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Single comment threadYou are looking at one branch of genuine question about SURMOUNT that I am slightly embarrassed to ask — 14 comments in the full submission. View in context.
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c/tirzepatide·submitted 2 years ago by u/certified_reference

genuine question about SURMOUNT that I am slightly embarrassed to ask

Questionbranch of 12 comments

genuine question about SURMOUNT that I am slightly embarrassed to ask. 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…

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12 comments, started 2 years ago
u/gentle_correctionnice about it10 points·2 years ago

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

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u/incretin_ivypharmacology8 points·2 years 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/ahmed_fonseca8 points·2 years ago

The four-week interval in the label is a minimum. Nothing about the pharmacology requires you to step on schedule, and the trials stepped on a calendar because trials have to.

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u/curious_panel_only3 points·2 years ago

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

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u/discount_math_dm1 point·2 years ago

Vials and pens carry the same molecule; what differs is fill volume, device tolerance and whether you are doing your own arithmetic. Neither is inherently more accurate.

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u/tidy_vialdrawer_pls2 points·2 years ago

Disagree with the conversion table. There is no validated equivalence between the two molecules and posting one as though there is does real damage.

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u/swirl_dont_shakereconstitution1 point·2 years ago·edited

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

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u/yusuf_ramos6 points·2 years ago

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

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u/certified_referenceOPQC4 points·2 years ago

What step are you on and how long have you been there?

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u/throwaway_wl20263 points·2 years ago

Held 7.5 for five months. Everyone kept asking when I was going to 10. The answer was never, because 7.5 was working.

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u/mod_cold_roommod · c/coldchain2 points·2 years 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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[removed]1 point·2 years ago

[removed by moderator]

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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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