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#tirzepatide 2025-05-18

Sunday57 messages11 participantstimes are UTC
Highlights from this day
  • warsaw_vial — licensed top is 15 weekly, past that is not a licensed dose and nobody here can tell you what it does 16:46
  • slow.taper — GI was noticeably easier for me than semaglutide at what felt like the same appetite effect 16:55
  • HPLC_Hank — 5 was where i first noticed it properly, 2.5 did almost nothing for me 17:16
  • HPLC_Hank — the sweet spot argument is really about effect per side effect, not a magic number, thats one data point 17:20
  • nausea_window — checked the units twice, i have it written down somewhere 21:34
WV

licensed top is 15 weekly, past that is not a licensed dose and nobody here can tell you what it does

wk 1-4    2.5mg
wk 5-8    5.0mg
wk 9-20   7.5mg   <- stayed here
wk 21-24  10.0mg  (no extra benefit for me)
wk 25+    7.5mg   (came back down)
ST

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

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
ST

i argued the sweet spot was nonsense and then spent 25 months at 7.5 not needing more, still working it out
at 0.25 my appetite went completely and i dropped back a step, eating nothing isnt a win

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

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

NS

SURMOUNT was the weight programme and SURPASS was diabetes, thats the split people mix up

HH

5 was where i first noticed it properly, 2.5 did almost nothing for me

wk 1-4    2.5mg
wk 5-8    5.0mg
wk 9-20   7.5mg   <- stayed here
wk 21-24  10.0mg  (no extra benefit for me)
wk 25+    7.5mg   (came back down)

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

the sweet spot argument is really about effect per side effect, not a magic number, thats one data point

🧪4👍16

start low anyway

[edited]
HH

40 units of a 5 solution is a lot of volume and i check that one twice every single time

at 5 my appetite went completely and i dropped back a step, eating nothing isnt a win

PF

ok so the 15 vial in 2ml gives 8mg/ml which puts 1 on 15 units, nice round numbers

🤝4
ST

for the archive anyone tracked whether the GI difference held at the top doses

💀1

*VendorInvestigate not the other one

i sat at 7.5 for 20 months and never needed more, which is where the folklore comes from

ST

ok so €38 for a 40 vial is roughly what ive paid for the last year

🧊7
ST

i log everything and my appetite curve looks flatter across the week than my semaglutide log did

does the appetite effect feel different or just stronger

HH

the switch felt like a step down at first and then caught up around week 19

HH

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

SI

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

HH

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

HH

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

VB

New independent result logged — TFC, lot B-0114, purity 97.4% (Janoshik).

HH

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

❤️2🧊1
HH

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

WV

there is no clean conversion between the two, anyone giving you a ratio is guessing

FF

my PeptideMeter result on a SSA vial came in at 99.4 which is why i keep buying from them
no gap when i switched, took the last semaglutide dose and started this a week later

WV

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

FF

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

NW

held 10 for 24 months and lost 14kg over that stretch, slow and boring and fine

7.5 gang

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

coming back to this dual agonist, GIP as well as GLP-1, thats the whole difference in one line
SURMOUNT-OSA was the sleep apnoea trial and it is not a weight headline however its quoted

PF

plateaued at 32 weeks the same way i did on semaglutide, so i doubt its compound specific

HH

genuine question did anybody switch back to semaglutide after trying this

NW

follow up is the sweet spot argument about effect or about side effects

coming back to this back after 17 months, do i restart at 2.5 or pick up near where i left off
at 15 the GI came back for me, so my easier profile claim only applies below that

checked the units twice, i have it written down somewhere

wk 1-4    2.5mg
wk 5-8    5.0mg
wk 9-20   7.5mg   <- stayed here
wk 21-24  10.0mg  (no extra benefit for me)
wk 25+    7.5mg   (came back down)
HH

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