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#tirzepatide 2025-12-14

Sunday16 messages3 participantstimes are UTC
Highlights from this day
  • alcohol_hits — the trials titrated every four weeks to a target, most people here stop at whatever works 20:13
  • alcohol_hits — GI was noticeably easier for me than semaglutide at what felt like the same appetite effect 20:15
  • alcohol_hits — SURMOUNT was the weight programme and SURPASS was diabetes, thats the split people mix up 20:18
LO

unrelated but at 0.5 my appetite went completely and i dropped back a step, eating nothing isnt a win

AH

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

AH

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

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.
🎉15🧪18💀6

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

the GIP explanation for easier nausea is plausible and i still treat it as a story not a fact
the sweet spot thing is survivorship, the people it worked for stayed and said so

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

😂6🔥1
LO

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

LO

did going from 15 semaglutide to 5 of this feel like a step down for anyone

LO

40 units of a 2 solution is a lot of volume and i check that one twice every single time

checked the units twice

SD

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