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c/tirzepatide·posted 1 year ago by u/emil_okwuosa

small win: Mounjaro stopped being a problem at week 50

Lab Clean Column ×3 Sourced ×2 Well Actually ×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 17 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 early fullness I did not need and a data point I cannot interpret. Two lessons in one.

Posting it in the hope that somebody at week 65 reads it before doing the same thing.

3,433 up / 815 down81% upvoted58 commentsid 18684q1 Sep 2024

58 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/ferritin_low282 points·1 year ago

week 17 on Mounjaro and the appetite profile is genuinely different from sema

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u/fatima_wojcik138 points·1 year ago

Did the early fullness feel the same as on tirz or genuinely different?

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u/ferritin_low56 points·1 year ago

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

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u/hair_shed_hannah105 points·1 year ago

Did the muscle cramps feel the same as on tirz or genuinely different?

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u/hair_shed_hannah248 points·1 year ago

Did you stay on semaglutide or switch? The outcome is different if you are comparing.

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u/marit_sandvik70 points·1 year ago

This is the "correlation is mechanism" thing again. You changed three variables at once.

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u/hassan_nilsen25 points·1 year ago

What was the trial arm you are quoting from? SURMOUNT-1, -2, -3 are all different.

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u/samir_falk167 points·1 year ago

Mechanistically the bit that matters is Mounjaro. It explains most of the early profile and a decent chunk of the outcome.

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u/kian_ekstrom-29 points·1 year ago

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

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u/hassan_nilsen115 points·1 year ago

Mechanistically the bit that matters is Mounjaro.

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

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u/incretin_ivypharmacology96 points·1 year ago

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

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u/zeynep_zielinski73 points·1 year ago

This is the "correlation is mechanism" thing again. You changed three variables at once.

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u/emil_okwuosaOP0 points·1 year ago

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

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u/neha_falk85 points·1 year ago

I love that this community will spend 40 comments on a detail. That pedantry is why the numbers here matter.

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[deleted]34 points·1 year ago

[deleted]

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u/sten_palacios45 points·1 year ago

week 95 on Mounjaro and the appetite profile is genuinely different from sema

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u/emil_okwuosaOP33 points·1 year ago

week 77 on Mounjaro and the appetite profile is genuinely different from sema

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u/emil_wojcik21 points·1 year ago

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

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u/emil_okwuosaOP12 points·1 year ago

do not crack the pen, we have been over this

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u/swirl_dont_shakereconstitution81 points·1 year ago

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

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u/sofia_nascimento32 points·1 year ago

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

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u/sten_palacios18 points·1 year ago

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

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u/graph_it_gary41 points·1 year ago

dual agonism is dual agonist, do not generalise from semaglutide

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u/ignacio_vanhecke44 points·1 year ago

Is that on Mounjaro pens or research tirzepatide?

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u/elin_varga26 points·1 year ago

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

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u/georgi_chowdhury11 points·1 year ago

How long at each step before you escalated?

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u/throwaway_wl20263 points·1 year ago

This matches the trial data. SURMOUNT-1 was 98.3% body weight at 14 weeks.

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u/dexa_twice_yearlyMOD46 points·1 year ago

Removed a chain here. The rule is one line long and it is not negotiable.

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u/thyroid_tangent34 points·1 year ago

Slight fix: the number was 99.1, not 99.1. Decimal point, but a fairly consequential one.

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u/amara_halonen29 points·1 year ago

How long at each step before you escalated?

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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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