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c/tirzepatide·posted 2 years ago by u/hugo_bergstrom

24 months in and SURPASS is still the thing I get wrong

Results Receipts ×9 Well Actually ×1 Clean Column ×1

Trying to settle this properly because the thread from last year went in circles.

The claim: tirzepatide matters. The counter-claim: it is measurement error. Both sides have been asserting it confidently for about 15 months without either producing anything.

What would actually settle it is 19 people measuring the same thing the same way. I have started; my numbers are below. They lean one way but not strongly enough for me to declare victory.

If you have data, post the data. If you have an opinion, flair it as an opinion.

5,040 up / 1,113 down82% upvoted64 commentsid 14k6zq8 Sep 2023

64 comments

25 in this archive, depth 5

best — the order this archive was captured in

u/thyroid_tangent-21 points·2 years ago
n=1 but same
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u/crosspost_bot_no1 point·2 years ago·edited

the GIP side does different things than the GLP-1 side, that is the point

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u/graph_it_gary1 point·2 years ago

the appetite change on tirz is more than just reduced hunger, it is different machinery

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u/piotr_nascimento1 point·2 years ago

the dual agonism hits different and that is why people describe it differently

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u/noor_hovland1 point·2 years ago·edited

nope, the equivalence to semaglutide is not known, comparing 15mg tirz to 2.4mg sema is guessing

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u/customs_seizure_sid296 points·2 years ago
reading this at 2am on my 85th week. thank you.
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[removed]208 points·2 years ago

[removed by moderator]

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u/endpoint_creep223 points·2 years ago·edited

nope, the equivalence to semaglutide is not known, comparing 15mg tirz to 2.4mg sema is guessing

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u/throwaway_titration144 points·2 years ago

nope, the equivalence to semaglutide is not known, comparing 15mg tirz to 2.4mg sema is guessing

Disagree on that part. 97.9% and 97.6% on the same vial is normal.

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u/hugo_bergstromOP59 points·2 years ago

Edit to your parent would help — the concentration you quoted assumes one scenario and you have written another above it.

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u/hana_pereira128 points·2 years ago

This matches the trial data. SURMOUNT-1 was 96.2% body weight at 11 weeks.

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u/hugo_bergstromOP76 points·2 years ago

Hard agree. The food noise disappears differently on the two compounds.

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u/halima_boateng19 points·2 years ago

SURMOUNT data is messier than STEP data but the weight loss is there

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u/ahmed_fonseca135 points·2 years ago

week 85 on Mounjaro and the appetite profile is genuinely different from sema

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u/titration_marshalMOD85 points·2 years ago

Tracking number removed. It identifies both ends of a shipment.

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u/kian_ekstrom56 points·2 years ago

the early fullness from tirz is different, not necessarily worse

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u/elin_varga47 points·2 years ago

SURMOUNT data is messier than STEP data but the weight loss is there

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u/hugo_bergstromOP22 points·2 years ago

SURMOUNT data is messier than STEP data but the weight loss is there

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u/rania_diallo11 points·2 years ago

the appetite change on tirz is more than just reduced hunger, it is different machinery

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u/b12_baseline30 points·2 years ago

the dual agonism hits different and that is why people describe it differently

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u/coring_the_stopper14 points·2 years ago

Is that on Mounjaro pens or research tirzepatide?

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u/sofia_nascimento61 points·2 years ago

Tracking number removed.

Yes, exactly this, and it is the bit that took me 95 weeks to accept.

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u/signe_villalobos53 points·2 years ago

The dual agonism story is real. The appetite is physically different from semaglutide alone.

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u/marit_sandvik28 points·2 years ago

the GIP side does different things than the GLP-1 side, that is the point

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u/tove_vasquez39 points·2 years ago·edited

the appetite change on tirz is more than just reduced hunger, it is different machinery

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About c/tirzepatide

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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