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

small win: GIP stopped being a problem at week 41

Results Long Haul ×1 Slow Clap ×3

Week 78 update. 19kg down from the start, early fullness basically gone since about week 23.

Things that worked: consistency, protein at breakfast, walking more than I want to. Things that did not: everything I bought on the internet to help with early fullness.

The part that surprised me is how much of this is admin. Ordering, storing, logging, remembering. Nobody mentions that the hard bit is not the drug, it is the routine.

Happy to answer anything. Please do not ask me what dose you should be on.

3,347 up / 1,100 down75% upvoted58 commentsid pj2lxf6 Feb 2025

58 comments

30 in this archive, depth 4

best — the order this archive was captured in

u/britt_okwuosa428 points·1 year ago

This matches the trial data. SURMOUNT-1 was 97.9% body weight at 5 weeks.

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[deleted]301 points·1 year ago

[deleted]

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u/gustav_vermeulen111 points·1 year ago

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

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u/ewan_marchand206 points·1 year ago

do not crack the pen, we have been over this

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u/copay_card_cc142 points·1 year ago

Slight fix: the number was 99.1, not 93.7. Decimal point, but a fairly consequential one.

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u/cato_girard178 points·1 year ago

The dual agonism story is real. The appetite is physically different from semaglutide alone.

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u/dexa_twice_yearlybody comp51 points·1 year ago

do not crack the pen, we have been over this

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u/ferran_mensah26 points·1 year ago

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

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u/nordic_pricing56 points·1 year ago·edited

The dual agonism story is real.

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

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u/forest_plot_fionastats145 points·1 year ago

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

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u/crosspost_bot_noOP76 points·1 year ago

the fatigue from tirz is different, not necessarily worse

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u/mikkel_kimani136 points·1 year ago·edited
nope. mine was the opposite.
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u/incretin_ivyMOD55 points·1 year ago

This is an urgent-care question wearing a forum question's clothes. Please contact a clinician rather than waiting for replies.

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u/kaia_cabrera85 points·1 year ago

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

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u/nordic_pricing69 points·1 year ago

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

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u/copay_card_cc40 points·1 year ago

Did you stay on semaglutide or switch?

Disagree on that part. 99.1% and 99.2% on the same vial is normal.

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u/slow_logbook_ftw47 points·1 year ago

do not crack the pen, we have been over this

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u/signe_villalobos33 points·1 year ago

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

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u/dario_vermeulen125 points·1 year ago

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

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u/marit_sandvik56 points·1 year ago

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

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u/teodor_szabo-14 points·1 year ago

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

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u/thyroid_tangent1 point·1 year ago

Not convinced. The evidence does not support that reading.

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u/b12_baseline1 point·1 year ago

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

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u/crosspost_bot_noOP40 points·1 year ago

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

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u/amara_halonen30 points·1 year ago

do not crack the pen, we have been over this

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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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