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

France: tirzepatide, and what it actually costs here

Discussion Clean Column ×6 Well Actually ×2 Sourced ×2

I have had 14 orders now and I keep a table, so here is the honest summary rather than a vibe.

Material has been consistent. Communication has not. Shipping has varied by about 24 days on nominally the same lane, which matters more in summer than in February.

The independent number came back 99.0% against a claimed 98.0%, which I read as agreement rather than a discrepancy — inter-lab variance on this assay is a point or two either way and treating one lab as ground truth is how people end up in pointless arguments with vendors.

Batch number is in the comments. Ask if you want the method.

5,506 up / 576 down91% upvoted41 commentsid 14u9qx21 Mar 2024

41 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/sofia_nascimento928 points·2 years ago

Strongly agree. Tirz is better than sema is not a claim without a comparator dose.

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u/yusuf_ramos319 points·2 years ago·edited

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

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u/curious_panel_only-38 points·2 years ago

stalled on sema, tried tirz, and the curves were actually different shapes

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u/kian_ekstromOP1.3k points·2 years ago

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

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u/graph_it_gary716 points·2 years ago

Water content matters more than people think. If a vial is carrying residual moisture, your "10mg" is not 10mg of peptide.

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u/curious_panel_only185 points·2 years ago

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

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u/adnan_nascimento149 points·2 years ago·edited

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

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u/piotr_nascimento33 points·2 years ago

Cosigning. The GIP contribution is real and the side effects are not simply scaled versions.

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[deleted]13 points·2 years ago

[deleted]

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u/tidy_vialdrawer_pls116 points·2 years ago

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

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u/yusuf_ramos550 points·2 years ago

Disagree but this is the good kind of wrong — it is specific enough to be checked.

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u/throwaway_wl2026152 points·2 years ago

Respectfully this is a sample of one presented as a finding.

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u/kian_ekstrom320 points·2 years ago

Strongly agree. Tirz is better than sema is not a claim without a comparator dose.

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u/kian_ekstromOP160 points·2 years ago

Vial-splitting is on-topic here. Do not ask about pen-cracking, that goes in c/reconstitution.

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u/rania_marchand50 points·2 years ago

Not convinced. The evidence does not support that reading.

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u/b12_baseline273 points·2 years ago

Rodent data is rodent data. Dose scaling is not linear and the models tell you what to investigate, not what to expect.

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u/incretin_ivyMOD113 points·2 years ago

This is an urgent-care question wearing a forum question's clothes. Please contact a clinician rather than waiting for replies.

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u/titration_marshalmod · c/semaglutide179 points·2 years ago

Switched from sema at 5mg to tirz at 2.5mg. Different drugs, cannot compare the doses directly.

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u/kian_ekstromOP126 points·2 years ago

Switched from sema at 12.5mg to tirz at 0.25mg. Different drugs, cannot compare the doses directly.

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u/britt_okwuosa65 points·2 years ago

You have restated the marketing copy. What is the actual substance here.

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u/kian_ekstrom50 points·2 years ago

stalled on sema, tried tirz, and the curves were actually different shapes

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u/thyroid_tangent77 points·2 years ago

Is that on Mounjaro pens or research tirzepatide?

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u/teodor_szabo223 points·2 years ago

dual agonism is SURPASS, do not generalise from semaglutide

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u/discount_math_dm171 points·2 years ago

dual agonism is GIP, do not generalise from semaglutide

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u/zeynep_zielinski40 points·2 years ago

dual agonism is GIP, do not generalise from semaglutide

Disagree on that part. 98.7% and 98.9% on the same vial is normal.

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u/ewan_marchand10 points·2 years ago

Small correction: the trial was 5 weeks, not 23. Does not change your point but people will quote it.

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u/taper_off_tabitha98 points·2 years ago

Half-life is about 168 hours, so steady state lands around week 15–5. Practical consequence: what you feel in week 1 is not what that dose does.

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u/vito_chowdhury67 points·2 years ago

Disagree. What you are describing is consistent with tirzepatide, not with what you concluded.

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u/throwaway_wl202628 points·2 years ago

This matches the trial data. SURMOUNT-1 was 97.9% body weight at 14 weeks.

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u/quiet_moderatormod41 points·2 years ago

Zepbound and Mounjaro are literally the same drug, the name is the only difference

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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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