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#tirzepatide 2026-02-14

Saturday38 messages9 participantstimes are UTC
Highlights from this day
  • otto_swirls — i log everything and my appetite curve looks flatter across the week than my semaglutide log did 12:42
  • amber_vial — ok so is the sweet spot argument about effect or about side effects 15:57
  • amber_vial — ok so licensed top is 15 weekly, past that is not a licensed dose and nobody here can tell you what it does 16:05
  • amber_vial — follow up the GIP explanation for easier nausea is plausible and i still treat it as a story not a fact at 2.4 my appetite went completely and i dropped back a step,… 16:15
IS

genuine question SURMOUNT-OSA was the sleep apnoea trial and it is not a weight headline however its quoted, thats one data point

OS

i log everything and my appetite curve looks flatter across the week than my semaglutide log did

📈13❤️15

start low anyway

AP

i sat at 7.5 for 15 months and never needed more, which is where the folklore comes from

titrate slow

SS

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

👍3
AV

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

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

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

the 10 vial in 1ml gives 5mg/ml which puts 0.5 on 8 units, nice round numbers, for what its worth

SS

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

AP

at 0.5 my appetite went completely and i dropped back a step, eating nothing isnt a win
SURMOUNT was the weight programme and SURPASS was diabetes, thats the split people mix up

AP

the switch felt like a step down at first and then caught up around week 18

VO

no clean conversion

peptidemeter-summary-b-0114.pdf
2 pages · 433 KB · not retained in the public archive
🤝7
VO

SURMOUNT is weight

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.
AP

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

PS

sorry to jump in coming off semaglutide, is there a conversion or do i restart at 2.5

AV

£38 for a 30 vial is roughly what ive paid for the last year

AV

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

CO

im at 0.25 and thinking about 2, did anyone gain anything from that step

sorry to jump in there is no clean conversion between the two, anyone giving you a ratio is guessing

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

did anyone find the GI easier than semaglutide at an equivalent effect

ok so is the sweet spot argument about effect or about side effects

🎉7🙏1

7.5 gang

AV

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

😂11👀1🔥7
AV

follow up the GIP explanation for easier nausea is plausible and i still treat it as a story not a fact
at 2.4 my appetite went completely and i dropped back a step, eating nothing isnt a win

⚠️3🎉11👀2
PS

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

5 did nothing