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c/tirzepatide·submitted 2 years ago by u/taper_off_tabitha

[Vendor] QST vs WWB on the same compound, same month — both cleared 99.0%

Discussionbranch of 8 comments

Filing this under things worth writing down: QST vs WWB on the same compound, same month — both cleared 99.0%. Figures up front so nobody has to dig: 99.0%. Went 10 to 12.5 on the calendar and had the worst fortnight of the whole run. Dropped back to 10 and everything settled. 41kg over 86 weeks, never went past…

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8 comments, started 2 years ago
u/quiet_moderatormod899 points·2 years 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/incretin_ivypharmacology-3 points·2 years ago

The step schedule question, answered properly, because it comes up weekly.

The label sets a minimum interval of four weeks between increases. That is a floor on how fast you may go, and it exists because tolerability, not efficacy, is what limits most people. There is nothing in the pharmacology that says you must increase at four weeks, or at eight, or ever.

What decides it in practice is whether the effect you want is still there. If appetite is quiet and the trend is going the right way, the dose is doing its job. If both have genuinely gone flat for six weeks or more, that is a conversation worth having with someone who knows your history.

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u/taper_off_tabithaOP0 points·2 years ago

2.5mg is a four-week starting dose, not a maintenance dose. Worth being precise since people search these threads.

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u/emil_barros1 point·2 years ago

Does injection-site soreness follow the day after the shot, or is it spread across the week?

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u/gentle_correctionnice about it1 point·2 years ago

I would separate the two claims. That the GIP arm exists is uncontroversial; that it explains your reflux pattern is a guess.

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u/taper_off_tabithaOP1 point·2 years ago

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

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u/endpoint_creep1 point·2 years ago·edited

What is the waist doing?

Saving this one. It is the clearest statement of the stall problem I have read here.

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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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