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c/tirzepatide·submitted 5 months ago by u/sofia_nascimento

tirzepatide — 22 things I got wrong before I got it right

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tirzepatide — 22 things I got wrong before I got it right. I have gone back and forth on this for months. The four-week interval in the label is a minimum. Nothing about the pharmacology requires you to step on schedule, and the trials stepped on a calendar because trials have to. It is a dual GIP and GLP-1 receptor…

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6 comments, started 5 months ago
u/tove_vasquez163 points·5 months ago

I would separate the two claims. That the GIP arm exists is uncontroversial; that it explains your fatigue pattern is a guess.

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u/bastian_ekstrom237 points·5 months ago

Came off sema and onto tirz with a two-week gap. The first month was flat and I assumed I had made a mistake. Month two it moved.

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u/sten_palacios115 points·5 months ago

if 7.5 is working, 10 is not automatically better

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u/laila_yilmaz59 points·5 months ago

switching from sema is not a dose conversion, there is no clean equivalence

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u/throwaway_titration79 points·5 months ago

I would separate the two claims.

tove_vasquez is right that the two molecules are not interchangeable. There is no published conversion and the ones circulating are invented.

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u/aurel_lindqvist50 points·5 months ago

pens and vials are the same molecule, the price is the 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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