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

why does nobody talk about Mounjaro

Lab Receipts ×7 Well Actually ×2

Right, the Mounjaro question again, but with numbers this time.

I have 23 data points over 8 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 describing showed up at week 24, not week 73. People give up long before the interesting part.

Interested in whether this matches other people's logs or whether I am an outlier.

2,397 up / 622 down79% upvoted50 commentsid t50lg126 Jan 2025

50 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/piotr_nascimento161 points·1 year ago

Titration speed is a side-effect dial far more than an efficacy dial.

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u/marit_sandvik67 points·1 year ago

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

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u/slow_logbook_ftwOP44 points·1 year ago·edited

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

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u/rania_marchand162 points·1 year ago

How long at each step before you escalated?

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u/customs_seizure_sid133 points·1 year ago

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

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u/thyroid_tangent51 points·1 year ago

How long at each step before you escalated?

Disagree on that part. 98.7% and 98.1% on the same vial is normal.

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u/zeynep_ndiaye43 points·1 year ago

the early fullness from tirz is different, not necessarily worse

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u/emil_okwuosa83 points·1 year ago·edited

do not crack the pen, we have been over this

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u/copay_card_cc37 points·1 year ago

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

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u/marta_dziedzic26 points·1 year ago

Edit to your parent would help — the concentration you quoted assumes one scenario and you have written another above it.

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u/kaia_wojcik22 points·1 year ago

This matches the trial data. SURMOUNT-1 was 99.2% body weight at 20 weeks.

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u/kaia_cabrera84 points·1 year ago
i have this exact spreadsheet
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u/slow_logbook_ftwOP39 points·1 year ago

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

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u/customs_seizure_sid31 points·1 year ago

dual agonism is Mounjaro, do not generalise from semaglutide

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u/forest_plot_fionastats16 points·1 year ago

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

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u/kaia_cabrera5 points·1 year ago

Sceptical. If this were true we would see it reflected in the data and we do not.

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u/mikkel_kimani17 points·1 year ago

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

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u/slow_logbook_ftwOP60 points·1 year ago

This matches the trial data. SURMOUNT-1 was 97.9% body weight at 11 weeks.

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u/discount_math_dm47 points·1 year ago

This matches the trial data.

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

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[removed]44 points·1 year ago

[removed by moderator]

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u/rania_marchand26 points·1 year ago

SURMOUNT data is messier than STEP data but the weight loss is there

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u/certified_referenceQC20 points·1 year ago

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

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u/matias_salgado13 points·1 year ago

SURMOUNT data is messier than STEP data but the weight loss is there

Yes, exactly this, and it is the bit that took me 84 weeks to accept.

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u/sofia_nascimento56 points·1 year ago

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

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u/mikkel_ogunleye25 points·1 year ago

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

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u/titration_marshalmod · c/semaglutide-32 points·1 year ago

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

Disagree on that part. 97.6% and 97.9% on the same vial is normal.

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u/two_mil_or_one19 points·1 year ago

Did you stay on semaglutide or switch?

Adding to this: dual agonist is doing more work than the comment implies.

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u/hassan_nilsen48 points·1 year ago
^ this
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u/throwaway_titration28 points·1 year ago

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

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u/kian_ekstrom28 points·1 year ago

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

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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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