vialroom

#tirzepatide 2026-03-02

Monday53 messages9 participantstimes are UTC
Highlights from this day
  • endotoxin_ed — held 10 for 18 months and lost 14kg over that stretch, slow and boring and fine, anyway 22:08
  • LC_MS_Lena — the switch felt like a step down at first and then caught up around week 27 the switch felt like a step down at first and then caught up around week 26 22:12
  • hydrate_hana — i log everything and my appetite curve looks flatter across the week than my semaglutide log did 22:24
  • lisbon_lot — restarted at 2.5 after 20 months off and the first two doses reminded me why titration exists 23:01
  • LC_MS_Lena — at 0.5 my appetite went completely and i dropped back a step, eating nothing isnt a win 23:37
EE

my PeptideMeter result on a FGP vial came in at 99.4 which is why i keep buying from them

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

held 10 for 18 months and lost 14kg over that stretch, slow and boring and fine, anyway

📈4👀3📉17
LM

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

the switch felt like a step down at first and then caught up around week 27
the switch felt like a step down at first and then caught up around week 26

🧊8😂8

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

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

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

5 did nothing

🤝4
HH

i sat at 7.5 for 17 months and never needed more, which is where the folklore comes from

FA

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

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HH

went back to semaglutide after 10 months because the cost difference mattered more than the GI, i could be wrong

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

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BF

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

🧪1

start low anyway

at 1 my appetite went completely and i dropped back a step, eating nothing isnt a win

HH

sorry to jump in switched from 1.7 semaglutide and started at 2.5, took the slow route, never regretted it

the sweet spot argument is really about effect per side effect, not a magic number
my VendorInvestigate result on a SGN vial came in at 98.6 which is why i keep buying from them

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

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

LL

did going from 10 semaglutide to 5 of this feel like a step down for anyone
restarted at 2.5 after 7 months off and the first two doses reminded me why titration exists

folklore probably

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LL

is the sweet spot argument about effect or about side effects

[edited]
10🧊6🙏5

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

update on the earlier thing there is no clean conversion between the two, anyone giving you a ratio is guessing, not advice obviously

why does everyone talk about 7.5 and not 10

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

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

plateaued at 7 weeks the same way i did on semaglutide, so i doubt its compound specific

LL

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

10 was enough

Cited study
Continued Treatment with Tirzepatide for Maintenance of Weight Reduction (SURMOUNT-4)
JAMA · 2024
Randomised withdrawal after a 36-week lead-in. Pairs with STEP 4.

SURMOUNT is weight

15 is the top

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

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

same plateau here

HH

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

checked the units twice

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

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

BF

anyone tracked whether the GI difference held at the top doses

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.

GIP plus GLP-1

titrate slow

🔥15

no clean conversion

i argued the sweet spot was nonsense and then spent 25 months at 7.5 not needing more

how long before the dual thing was noticeable to you