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c/tirzepatide·submitted 2 months ago by u/cato_girard

how much of what we believe about Mounjaro actually comes from Zepbound threads

Side Effectsbranch of 13 comments

Asking properly rather than in a comment on somebody else’s thread: how much of what we believe about Mounjaro actually comes from Zepbound threads. On comparing yourself with the trial number. SURMOUNT-1 reported roughly 21% mean body weight change at 72 weeks on the highest arm. Three things get dropped every time…

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13 comments, started 2 months ago
u/samir_falk135 points·2 months 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/line_petrov74 points·2 months 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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[removed]51 points·2 months ago

[removed by moderator]

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u/cato_girardOP41 points·2 months ago

the trials titrated on a calendar, real people titrate on symptoms

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u/search_before_post93 points·2 months ago

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

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u/cato_girardOP43 points·2 months ago

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

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u/cato_girardOP17 points·2 months ago

Correction to my own post above — I said 15mg and I have been on 2.5mg since the spring. Same argument, wrong number.

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u/neha_falk11 points·2 months 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/nordic_pricing14 points·2 months ago

zepbound and mounjaro are the same compound with different labels

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u/hub_opssite staff45 points·2 months ago

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

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u/zeynep_ndiaye25 points·2 months ago

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

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u/nz_unfunded78 points·2 months ago

Same experience with the appetite effect being flatter across the week rather than front-loaded.

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u/sanne_novak64 points·2 months 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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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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