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#tirzepatide 2024-09-13

Friday41 messages8 participantstimes are UTC
Highlights from this day
  • swab_dry_first — restarted at 2.5 after 11 months off and the first two doses reminded me why titration exists 21:05
  • vacuum_vic — SURMOUNT-1 versus SURPASS-2, which one was the weight trial 21:25
  • gip_glp_gil — held 10 for 6 months and lost 10kg over that stretch, slow and boring and fine 22:43

same plateau here

🎉7

i argued the sweet spot was nonsense and then spent 1 months at 7.5 not needing more

restarted at 2.5 after 11 months off and the first two doses reminded me why titration exists

⚠️18

the GIP explanation for easier nausea is plausible and i still treat it as a story not a fact
switched from 2.5 semaglutide and started at 2.5, took the slow route, never regretted it

🤝1

folklore probably

switched from 0.5 semaglutide and started at 2.5, took the slow route, never regretted it

at 2.5 my appetite is gone entirely, did anyone go down rather than up

BW

dual agonist, GIP as well as GLP-1, thats the whole difference in one line

SURMOUNT-1 versus SURPASS-2, which one was the weight trial

💀7📉10

does the GIP arm actually explain the easier nausea or is that hand waving

start low anyway

right so no gap when i switched, took the last semaglutide dose and started this a week later

BW

40 units of a 2 solution is a lot of volume and i check that one twice every single time
i log everything and my appetite curve looks flatter across the week than my semaglutide log did

how did people handle the 2.5 to 5 jump

[edited]
🧊1😂8
GG

changed my mind about needing 15, i was chasing a number rather than an outcome

GG

went back to semaglutide after 1 months because the cost difference mattered more than the GI, ymmv

coa-b-0114.pdf
1 page · 738 KB · not retained in the public archive

genuine question SURMOUNT was the weight programme and SURPASS was diabetes, thats the split people mix up, take that with a pinch of salt
switched from 10 semaglutide and started at 2.5, took the slow route, never regretted it

whats the top licensed dose, 15 or does it go higher

SD

how long before the dual thing was noticeable to you

Cited study
Tirzepatide versus Semaglutide Once Weekly in Type 2 Diabetes (SURPASS-2)
New England Journal of Medicine · 2021
The head-to-head everyone quotes. Note the semaglutide comparator dose.
SD

the 40 vial in 5ml gives 2mg/ml which puts 2.5 on 10 units, nice round numbers

why does everyone talk about 7.5 and not 10
the trials titrated every four weeks to a target, most people here stop at whatever works

🧊9

does the appetite effect feel different or just stronger

WT

genuine question does switching from semaglutide need a gap or do you just start

GG

the GI difference held for me right up to 15, which isnt what a couple of people here found

Trial scheduleWhat most people here do
Step interval4 weeks, fixed4-12 weeks, on symptoms
Holdingprotocol deviationnormal and expected
Top dosereached by designoften never reached
Coming downnot studiedcommon at maintenance
VV

the switch felt like a step down at first and then caught up around week 33

GG

is the sweet spot argument about effect or about side effects

[edited]
SB

the two compounds arent interchangeable week for week even if the effect ends up similar

the sweet spot thing is survivorship, the people it worked for stayed and said so

how many weeks at 7.5 before you knew it was enough