vialroom

#tirzepatide 2025-07-12

Saturday41 messages7 participantstimes are UTC
Highlights from this day
  • meal_prep_mick — €120 for a 30 vial is roughly what ive paid for the last year 12:54
  • noct.titrate — coming off semaglutide, is there a conversion or do i restart at 2.5 12:55
  • noct.titrate — right so i went to 15 and came back to 10, more suppression wasnt more useful for me 14:15
  • madrid_mg — no gap when i switched, took the last semaglutide dose and started this a week later 16:10
EE

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

i argued the sweet spot was nonsense and then spent 23 months at 7.5 not needing more
$120 for a 2 vial is roughly what ive paid for the last year

IS

restarted at 2.5 after 18 months off and the first two doses reminded me why titration exists

EE

went back to semaglutide after 21 months because the cost difference mattered more than the GI

EE

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

IS

at 12 my appetite is gone entirely, did anyone go down rather than up
the 2.5 to 5 step was the roughest one for me and everything after was easier

IS

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

IS

quick one 12 did nothing extra over 10 for me and that still holds a year later, for what its worth

💀3

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

NS

GIP plus GLP-1

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.
EE

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

EE

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

NS

plateaued at 2 weeks the same way i did on semaglutide, so i doubt its compound specific, for what its worth

EE

slightly off topic but there is no clean conversion between the two, anyone giving you a ratio is guessing

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

EE

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

MM

held 10 for 9 months and lost 33kg over that stretch, slow and boring and fine

[edited]
EE

my VendorInvestigate result on a QST vial came in at 97.4 which is why i keep buying from them, happy to be corrected

DO

coming back to this how many weeks at 7.5 before you knew it was enough

MP

€120 for a 30 vial is roughly what ive paid for the last year

Cited study
Tirzepatide for Obstructive Sleep Apnea and Obesity (SURMOUNT-OSA)
New England Journal of Medicine · 2024
AHI as the primary endpoint, with and without PAP therapy.
NT

coming off semaglutide, is there a conversion or do i restart at 2.5

👍14
MP

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

10 was enough

switched from 7.5 semaglutide and started at 2.5, took the slow route, never regretted it

NT

the switch felt like a step down at first and then caught up around week 6, ill dig out the number

NT

right so i went to 15 and came back to 10, more suppression wasnt more useful for me

chromatogram-overlay.png
1240 × 720 · 893 KB · not retained in the public archive
NT

i sat at 7.5 for 18 months and never needed more, which is where the folklore comes from, still working it out

MM

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

MM

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

📉4👀8

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

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