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

three years of Mounjaro threads, summarised so you do not have to read them

Discussion Clean Column ×6 Sourced ×2 The Quiet One ×1

Confession thread, sort of.

I went from 5mg to 1.7mg much faster than I should have because the scale had stalled and I got impatient. The stall broke about 10 weeks later, at which point I had no way of knowing whether the dose increase did anything or whether it would have broken anyway.

So now I have injection-site soreness I did not need and a data point I cannot interpret. Two lessons in one.

Posting it in the hope that somebody at week 67 reads it before doing the same thing.

31,547 up / 23,028 down58% upvoted64 commentsid 1687rd3 May 2024

64 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/quiet_moderatormod899 points·2 years ago

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

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u/incretin_ivypharmacology-3 points·2 years ago

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

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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u/tarek_lokken728 points·2 years ago·edited
genuine question, not being difficult: how do you know
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u/taper_off_tabitha219 points·2 years ago

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

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u/hugo_bergstrom445 points·2 years ago

Not convinced. The evidence does not support that reading.

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u/elin_ferrari98 points·2 years ago

the reflux from tirz is different, not necessarily worse

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u/marta_dziedzic418 points·2 years ago

Yeah, dual agonism does produce a different appetite profile than GLP-1 alone.

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u/rania_marchand204 points·2 years ago

do not crack the pen, we have been over this

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u/emil_barros52 points·2 years ago

I am going to push back on this slightly.

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u/zeynep_ndiaye25 points·2 years ago

do not crack the pen, we have been over this

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u/certified_referenceQC18 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/matias_salgado20 points·2 years ago·edited

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

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u/dario_stanescu14 points·2 years ago

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

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[deleted]75 points·2 years ago

[deleted]

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u/piotr_nascimento192 points·2 years ago

Yeah, dual agonism does produce a different appetite profile than GLP-1 alone.

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u/certified_referenceQC129 points·2 years ago

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

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u/line_petrov32 points·2 years ago

The confident tone is doing a lot of work that the evidence is not.

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u/search_before_post108 points·2 years ago

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

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u/thyroid_tangent127 points·2 years ago

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

Yes, exactly this, and it is the bit that took me 67 weeks to accept.

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u/taper_off_tabithaOP57 points·2 years ago

My hs-CRP moved faster on tirz than on sema at the same timepoint, which matches what people report.

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u/customs_seizure_sid74 points·2 years ago

the reflux from tirz is different, not necessarily worse

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u/taper_off_tabithaOP66 points·2 years ago

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

Yes, exactly this, and it is the bit that took me 72 weeks to accept.

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u/gentle_correctionnice about it16 points·2 years ago

stalled on sema, tried tirz, and the curves were actually different shapes Yes, exactly this, and it is the bit that took me 72 weeks to accept.

Yes, exactly this, and it is the bit that took me 53 weeks to accept.

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u/taper_off_tabithaOP28 points·2 years ago

do not crack the pen, we have been over this

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u/samir_falk50 points·2 years ago

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

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u/emil_okwuosa95 points·2 years ago

Is that on Mounjaro pens or research tirzepatide?

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u/ignacio_vanhecke49 points·2 years ago

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

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u/amara_halonen40 points·2 years ago

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

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u/elin_ferrari33 points·2 years ago

This matches the trial data. SURMOUNT-1 was 98.7% body weight at 7 weeks.

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u/nz_unfunded14 points·2 years ago·edited

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

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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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