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c/tirzepatide·posted 1 year ago by u/emil_barros

anyone else notice SURMOUNT kicking in around week 30

Titration Long Haul ×9 Clean Column ×1 Cold Box ×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 19 months without either producing anything.

What would actually settle it is 11 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.

5,973 up / 672 down90% upvoted31 commentsid p9308g17 Feb 2025

31 comments

12 in this archive, depth 3

best — the order this archive was captured in

u/ferran_mensah546 points·1 year ago

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

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[removed]222 points·1 year ago

[removed by moderator]

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u/halima_boateng291 points·1 year ago

Week 42 on Mounjaro and 40kg down. The appetite reduction feels different from sema in ways I do not have words for yet.

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u/amara_halonen342 points·1 year ago

Switched from sema at 0.25mg to tirz at 15mg. Different drugs, cannot compare the doses directly.

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u/zaid_balogun235 points·1 year ago

Not convinced. The evidence does not support that reading.

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u/piotr_nascimento192 points·1 year ago

do not crack the pen, we have been over this

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u/incretin_ivypharmacology96 points·1 year ago

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

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u/search_before_post-25 points·1 year ago

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

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u/adnan_nascimento1 point·1 year ago

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

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u/hassan_nilsen1 point·1 year ago

the reflux from tirz is different, not necessarily worse

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u/line_petrov126 points·1 year ago

This matches the trial data. SURMOUNT-1 was 97.9% body weight at 4 weeks.

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u/ingrid_correia28 points·1 year ago

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

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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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