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c/tirzepatide·submitted 2 years ago by u/spain_receta

[Question] tirzepatide — what am I missing here

Questionbranch of 7 comments

tirzepatide — what am I missing here. If this has been answered properly somewhere, link me and I will delete. Went 10 to 12.5 on the calendar and had the worst fortnight of the whole run. Dropped back to 10 and everything settled. Came off sema and onto tirz with a two-week gap. The first month was flat and I…

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7 comments, started 2 years ago
u/tarek_lokken859 points·2 years ago

SURMOUNT-1 ran 72 weeks with the top arm around 21% mean body weight change. SURPASS is the diabetes programme and reports glycaemic endpoints, so quoting the two interchangeably is a category error.

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u/bastian_eriksen-38 points·2 years ago

Push back: "gentler than sema" is a population statement. Plenty of people on this board have the opposite experience and they are not doing it wrong.

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u/copay_card_cc1 point·2 years ago

The four-week interval in the label is a minimum. Nothing about the pharmacology requires you to step on schedule, and the trials stepped on a calendar because trials have to.

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u/cato_girard1 point·2 years ago

The thing nobody warned me about was how much of this is logistics — storing it, remembering it, the same day every week.

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[removed]1 point·2 years ago

[removed by moderator]

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u/noor_hovland0 points·2 years ago

Push back: "gentler than sema" is a population statement.

bastian_eriksen is right that the two molecules are not interchangeable. There is no published conversion and the ones circulating are invented.

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u/teodor_szabo0 points·2 years ago

the four-week step schedule is the label, not folklore

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Tirzepatide-specific discussion: the dual-agonist pharmacology, the 2.5 → 15mg ladder, the appetite profile people describe as different from semaglutide, and the SURMOUNT/SURPASS trial programme. Comparisons with semaglutide are welcome as long as they are specific about dose equivalence being unknown.

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