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

my ApoB moved and I cannot work out whether SURPASS is why

Discussionbranch of 6 comments

my ApoB moved and I cannot work out whether SURPASS is why. Change my mind, genuinely — I have no stake in being right about this. 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 somebody’s…

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6 comments, started 2 years ago
u/zaid_balogun685 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/amara_halonen0 points·2 years ago

Pen or vial? The step sizes available differ and it changes this answer.

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u/noor_hovland515 points·2 years ago

Push back: "gentler than sema" is a population statement. Plenty of people on this board have the opposite experience and they are not doing it wrong.

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u/mikkel_kimani572 points·2 years ago

week 5 is early to draw any conclusion at all

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u/alcohol_aversionOP992 points·2 years ago·edited

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.

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u/dario_vermeulen462 points·2 years ago

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

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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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