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c/tirzepatide·posted 6 months ago by u/customs_seizure_sid

is it normal to get food noise at week 85

Titration Cold Box ×8 Slow Clap ×1

Reporting in. is it normal to get food noise at week 85.

Research-use-only material is not approved for human use. Anything in this thread about how a research vial "should" titrate is a discussion about chemistry, not a plan.

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.

If somebody has the same thing measured a different way, post it next to mine and we will see whether they agree.

1,173 up / 266 down82% upvoted46 commentsid 1u14x37 Jan 2026

46 comments

19 in this archive, depth 4

best — the order this archive was captured in

u/amara_halonen139 points·6 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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u/noor_hovland93 points·6 months 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/forest_plot_fionastats69 points·6 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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u/customs_seizure_sidOP25 points·6 months 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/customs_seizure_sidOP-28 points·6 months ago

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

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u/fatima_wojcik1 point·6 months ago

Cosigning the four-week thing. It is a minimum interval, and treating it as a schedule to keep up with is how people end up miserable at 12.5.

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u/customs_seizure_sidOP1 point·6 months ago

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

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u/incretin_ivyMOD38 points·6 months ago

This is the fifth "should I go up" post today and they are all welcome — but no member here can answer it for you.

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u/two_mil_or_one45 points·6 months ago

sulphur burps are the signature complaint and they are not dangerous

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u/mikkel_kimani57 points·6 months ago

22kg over 77 weeks, never went past 10mg, and early fullness stayed mild the whole way. Posting because the loud threads are all 15mg.

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u/ghrp_history20 points·6 months 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/laila_yilmaz35 points·6 months ago

Did you come to this from sema, and if so how long was the gap?

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u/kian_ekstrom28 points·6 months ago

That percentage is body weight change, not body fat. Different measurement, and the distinction gets lost every time.

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u/thyroid_tangent20 points·6 months 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/endpoint_creep11 points·6 months ago

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

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u/taper_off_tabitha9 points·6 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/priya_guerrero0 points·6 months ago

What is the waist doing?

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/mikkel_ogunleye15 points·6 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/tidy_vialdrawer_pls9 points·6 months 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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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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