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c/tirzepatide·posted 11 months ago by u/mikkel_kimani

why does nobody talk about SURPASS

Titration Cold Box ×2 The Quiet One ×3

Week 81 update. 37kg down from the start, early fullness basically gone since about week 38.

Things that worked: consistency, protein at breakfast, walking more than I want to. Things that did not: everything I bought on the internet to help with early fullness.

The part that surprised me is how much of this is admin. Ordering, storing, logging, remembering. Nobody mentions that the hard bit is not the drug, it is the routine.

Happy to answer anything. Please do not ask me what dose you should be on.

2,891 up / 389 down88% upvoted64 commentsid psz24f21 Aug 2025

64 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/crosspost_bot_no395 points·11 months ago·edited

You have restated the marketing copy. What is the actual substance here.

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u/thyroid_tangent323 points·11 months ago·edited

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

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u/crosspost_bot_no100 points·11 months ago

Is that on Mounjaro pens or research tirzepatide?

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u/aksel_kjaer256 points·11 months ago

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

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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u/emil_barros-30 points·11 months ago

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

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u/aksel_kjaer219 points·11 months ago
no
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u/laila_yilmaz138 points·11 months ago

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

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u/halima_boateng107 points·11 months ago·edited

Not to be pedantic but tirzepatide and GIP are being used interchangeably and they are not interchangeable in real life.

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u/spain_receta169 points·11 months ago

What was the trial arm you are quoting from? SURMOUNT-1, -2, -3 are all different.

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u/throwaway_wl202698 points·11 months ago

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

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u/ghrp_history177 points·11 months ago·edited

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

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u/signe_villalobos66 points·11 months ago

You have restated the marketing copy. What is the actual substance here.

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u/noor_hovland19 points·11 months ago

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

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u/tove_vasquez53 points·11 months ago·edited

Not to be pedantic but Mounjaro and 15mg are being used interchangeably and they are not interchangeable in real life.

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u/sten_palacios79 points·11 months ago

the early fullness from tirz is different, not necessarily worse

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u/ghrp_history119 points·11 months ago

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

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u/b12_baseline52 points·11 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/cato_girard34 points·11 months ago

week 83 on Mounjaro and the appetite profile is genuinely different from sema

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u/kaia_cabrera123 points·11 months ago·edited

the reflux from tirz is different, not necessarily worse

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u/hassan_nilsen67 points·11 months ago

Is that on Mounjaro pens or research tirzepatide?

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[deleted]26 points·11 months ago

[deleted]

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u/signe_villalobos22 points·11 months ago

nope, the equivalence to semaglutide is not known, comparing 15mg tirz to 2.4mg sema is guessing

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u/incretin_ivypharmacology18 points·11 months ago·edited

nope, the equivalence to semaglutide is not known, comparing 15mg tirz to 2.4mg sema is guessing

Disagree on that part. 96.8% and 96.2% on the same vial is normal.

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u/mikkel_kimaniOP8 points·11 months ago

Disagree but this is the good kind of wrong — it is specific enough to be checked.

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u/kian_ekstrom45 points·11 months ago

Titration speed is a side-effect dial far more than an efficacy dial.

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u/titration_marshalMOD31 points·11 months ago

This is an urgent-care question wearing a forum question's clothes. Please contact a clinician rather than waiting for replies.

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u/georgi_chowdhury8 points·11 months ago

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

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u/graph_it_gary14 points·11 months ago·edited

How long at each step before you escalated?

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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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