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

nobody warned me about injection-site soreness and I would have liked the warning

Results Long Haul ×3 Sourced ×2 Well Actually ×1

Genuinely asking, not being difficult.

Everyone in c/semaglutide repeats that dual agonist is important. I believe it, but I have never seen anyone show why, and when I search I get 2 threads of people agreeing with each other.

Is there a paper? Is there a measurement? Or is this one of those things that is true because it has been repeated since 2023?

I am not trying to be the "source?" guy. I would just like a source.

11,804 up / 1,235 down91% upvoted47 commentsid tyzeiy28 Nov 2024

47 comments

26 in this archive, depth 5

best — the order this archive was captured in

u/kian_ekstrom-10 points·1 year ago

Is that on Mounjaro pens or research tirzepatide?

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u/hassan_nilsen502 points·1 year ago

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

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u/cato_girard0 points·1 year ago

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

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u/priya_guerrero408 points·1 year ago

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

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u/ferritin_low211 points·1 year ago

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

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

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u/mod_cold_roomOPmod · c/coldchain124 points·1 year ago

Week 48 on Mounjaro and 41kg down. The appetite reduction feels different from sema in ways I do not have words for yet.

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u/georgi_chowdhury66 points·1 year ago

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

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u/laila_wikstrom89 points·1 year ago

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

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u/hair_shed_hannah144 points·1 year ago

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

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u/slow_logbook_ftw47 points·1 year ago

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

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u/sofia_nascimento244 points·1 year ago

week 72 on Mounjaro and the appetite profile is genuinely different from sema

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u/mikkel_ogunleye64 points·1 year ago

This matches the trial data. SURMOUNT-1 was 94.2% body weight at 5 weeks.

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u/bastian_ekstrom29 points·1 year ago

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

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u/mikkel_ogunleye13 points·1 year ago

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

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u/emil_barros10 points·1 year ago

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

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u/two_mil_or_one15 points·1 year ago

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

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u/throwaway_titration54 points·1 year ago

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

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u/teodor_szabo27 points·1 year ago

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

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u/discount_math_dm149 points·1 year ago

Is that on Mounjaro pens or research tirzepatide?

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u/elin_ferrari146 points·1 year ago

do not crack the pen, we have been over this

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u/titration_marshalMOD75 points·1 year ago

Removed a chain here. The rule is one line long and it is not negotiable.

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u/zaid_balogun61 points·1 year ago

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

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u/zeynep_zielinski42 points·1 year ago

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

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u/ferran_mensah40 points·1 year ago

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

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u/tarek_kirchner22 points·1 year ago

This matches the trial data. SURMOUNT-1 was 96.2% body weight at 6 weeks.

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[removed]105 points·1 year ago

[removed by moderator]

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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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