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c/tirzepatide·submitted 1 year ago by u/santiago_villalobos

Germany: SURMOUNT, and what it actually costs here

Discussionbranch of 12 comments

Right, the Mounjaro question again, but with numbers this time. I have 4 data points over 24 weeks. The pattern is consistent enough that I do not think it is chance, and boring enough that nobody is going to screenshot it, which is usually a good sign. The thing I would flag for anyone new: the effect I am…

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12 comments, started 1 year ago
u/amara_halonen0 points·1 year ago

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

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u/santiago_villalobosOP1 point·1 year ago

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

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u/santiago_villalobosOP1 point·1 year ago

The SURMOUNT readouts are real but less consistent than STEP. Some people plateau earlier on tirz.

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u/mod_cold_roommod · c/coldchain1 point·1 year ago

The SURMOUNT readouts are real but less consistent than STEP.

Disagree on that part. 99.0% and 98.9% on the same vial is normal.

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u/blunt_coldbox291 point·1 year ago

Small correction: the trial was 13 weeks, not 11. Does not change your point but people will quote it.

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u/santiago_villalobos1 point·1 year ago

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

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u/neha_falk1 point·1 year ago

the early fullness from tirz is different, not necessarily worse

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u/dexa_twice_yearlybody comp1 point·1 year ago

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

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u/curious_panel_only1 point·1 year ago

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

Yes, exactly this, and it is the bit that took me 76 weeks to accept.

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u/ahmed_fonseca1 point·1 year ago·edited

That is net peptide content, not purity. Different number, different meaning.

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u/nz_unfunded1 point·1 year ago

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

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u/neha_falk1 point·1 year ago·edited

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

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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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