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Germany: SURMOUNT, and what it actually costs here

Discussion Cold Box ×8 Slow Clap ×3 Receipts ×1

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

I have 4 data points over 24 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 59, not week 13. People give up long before the interesting part.

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

9,883 up / 3,601 down73% upvoted54 commentsid saymv514 Apr 2025

54 comments

30 in this archive, depth 6

best — the order this archive was captured in

u/signe_villalobos1k points·1 year ago

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

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u/discount_math_dm645 points·1 year ago

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

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u/teodor_szabo224 points·1 year ago

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

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u/tove_vasquez624 points·1 year 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/ingrid_correia507 points·1 year ago

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

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u/halima_boateng414 points·1 year ago

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

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u/sten_bhattacharya191 points·1 year ago

How long at each step before you escalated?

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u/rania_diallo-9 points·1 year ago

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

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u/matias_salgado1 point·1 year ago

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

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u/santiago_villalobosOP0 points·1 year ago

the early fullness from tirz is different, not necessarily worse

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u/halima_boateng1 point·1 year ago

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

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u/fatima_wojcik1 point·1 year ago

do not crack the pen, we have been over this

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u/matias_salgado1 point·1 year ago

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

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u/noor_hovland536 points·1 year ago

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

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u/amara_halonen0 points·1 year ago

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

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u/santiago_villalobosOP1 point·1 year ago

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

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u/santiago_villalobosOP1 point·1 year ago

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

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u/mod_cold_roommod · c/coldchain1 point·1 year ago

The SURMOUNT readouts are real but less consistent than STEP.

Disagree on that part. 99.0% and 98.9% on the same vial is normal.

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u/blunt_coldbox291 point·1 year ago

Small correction: the trial was 13 weeks, not 11. Does not change your point but people will quote it.

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u/santiago_villalobos1 point·1 year ago

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

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u/neha_falk1 point·1 year ago

the early fullness from tirz is different, not necessarily worse

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u/dexa_twice_yearlybody comp1 point·1 year ago

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

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u/curious_panel_only1 point·1 year ago

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

Yes, exactly this, and it is the bit that took me 76 weeks to accept.

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u/ahmed_fonseca1 point·1 year ago·edited

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

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u/nz_unfunded1 point·1 year ago

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

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u/neha_falk1 point·1 year ago·edited

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

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u/two_mil_or_one318 points·1 year ago

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

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u/noor_hovland208 points·1 year ago

Week 31 on Mounjaro and 15kg down. The appetite reduction feels different from sema in ways I do not have words for yet.

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u/dario_vermeulen86 points·1 year ago

Dead space in the needle hub holds a small but non-trivial volume. On low-volume draws that can be several units.

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u/mikkel_ogunleye171 points·1 year ago

Crossposting this to c/semaglutide because the people who need it are not reading this community.

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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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