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c/tirzepatide·posted 11 months ago by u/blunt_coldbox29

anyone else notice SURMOUNT kicking in around week 20

Results Cold Box ×1 Slow Clap ×2 Receipts ×3

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 12 months without either producing anything.

What would actually settle it is 33 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.

4,344 up / 712 down86% upvoted41 commentsid pizgfg13 Aug 2025

41 comments

30 in this archive, depth 6

best — the order this archive was captured in

u/two_mil_or_one237 points·11 months ago

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

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u/blunt_coldbox29OP163 points·11 months ago

Switched from sema at 7.5mg to tirz at 5mg. Different drugs, cannot compare the doses directly.

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u/blunt_coldbox29OP101 points·11 months ago

week 30 on Mounjaro and the appetite profile is genuinely different from sema

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u/mikkel_ogunleye213 points·11 months ago

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

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u/gustav_vermeulen143 points·11 months ago

dual agonism is Mounjaro, do not generalise from semaglutide

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u/quiet_moderatormod67 points·11 months ago·edited

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

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u/priya_guerrero0 points·11 months ago

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

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u/ferritin_low1 point·11 months ago

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

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u/slow_logbook_ftw167 points·11 months ago·edited

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

Disagree on that part. 96.2% and 96.8% on the same vial is normal.

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u/nz_unfunded132 points·11 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/quiet_moderatorMOD122 points·11 months ago

Tracking number removed. It identifies both ends of a shipment.

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u/sofia_nascimento100 points·11 months ago

week 28 on Mounjaro and the appetite profile is genuinely different from sema

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u/ewan_marchand108 points·11 months ago

Mechanistically the bit that matters is GIP. It explains most of the early profile and a decent chunk of the outcome.

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u/piotr_nascimento30 points·11 months ago

Switched from sema at 5mg to tirz at 7.5mg. Different drugs, cannot compare the doses directly.

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u/bastian_eriksen9 points·11 months ago

Respectfully this is a sample of one presented as a finding.

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u/fatima_wojcik92 points·11 months ago
it is in the wiki actually
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u/elin_ferrari63 points·11 months ago

it is in the wiki actually

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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u/sofia_nascimento51 points·11 months ago

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

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u/nz_unfunded0 points·11 months ago

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

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u/cormac_pereira68 points·11 months ago

Strongly agree. Tirz is better than sema is not a claim without a comparator dose.

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[deleted]25 points·11 months ago

[deleted]

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u/mikkel_kimani19 points·11 months ago

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

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u/slow_logbook_ftw12 points·11 months ago

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

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u/aurel_lindqvist44 points·11 months ago

Respectfully this is a sample of one presented as a finding.

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u/dario_vermeulen14 points·11 months ago

week 70 on Mounjaro and the appetite profile is genuinely different from sema

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u/halima_boateng7 points·11 months ago

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

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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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