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#tirzepatide 2025-11-26

Wednesday56 messages11 participantstimes are UTC
Highlights from this day
  • lean_mass_lex — unrelated but i went to 15 and came back to 10, more suppression wasnt more useful for me 16:38
  • protein_floor — does switching from semaglutide need a gap or do you just start 16:40
  • taper_tess — the two compounds arent interchangeable week for week even if the effect ends up similar 17:25
SC

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

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SC

plateaued at 31 weeks the same way i did on semaglutide, so i doubt its compound specific

anyone got a 10 recon they like for the 30 vials

SURMOUNT is weight

TT

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

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VB

Channel stats, last 30 days: 106 messages from 15 members.

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TT

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

LM

unrelated but i went to 15 and came back to 10, more suppression wasnt more useful for me

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ST

follow up held 10 for 11 months and lost 37kg over that stretch, slow and boring and fine

PF

how long before the dual thing was noticeable to you
no gap when i switched, took the last semaglutide dose and started this a week later

easier gi for me

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.
ST

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

TT

slightly off topic but restarted at 2.5 after 26 months off and the first two doses reminded me why titration exists

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

medutest-report-b-0329.pdf
3 pages · 87 KB · not retained in the public archive

GIP plus GLP-1

titrate slow

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

is the sweet spot argument about effect or about side effects

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

coming back to this back after 20 months, do i restart at 2.5 or pick up near where i left off

15 is the top

DD

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

switched from 5 semaglutide and started at 2.5, took the slow route, never regretted it

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

*PeptideMeter not the other one

went back to semaglutide after 6 months because the cost difference mattered more than the GI, your mileage will differ

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

NT

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

start low anyway

PF

GI was noticeably easier for me than semaglutide at what felt like the same appetite effect, thats one data point

NT

follow up my Medutest result on a TFC vial came in at 99.4 which is why i keep buying from them

SS

coming back to this the switch felt like a step down at first and then caught up around week 3

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

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genuine question 12 did nothing extra over 10 for me and that still holds a year later, thats just me

same plateau here

how many weeks at 7.5 before you knew it was enough

SS

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

ST

quick one at 15 the GI came back for me, so my easier profile claim only applies below that
the sweet spot thing is survivorship, the people it worked for stayed and said so

slightly off topic but did anybody switch back to semaglutide after trying this

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7.5 gang

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5 did nothing

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

NP

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

LM

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