vialroom

#tirzepatide 2026-02-05

Thursday56 messages13 participantstimes are UTC
Highlights from this day
  • seven_five_sweet — if youre coming off semaglutide the honest answer is start low and find out, theres no table 18:36
  • net_peptide — at 10 my appetite went completely and i dropped back a step, eating nothing isnt a win 20:00
  • per_mg_pete — €72 for a 10 vial is roughly what ive paid for the last year 21:01
SF

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

🎉17😂1🤝12
AB

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

checked the units twice

💀7❤️4

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

right so back after 22 months, do i restart at 2.5 or pick up near where i left off

transit-times.csv
561 rows · not retained in the public archive
AB

40 units of a 2.5 solution is a lot of volume and i check that one twice every single time

SF

quick one did going from 2.4 semaglutide to 5 of this feel like a step down for anyone

Cited study
Tirzepatide Once Weekly for the Treatment of Obesity (SURMOUNT-1)
New England Journal of Medicine · 2022
72 weeks, tirzepatide 5, 10 and 15mg against placebo.
LM

anyone tracked whether the GI difference held at the top doses

TT

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

AB

restarted at 2.5 after 9 months off and the first two doses reminded me why titration exists

SF

went back to semaglutide after 25 months because the cost difference mattered more than the GI

AB

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

AB

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

Cited study
Tirzepatide Once Weekly for the Treatment of Obesity (SURMOUNT-1)
New England Journal of Medicine · 2022
72 weeks, tirzepatide 5, 10 and 15mg against placebo.
NP

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

NP

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

NP

at 10 my appetite went completely and i dropped back a step, eating nothing isnt a win

⚠️1📉13
EE

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

PS

ok so my PeptideMeter result on a HJ vial came in at 98.6 which is why i keep buying from them

TT

held 10 for 1 months and lost 6kg over that stretch, slow and boring and fine

PM

how many weeks at 7.5 before you knew it was enough

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TT

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

🤝9⚠️1

follow up is 7.5 really the sweet spot or is that just channel folklore

⚠️9
PM

€72 for a 10 vial is roughly what ive paid for the last year

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)

titrate slow

PP

the 30 vial in 1ml gives 5mg/ml which puts 1.7 on 30 units, nice round numbers

PP

12 did nothing extra over 10 for me and that still holds a year later

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

TT

the switch felt like a step down at first and then caught up around week 29

PP

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

BB

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

TT

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

PP

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

VB

Inter-lab diff for lot F-1330: 99.2% vs 99.4%. Within expected range.

ST

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

medutest-report-g-0641.pdf
3 pages · 201 KB · not retained in the public archive

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

SH

i argued the sweet spot was nonsense and then spent 18 months at 7.5 not needing more