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c/tirzepatide·posted 10 months ago by u/search_before_post

small win: Mounjaro stopped being a problem at week 66

Question Cold Box ×3 Well Actually ×1

small win: Mounjaro stopped being a problem at week 66. Posting the boring middle of the process, because the internet is full of the start and the end and nothing else.

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.

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.

That is everything I have. The rest is opinion and I have tried to keep it out.

1,213 up / 296 down80% upvoted43 commentsid oyx3jj18 Sep 2025

43 comments

17 in this archive, depth 5

best — the order this archive was captured in

u/incretin_ivyMOD123 points·10 months ago

Trial identifiers corrected in the title. SURMOUNT and SURPASS are different programmes.

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[removed]59 points·10 months ago

[removed by moderator]

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u/slow_logbook_ftw49 points·10 months ago

if 7.5 is working, 10 is not automatically better

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u/search_before_postOP43 points·10 months ago

Does constipation follow the day after the shot, or is it spread across the week?

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u/quiet_moderatormod13 points·10 months ago

I would separate the two claims. That the GIP arm exists is uncontroversial; that it explains your early fullness pattern is a guess.

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u/tarek_kirchner43 points·10 months ago

stepping every four weeks is a ceiling on speed, not a schedule you must hit

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u/customs_seizure_sid113 points·10 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/aksel_kjaer166 points·10 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/search_before_postOP125 points·10 months ago

Are you comparing yourself with the trial mean or with the people who post the most?

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u/crosspost_bot_no49 points·10 months ago

Right. And the sema-to-tirz "conversion" people post is invented. There is no published equivalence.

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u/aksel_kjaer54 points·10 months ago

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

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u/kaia_cabrera44 points·10 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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u/yusuf_ramos22 points·10 months ago

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

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u/marit_sandvik43 points·10 months ago

Yes — 10mg being a genuine landing place for a lot of people is underrated. There is no medal for 15.

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u/search_before_postOP17 points·10 months ago

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

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u/cato_girard20 points·10 months ago·edited

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

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u/hair_shed_hannah28 points·10 months ago

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

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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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