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c/tirzepatide·submitted 1 months ago by u/search_before_post

am I the only one who found Mounjaro harder than the injections

Side Effectsbranch of 6 comments

The title is the whole question — am I the only one who found Mounjaro harder than the injections — but here is why I am asking. The thing nobody warned me about was how much of this is logistics — storing it, remembering it, the same day every week. Went 10 to 12.5 on the calendar and had the worst fortnight of the…

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6 comments, started 1 months ago
u/aurel_lindqvist202 points·1 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/certified_referenceQC56 points·1 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/mikkel_ogunleye-23 points·1 months ago

sulphur burps are the signature complaint and they are not dangerous

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u/hugo_bergstrom0 points·1 months ago

Small fix: SURMOUNT is the obesity programme, SURPASS is the type-2 programme. They are different endpoints and the numbers do not transfer.

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u/two_mil_or_one40 points·1 months ago

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/ewan_marchand0 points·1 months ago

Came off sema and onto tirz with a two-week gap.

Saving this one. It is the clearest statement of the stall problem I have read here.

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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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