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c/tirzepatide·posted 13 days ago by u/hana_pereira

the nausea profile at 7.5 was worse than 10 for me and i cannot explain it

Trial Data Slow Clap ×1 Receipts ×3

the nausea profile at 7.5 was worse than 10 for me and i cannot explain it. It is the sort of thing everyone half-believes and nobody writes down.

Appetite effect for me is flat across seven days. On sema it was a wave. Same person, different molecule.

Week 81 was the first time the scale moved after a five-week stall. I changed nothing in that window.

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.

Would rather be corrected in public than confident in private.

2,261 up / 194 down92% upvoted46 commentsid oefx1y16 Jul 2026

46 comments

13 in this archive, depth 4

best — the order this archive was captured in

u/quiet_moderatorMOD306 points·12 days 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/fatima_wojcik131 points·12 days ago

sulphur burps are the signature complaint and they are not dangerous

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u/emil_wojcik177 points·12 days ago

sulphur burps are the signature complaint and they are not dangerous

Agreed, with one qualifier: that is the mean of the top arm and the spread around it was enormous.

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[deleted]59 points·12 days ago

[deleted]

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u/ewan_marchand46 points·11 days ago

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

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u/fatima_wojcik39 points·12 days ago

Yes. I stepped to 12.5 because the calendar said so, not because anything needed fixing, and I regretted it for a fortnight.

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u/tarek_lokken190 points·12 days 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/marta_dziedzic52 points·12 days ago

Careful with "everyone tolerates it better". The people it did not suit stop posting, which makes this board look calmer than the drug is.

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u/dario_vermeulen100 points·13 days ago

Agree. The GIP component is the interesting half and it barely gets discussed outside c/glp1science.

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u/quiet_moderatormod84 points·13 days ago·edited

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_ivypharmacology61 points·12 days ago

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

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u/aksel_kjaer55 points·12 days 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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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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