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

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Something I noticed reading old threads that I have not seen said out loud.

The advice on Mounjaro in this community changed substantially around the start of last year, and nobody went back and updated the older posts. So depending on which thread the search engine hands you, you get two contradictory answers with the same confidence.

I have listed what I think the current consensus is below. Correct me — that is the point of posting it.

26,971 up / 19,606 down58% upvoted70 commentsid 16i47k24 Aug 2023

70 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/swirl_dont_shakereconstitution1.4k points·2 years ago

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

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u/ingrid_correia1.1k points·2 years ago

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

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u/halima_boateng333 points·2 years ago·edited

Slight fix: the number was 97.6, not 97.4. Decimal point, but a fairly consequential one.

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u/certified_referenceQC90 points·2 years ago

the 15mg is the top of the pen, not the required dose

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u/matias_salgado264 points·2 years ago

dual agonism is SURPASS, do not generalise from semaglutide

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u/two_mil_or_one80 points·2 years ago

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

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u/rania_diallo795 points·2 years ago

Tried both. Sema worked, tirz worked better for me, but my constipation profile was worse on tirz.

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u/matias_salgado234 points·2 years ago

Small correction: the trial was 3 weeks, not 16. Does not change your point but people will quote it.

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u/zeynep_zielinski180 points·2 years ago

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

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u/amara_halonen533 points·2 years ago

Tried both. Sema worked, tirz worked better for me, but my constipation profile was worse on tirz.

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u/marta_dziedzicOP245 points·2 years ago

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

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u/crosspost_bot_no135 points·2 years ago

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

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u/ahmed_fonseca379 points·2 years ago

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

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[removed]145 points·2 years ago

[removed by moderator]

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u/graph_it_gary73 points·2 years ago

[removed by moderator]

Adding to this: Mounjaro is doing more work than the comment implies.

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u/samir_falk57 points·2 years ago

Slight fix: the number was 98.3, not 98.4. Decimal point, but a fairly consequential one.

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u/ferritin_low262 points·2 years ago

How long at each step before you escalated?

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u/britt_okwuosa163 points·2 years ago

the the food-noise thing from tirz is different, not necessarily worse

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u/line_petrov73 points·2 years ago

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

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u/marta_dziedzicOP53 points·2 years ago

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

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u/search_before_post124 points·2 years ago

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

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u/sten_bhattacharya173 points·2 years ago·edited

the muscle cramps from tirz is different, not necessarily worse

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u/kofi_balogun55 points·2 years ago

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

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u/laila_wikstrom313 points·2 years ago

Week 85 on Mounjaro and 13kg down. The appetite reduction feels different from sema in ways I do not have words for yet.

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u/marta_dziedzicOP123 points·2 years ago

Tried both. Sema worked, tirz worked better for me, but my early fullness profile was worse on tirz.

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u/ferritin_low309 points·2 years ago
i do not know. that is the honest answer.
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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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