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c/tirzepatide·submitted 2 months ago by u/cato_girard

how much of what we believe about Mounjaro actually comes from Zepbound threads

Side Effectsbranch of 7 comments

Asking properly rather than in a comment on somebody else’s thread: how much of what we believe about Mounjaro actually comes from Zepbound threads. On comparing yourself with the trial number. SURMOUNT-1 reported roughly 21% mean body weight change at 72 weeks on the highest arm. Three things get dropped every time…

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7 comments, started 2 months ago
u/ferritin_low56 points·2 months ago

Weekly dosing again, half-life in the same neighbourhood as sema, so a step change takes about a month to reach steady state. Judging a new step at day five is judging noise.

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u/titration_marshalMOD42 points·2 months ago

Removed the conversion table. There is no published equivalence between the two molecules and posting one as fact is exactly the kind of thing that gets copied for years.

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u/zaid_balogun35 points·2 months ago

2.5mg is a four-week starting dose, not a maintenance dose. Worth being precise since people search these threads.

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u/zeynep_zielinski32 points·2 months ago

SURMOUNT-1 ran 72 weeks with the top arm around 21% mean body weight change. SURPASS is the diabetes programme and reports glycaemic endpoints, so quoting the two interchangeably is a category error.

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u/santiago_villalobos18 points·2 months ago

Sulphur burps for the first eight days after each step, then nothing. Predictable enough that I planned my week around it.

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u/bastian_eriksen13 points·2 months ago

That percentage is body weight change, not body fat. Different measurement, and the distinction gets lost every time.

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u/kofi_balogun4 points·2 months ago

Agreed, and the trial number is a mean of a very wide distribution — the tails are enormous and nobody posts from the middle.

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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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