vialroom

#tirzepatide 2025-09-25

Thursday57 messages13 participantstimes are UTC
Highlights from this day
  • acetate_ash — does the appetite effect feel different or just stronger 19:30
  • ghent_gradient — i argued the sweet spot was nonsense and then spent 14 months at 7.5 not needing more 19:37
  • gip_glp_gil — the sweet spot argument is really about effect per side effect, not a magic number, we shall see 21:02
  • VialBot — Reminder for assay_not_purity: dose day is today. Set 9 days ago. 21:16
  • quiet_head_qi — why does everyone talk about 7.5 and not 10 21:59
VB

Batch lookup SG-1177: 3 independent reports on file, earliest 2024-11-23.

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Testing queue: 5 submissions open, 84 awaiting dispatch.

AA

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

does the appetite effect feel different or just stronger

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

GG

i argued the sweet spot was nonsense and then spent 14 months at 7.5 not needing more

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$55 for a 15 vial is roughly what ive paid for the last year

anyone got a 8 recon they like for the 15 vials

whats the plateau pattern here, same as semaglutide or different

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is the 40 vial the common one or do people use 20

SD

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

is SURMOUNT-OSA the sleep apnoea one

AN

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

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.
AA

plateaued at 32 weeks the same way i did on semaglutide, so i doubt its compound specific, n of 1 obviously

dual agonist, GIP as well as GLP-1, thats the whole difference in one line, take that with a pinch of salt

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

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

QH

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

12 did nothing extra over 10 for me and that still holds a year later, we shall see

*PeptideMeter not the other one

GG

held 10 for 21 months and lost 48kg over that stretch, slow and boring and fine
i went to 15 and came back to 10, more suppression wasnt more useful for me

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

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

7.5 gang

anyone tracked whether the GI difference held at the top doses

MM

SURMOUNT-OSA was the sleep apnoea trial and it is not a weight headline however its quoted, i could be wrong

did anyone go past 15 and was there any point to it

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

the sweet spot argument is really about effect per side effect, not a magic number, we shall see

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AN

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

VB

Reminder for assay_not_purity: dose day is today. Set 9 days ago.

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GG

i log everything and my appetite curve looks flatter across the week than my semaglutide log did, thats just me

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

15 is the top

[edited]

same plateau here

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MS

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

QH

why does everyone talk about 7.5 and not 10

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)
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titrate slow

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

VB

On this day 8 years ago this channel logged 116 messages.

NT

the 40 vial in 3ml gives 10mg/ml which puts 2.5 on 30 units, nice round numbers

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