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c/tirzepatide·posted 1 year ago by u/samir_falk

help me understand SURMOUNT, I have read the wiki twice

Discussion Clean Column ×4 Long Haul ×3 Slow Clap ×3

help me understand SURMOUNT, I have read the wiki twice. If this has been answered properly somewhere, link me and I will delete.

Switching from semaglutide, since three people asked in this thread alone.

There is no published dose equivalence between the two. The conversion tables that circulate are somebody’s arithmetic, not data. What people report here is that the first month after a switch is often flat, that the appetite effect feels differently shaped rather than simply stronger, and that starting at the bottom of the ladder again is the common approach.

None of that is a recommendation. It is what the threads say, and the threads are not a clinic.

Week 34 was the first time the scale moved after a five-week stall. I changed nothing in that window.

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.

Corrections welcome, especially the pedantic ones. Pedantry is how this board earns its reputation.

3,852 up / 748 down84% upvoted16 commentsid rgzts815 May 2025

16 comments

13 in this archive, depth 4

best — the order this archive was captured in

u/titration_marshalmod · c/semaglutide270 points·1 year ago

Research-use-only material is not approved for human use. Anything in this thread about how a research vial "should" titrate is a discussion about chemistry, not a plan.

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u/aksel_kjaer211 points·1 year ago

The 21% figure is a 72-week mean on the highest arm. Quoting it as what someone should expect by week 83 is not a fair reading.

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u/samir_falkOP112 points·1 year ago

Which week did the appetite change actually land for you?

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[removed]77 points·1 year ago

[removed by moderator]

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u/crosspost_bot_no63 points·1 year 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/kaia_cabrera64 points·1 year 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/slow_logbook_ftw209 points·1 year ago

stepping every four weeks is a ceiling on speed, not a schedule you must hit

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u/tarek_lokken108 points·1 year ago

Does early fullness follow the day after the shot, or is it spread across the week?

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u/vito_chowdhury92 points·1 year ago

What is the waist doing? That is usually the number still moving during a scale stall.

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u/hugo_bergstrom40 points·1 year ago

dual agonist, so the GIP arm is doing something the sema threads will not tell you about

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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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