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

help me understand 15mg, I have read the wiki twice

Results Long Haul ×3 Sourced ×2 Well Actually ×1

help me understand 15mg, I have read the wiki twice. I would rather ask a basic question now than get this wrong quietly for two months.

15mg. Those are measured, not estimated, and not rounded up in my favour.

Came off sema and onto tirz with a two-week gap. The first month was flat and I assumed I had made a mistake. Month two it moved.

Sulphur burps for the first eight days after each step, then nothing. Predictable enough that I planned my week around it.

Research-use-only material is not approved for human use and nothing here should be read as a recommendation to use it.

11,804 up / 1,235 down91% upvoted44 commentsid tyzeiy28 Nov 2024

44 comments

23 in this archive, depth 4

best — the order this archive was captured in

u/kian_ekstrom-10 points·1 year ago

The distribution matters more than the mean. In the trial population the interquartile spread was wide enough that two honest people can have completely different runs on the same arm.

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u/amara_halonen1 point·1 year ago

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.

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u/ferran_mensah1 point·1 year ago

the appetite effect is blunter than sema, in a good way, most weeks

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u/hassan_nilsen502 points·1 year ago

Went 10 to 12.5 on the calendar and had the worst fortnight of the whole run. Dropped back to 10 and everything settled.

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u/cato_girard0 points·1 year ago

Went 10 to 12.5 on the calendar and had the worst fortnight of the whole run.

hassan_nilsen is right that the two molecules are not interchangeable. There is no published conversion and the ones circulating are invented.

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u/kaia_wojcik0 points·1 year ago

sulphur burps are the signature complaint and they are not dangerous

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[deleted]1 point·1 year ago

[deleted]

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u/sten_palacios1 point·1 year ago

if 7.5 is working, 10 is not automatically better

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u/laila_yilmaz1 point·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/sofia_nascimento244 points·1 year ago

Weekly dosing again, half-life in the same neighbourhood as sema, so a step change takes about a month to reach steady state. Judging a new step at day five is judging noise.

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u/mikkel_ogunleye334 points·1 year ago

It is a dual GIP and GLP-1 receptor agonist, and the GIP arm is the part that has no equivalent in the semaglutide threads. That is why the side-effect profile reads differently rather than just milder.

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u/bastian_ekstrom219 points·1 year ago·edited

Small fix: SURMOUNT is the obesity programme, SURPASS is the type-2 programme. They are different endpoints and the numbers do not transfer.

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u/mikkel_ogunleye125 points·1 year ago·edited

Small fix: SURMOUNT is the obesity programme, SURPASS is the type-2 programme.

Not sure about this bit. The GIP arm being real does not tell you that it is what caused your particular week.

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u/discount_math_dm149 points·1 year ago

16kg over 82 weeks, never went past 10mg, and injection-site soreness stayed mild the whole way. Posting because the loud threads are all 15mg.

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u/ahmed_iyer49 points·1 year ago

This matches mine. Milder food noise than I expected, and what there was settled inside a fortnight of each step.

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u/emil_wojcik34 points·1 year ago

switching from sema is not a dose conversion, there is no clean equivalence

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u/dario_vermeulen8 points·1 year ago

a lot of people plateau nicely at 10mg and never need 15

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u/elin_ferrari146 points·1 year ago

Week 72 was the first time the scale moved after a five-week stall. I changed nothing in that window.

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u/titration_marshalMOD96 points·1 year ago

Removed the conversion table. There is no published equivalence between the two molecules and posting one as fact is exactly the kind of thing that gets copied for years.

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u/zaid_balogun32 points·1 year ago

hold the dose that works, the ladder is not a leaderboard

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u/titration_marshalmod · c/semaglutide8 points·1 year ago

The thing nobody warned me about was how much of this is logistics — storing it, remembering it, the same day every week.

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u/zeynep_zielinski34 points·1 year ago

pens and vials are the same molecule, the price is the difference

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u/slow_logbook_ftw24 points·1 year ago

Appetite effect for me is flat across seven days. On sema it was a wave. Same person, different molecule.

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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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