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c/tirzepatide·posted 7 months ago by u/dario_stanescu

the dual agonist thing finally clicked for me and I want to write it down

Lab

Posting this as a discussion rather than a claim: the dual agonist thing finally clicked for me and I want to write it down.

16kg over 37 weeks, never went past 10mg, and nausea stayed mild the whole way. Posting because the loud threads are all 15mg.

Week 78 was the first time the scale moved after a five-week stall. I changed nothing in that window.

The thing nobody warned me about was how much of this is logistics — storing it, remembering it, the same day every week.

Would rather be corrected in public than confident in private.

182 up / 249 down42% upvoted12 commentsid 1t764017 Dec 2025

12 comments

12 in this archive, depth 3

best — the order this archive was captured in

u/zaid_balogun8 points·7 months ago·edited

It is a dual GIP and GLP-1 receptor agonist, and the GIP arm is the part that has no equivalent in the semaglutide threads. That is why the side-effect profile reads differently rather than just milder.

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u/zeynep_zielinski6 points·7 months ago

Disagree with the conversion table. There is no validated equivalence between the two molecules and posting one as though there is does real damage.

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[deleted]2 points·7 months ago

[deleted]

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u/titration_marshalMOD5 points·7 months ago

Left up, flair changed to Discussion. It is an opinion post and that is fine as long as it is labelled.

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u/sten_palacios4 points·7 months ago

Pen or vial? The step sizes available differ and it changes this answer.

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u/kaia_wojcik3 points·7 months ago

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.

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u/laila_yilmaz3 points·7 months ago

Yes. I stepped to 12.5 because the calendar said so, not because anything needed fixing, and I regretted it for a fortnight.

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u/emil_wojcik2 points·7 months ago

Careful with "everyone tolerates it better". The people it did not suit stop posting, which makes this board look calmer than the drug is.

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u/slow_logbook_ftw3 points·7 months ago

The 21% figure is a 72-week mean on the highest arm. Quoting it as what someone should expect by week 30 is not a fair reading.

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u/mikkel_ogunleye2 points·7 months ago

Are you comparing yourself with the trial mean or with the people who post the most?

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u/dario_stanescuOP2 points·7 months ago

Which week did the appetite change actually land for you?

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u/dario_stanescuOP0 points·7 months ago

Does injection-site soreness follow the day after the shot, or is it spread across the week?

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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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