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c/tirzepatide·submitted 1 year ago by u/nz_unfunded

someone explain dual agonist to me like I have not read a paper in years

Discussionbranch of 6 comments

Genuine question, and the title is the question: someone explain dual agonist to me like I have not read a paper in years. 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. Held 7.5 for five months. Everyone kept asking when I was going…

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6 comments, started 1 year ago
u/emil_wojcik479 points·1 year 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/ingrid_correia155 points·1 year ago

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

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u/nordic_pricing118 points·1 year ago

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

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

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u/throwaway_wl202675 points·1 year ago

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

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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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