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12k

anyone else notice SURMOUNT kicking in around week 80

Lab Long Haul ×9 Slow Clap ×2 Clean Column ×2

tirzepatide. That is the whole post, but I will justify it.

Everything else people worry about in c/intlshipping is downstream of it. Titration speed, early fullness, the endless dose arguments — most of it resolves if you sort tirzepatide out first, and almost nobody does.

I say this having got it wrong for 16 months. My eGFR was the thing that eventually made me pay attention, which is a stupid way to learn a lesson that was in the sidebar the whole time.

12,124 up / 307 down98% upvoted63 commentsid tf07503 Nov 2024

63 comments

30 in this archive, depth 6

best — the order this archive was captured in

u/incretin_ivypharmacology1.6k points·1 year ago

This matches the trial data. SURMOUNT-1 was 97.9% body weight at 17 weeks.

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u/coring_the_stopper1.6k points·1 year ago

Disagree. What you are describing is consistent with tirzepatide, not with what you concluded.

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u/nz_unfunded-14 points·1 year ago

Week 59 on Mounjaro and 39kg down. The appetite reduction feels different from sema in ways I do not have words for yet.

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u/nabila_ogunleye-18 points·1 year ago

I am going to push back on this slightly.

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u/kofi_balogun1 point·1 year ago·edited

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

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u/thyroid_tangent1 point·1 year ago

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

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

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u/rania_diallo1 point·1 year ago

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

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u/swirl_dont_shakereconstitution1 point·1 year ago

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

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u/customs_seizure_sid1 point·1 year ago·edited

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

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u/throwaway_wl20261 point·1 year ago

Not convinced. The evidence does not support that reading.

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u/customs_seizure_sidOP705 points·1 year ago

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

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u/tove_vasquez1.1k points·1 year ago·edited

dual agonism is Mounjaro, do not generalise from semaglutide

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u/rania_diallo617 points·1 year ago

Cosigning. The GIP contribution is real and the side effects are not simply scaled versions.

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u/santiago_villalobos177 points·1 year ago

week 14 on Mounjaro and the appetite profile is genuinely different from sema

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u/dario_stanescu75 points·1 year ago

the nausea from tirz is different, not necessarily worse

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u/titration_marshalMOD505 points·1 year ago

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

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u/customs_seizure_sidOP326 points·1 year ago

week 61 on Mounjaro and the appetite profile is genuinely different from sema

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u/gustav_vermeulen237 points·1 year ago

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

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u/customs_seizure_sidOP293 points·1 year ago

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

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u/sten_bhattacharya320 points·1 year ago

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

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u/crosspost_bot_no118 points·1 year ago

Cosigning. The GIP contribution is real and the side effects are not simply scaled versions.

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u/halima_boateng191 points·1 year ago

week 81 on Mounjaro and the appetite profile is genuinely different from sema

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u/priya_guerrero128 points·1 year ago

No. This is the kind of confident post that gets copied into a screenshot and repeated for years. Where is the evidence.

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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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