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c/tirzepatide·posted 1 months ago by u/kaia_wojcik

[Discussion] can we stop arguing about tirzepatide until somebody posts a number

Discussion Receipts ×5

Trying to settle this properly because the thread from last year went in circles.

The claim: tirzepatide matters. The counter-claim: it is measurement error. Both sides have been asserting it confidently for about 4 months without either producing anything.

What would actually settle it is 3 people measuring the same thing the same way. I have started; my numbers are below. They lean one way but not strongly enough for me to declare victory.

If you have data, post the data. If you have an opinion, flair it as an opinion.

3,529 up / 3,012 down54% upvoted31 commentsid psh30s19 Jun 2026

31 comments

23 in this archive, depth 5

best — the order this archive was captured in

u/matias_salgado49 points·1 months ago

How long at each step before you escalated?

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u/kaia_wojcikOP35 points·1 months ago

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

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u/certified_referenceQC39 points·1 months ago

week 88 on Mounjaro and the appetite profile is genuinely different from sema

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u/sten_palacios57 points·1 months ago

the nausea from tirz is different, not necessarily worse

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u/certified_referenceQC15 points·1 months ago

Edit to your parent would help — the concentration you quoted assumes one scenario and you have written another above it.

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u/quiet_moderatormod7 points·1 months ago

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

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u/tarek_lokken6 points·1 months ago

dual agonism is Mounjaro, do not generalise from semaglutide

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u/kaia_wojcik26 points·1 months ago

Week 63 on Mounjaro and 34kg down. The appetite reduction feels different from sema in ways I do not have words for yet.

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u/piotr_nascimento31 points·1 months ago

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

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u/sten_bhattacharya11 points·1 months ago

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

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u/kaia_wojcikOP7 points·1 months ago

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

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u/kaia_wojcikOP4 points·1 months ago

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

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u/ferritin_low16 points·1 months ago

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

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u/amara_halonen-33 points·1 months ago

do not crack the pen, we have been over this

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u/sten_palacios1 point·1 months ago

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

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u/ahmed_fonseca10 points·1 months ago

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

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u/zaid_balogun16 points·1 months ago

week 76 on Mounjaro and the appetite profile is genuinely different from sema

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u/ingrid_correia10 points·1 months ago

week 76 on Mounjaro and the appetite profile is genuinely different from sema

Yes, exactly this, and it is the bit that took me 24 weeks to accept.

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u/kian_ekstrom7 points·1 months ago

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

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u/elin_varga2 points·1 months ago

That is net peptide content, not purity. Different number, different meaning.

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[deleted]3 points·1 months ago

[deleted]

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u/incretin_ivyMOD11 points·1 months ago

Retitled to remove editorialising. Put the evidence in the body.

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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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