalink
u/blunt_coldbox295 points·7 months ago·edited

the reflux from tirz is different, not necessarily worse

replysharereportpermalink
load more comments (2) →
u/forest_plot_fionastats41 points·7 months ago

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

replysharereportpermalink
u/incretin_ivypharmacology17 points·7 months ago

dual agonism is GIP, do not generalise from semaglutide

replysharereportpermalink
u/ignacio_vanhecke9 points·7 months ago

Is that on Mounjaro pens or research tirzepatide?

replysharereportpermalink
u/ghrp_historyOP7 points·7 months ago

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

replysharereportpermalink
u/santiago_villalobos11 points·7 months ago

do not crack the pen, we have been over this

replysharereportpermalink
Permalinked branches
Deep branches get their own page so a single reply chain can be linked and read on its own.
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.

187kmembers
130submissions
Aug 2023created
submissions / month, last year
Sponsored

PeptideMeter Analytics

Independent testing plus vendor-level trend data. Community-funded, unaffiliated.

peptidemeter.com
c/tirzepatide rules
  1. "Tirz is better than sema" needs a comparator dose or it is a vibe, not a claim.
  2. Vial-splitting and self-compounding discussion stays in c/reconstitution.
  3. No pen-cracking tutorials. Discussing that people do it is fine; instructions are not.
  4. Independent community. Nobody here sells anything, and anyone who tries is banned.
  5. Not medical advice. Describe what you did; never prescribe to a stranger.
  6. Claims need evidence. Batch numbers, dated screenshots, independent test reports, or a citation.
  7. No referral links, discount codes or affiliate URLs. Permanent ban, no appeal.
  8. No contact handles, wallet addresses or tracking numbers — they identify people.
  9. Be recognisably decent. Disagree hard, insult nobody.
Moderators
Volunteers. Unpaid, unaffiliated, and reachable through modmail only.
Before you read on

Several compounds discussed on GLP Research Hub are sold for research use only and are not approved for human use anywhere. Nothing here is medical advice and none of it is written by your clinician. If a post reads like an instruction, treat it as a description of what one stranger did.