vialroom

#tirzepatide 2025-09-12

Friday57 messages11 participantstimes are UTC
Highlights from this day
  • seoul_swirl — 5 was where i first noticed it properly, 2.5 did almost nothing for me 16:21
  • cold_chain_cmdr — how long before the dual thing was noticeable to you 17:11
  • peak_split — switched from 0.25 semaglutide and started at 2.5, took the slow route, never regretted it 19:47
  • identity_shift — whats the top licensed dose, 15 or does it go higher 20:45
SS

at 15 the GI came back for me, so my easier profile claim only applies below that, someone check my working
switched from 1 semaglutide and started at 2.5, took the slow route, never regretted it

why does everyone talk about 7.5 and not 10
switched from 1.7 semaglutide and started at 2.5, took the slow route, never regretted it

VB

Verification log updated: HJ — evidence added, status unchanged.

SS

ok so the switch felt like a step down at first and then caught up around week 9

SS

is there a reason to titrate slower than the four week schedule

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PS

coming back to this did anyone go past 15 and was there any point to it
if youre coming off semaglutide the honest answer is start low and find out, theres no table

SS

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

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RR

£72 for a 40 vial is roughly what ive paid for the last year, ymmv

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

😂7
RR

anyone stopped at 10 and stayed there for months

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

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

Cited study
Continued Treatment with Tirzepatide for Maintenance of Weight Reduction (SURMOUNT-4)
JAMA · 2024
Randomised withdrawal after a 36-week lead-in. Pairs with STEP 4.
CC

my PeptideMeter result on a HJ vial came in at 99 which is why i keep buying from them, take that with a pinch of salt

how long before the dual thing was noticeable to you

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RR

the trials titrated every four weeks to a target, most people here stop at whatever works
5 was where i first noticed it properly, 2.5 did almost nothing for me

i argued the sweet spot was nonsense and then spent 26 months at 7.5 not needing more

CC

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

checked the units twice

7.5 gang

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

PS

whats the plateau pattern here, same as semaglutide or different

at 0.25 my appetite went completely and i dropped back a step, eating nothing isnt a win

VB

Channel stats, last 30 days: 53 messages from 41 members.

🔥10

SURMOUNT is weight

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

MU

restarted at 2.5 after 6 months off and the first two doses reminded me why titration exists, happy to be corrected

no gap when i switched, took the last semaglutide dose and started this a week later, i have it written down somewhere

HL

held 10 for 10 months and lost 30kg over that stretch, slow and boring and fine

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5 did nothing

PS

switched from 0.25 semaglutide and started at 2.5, took the slow route, never regretted it

😂16
MU

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

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.

the 40 vial in 2ml gives 4mg/ml which puts 15 on 12 units, nice round numbers

the sweet spot thing is survivorship, the people it worked for stayed and said so, not advice obviously

IS

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

❤️5📉10
VB

Verification log updated: JEEP — evidence added, status unchanged.

HH

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

IS

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