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

[Discussion] we are measuring 15mg at the wrong time and calling it noise

Discussion Receipts ×1 Clean Column ×2 Cold Box ×2

Right, the Mounjaro question again, but with numbers this time.

I have 17 data points over 34 weeks. The pattern is consistent enough that I do not think it is chance, and boring enough that nobody is going to screenshot it, which is usually a good sign.

The thing I would flag for anyone new: the effect I am describing showed up at week 50, not week 4. People give up long before the interesting part.

Interested in whether this matches other people's logs or whether I am an outlier.

3,574 up / 181 down95% upvoted54 commentsid 1tr5be1 Jan 2026

54 comments

30 in this archive, depth 6

best — the order this archive was captured in

u/emil_okwuosa798 points·6 months ago·edited

This matches the trial data. SURMOUNT-1 was 98.3% body weight at 10 weeks.

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u/cormac_pereira257 points·6 months ago

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

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u/noor_hovland200 points·6 months ago

the dual agonism hits different and that is why people describe it differently

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u/titration_marshalMOD528 points·7 months ago

Flair changed to match the content. Read the sidebar before posting next time and we are square.

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u/line_petrov418 points·7 months ago

Not convinced. The evidence does not support that reading.

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u/mikkel_ogunleyeOP330 points·7 months ago

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

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[deleted]365 points·6 months ago

[deleted]

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u/elin_ferrari236 points·6 months ago

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

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u/ingrid_correia145 points·6 months ago

week 57 on Mounjaro and the appetite profile is genuinely different from sema

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u/sten_bhattacharya279 points·6 months ago

week 40 on Mounjaro and the appetite profile is genuinely different from sema

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u/incretin_ivypharmacology345 points·6 months ago

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

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u/mikkel_kimani-28 points·6 months ago

Small correction: the trial was 15 weeks, not 26. Does not change your point but people will quote it.

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u/forest_plot_fionastats86 points·6 months ago

The confident tone is doing a lot of work that the evidence is not.

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u/kaia_wojcik302 points·6 months ago

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

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u/throwaway_titration96 points·6 months ago

Did the fatigue feel the same as on tirz or genuinely different?

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u/b12_baseline45 points·6 months ago

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

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u/sten_palacios199 points·6 months ago

Water content matters more than people think. If a vial is carrying residual moisture, your "10mg" is not 10mg of peptide.

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u/titration_marshalmod · c/semaglutide101 points·6 months ago

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

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u/elin_ferrari46 points·6 months ago

the fatigue from tirz is different, not necessarily worse

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u/sofia_nascimento31 points·6 months ago

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

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u/mikkel_ogunleye8 points·6 months ago

Did the sulphur burps feel the same as on tirz or genuinely different?

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u/mikkel_ogunleyeOP12 points·6 months ago

Small correction: the trial was 17 weeks, not 31. Does not change your point but people will quote it.

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u/ahmed_fonseca123 points·6 months ago

Hard agree. The food noise disappears differently on the two compounds.

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u/sten_bhattacharya123 points·6 months ago

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

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u/mikkel_kimani72 points·6 months ago

The SURMOUNT readouts are real but less consistent than STEP. Some people plateau earlier on tirz.

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u/nabila_ogunleye86 points·6 months ago

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

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u/ahmed_iyer64 points·6 months ago

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

Yes, exactly this, and it is the bit that took me 65 weeks to accept.

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u/bastian_eriksen75 points·6 months ago

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

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u/teodor_szabo42 points·6 months ago

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

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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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