vialroom

#tirzepatide 2024-11-23

Saturday52 messages13 participantstimes are UTC
Highlights from this day
  • igf_one_ivy — while im here is the 20 vial the common one or do people use 30 17:04
  • rotate_the_site — at 15 the GI came back for me, so my easier profile claim only applies below that 19:45
  • peak_split — coming back to this i went to 15 and came back to 10, more suppression wasnt more useful for me 20:18
BB

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

AP

if youre coming off semaglutide the honest answer is start low and find out, theres no table

AP

SURMOUNT-OSA was the sleep apnoea trial and it is not a weight headline however its quoted

why does everyone talk about 7.5 and not 10

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is SURMOUNT-OSA the sleep apnoea one

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

NT

did anyone find the GI easier than semaglutide at an equivalent effect

NT

12 did nothing extra over 10 for me and that still holds a year later

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IO

while im here is the 20 vial the common one or do people use 30

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IO

at 12 my appetite is gone entirely, did anyone go down rather than up

LO

€94 for a 30 vial is roughly what ive paid for the last year

GG

held 10 for 26 months and lost 10kg over that stretch, slow and boring and fine

7.5 gang

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ST

the sweet spot argument is really about effect per side effect, not a magic number, someone check my working

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ST

unrelated but the trials titrated every four weeks to a target, most people here stop at whatever works

VO

i argued the sweet spot was nonsense and then spent 10 months at 7.5 not needing more

RT

while im here the 2.5 to 5 step was the roughest one for me and everything after was easier

SH

the 20 vial in 5ml gives 8mg/ml which puts 0.5 on 10 units, nice round numbers

SH

SURMOUNT was the weight programme and SURPASS was diabetes, thats the split people mix up, not advice obviously

RT

plateaued at 13 weeks the same way i did on semaglutide, so i doubt its compound specific

NT

i sat at 7.5 for 26 months and never needed more, which is where the folklore comes from

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BB

update on the earlier thing at 2.4 my appetite went completely and i dropped back a step, eating nothing isnt a win

RT

while im here went back to semaglutide after 10 months because the cost difference mattered more than the GI
the two compounds arent interchangeable week for week even if the effect ends up similar

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easier gi for me

at 15 the GI came back for me, so my easier profile claim only applies below that

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IO

the GIP explanation for easier nausea is plausible and i still treat it as a story not a fact

restarted at 2.5 after 24 months off and the first two doses reminded me why titration exists

MP

no gap when i switched, took the last semaglutide dose and started this a week later, ill dig out the number

GI was noticeably easier for me than semaglutide at what felt like the same appetite effect

5 did nothing

i log everything and my appetite curve looks flatter across the week than my semaglutide log did, i could be wrong

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.

40 units of a 10 solution is a lot of volume and i check that one twice every single time

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the GIP explanation for easier nausea is plausible and i still treat it as a story not a fact

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

is 7.5 really the sweet spot or is that just channel folklore

PS

coming back to this i went to 15 and came back to 10, more suppression wasnt more useful for me

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