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c/tirzepatide·posted 1 months ago by u/slow_logbook_ftw

[Results] 65 weeks on 15mg, full numbers, ask me anything boring

Results Clean Column ×5

Check-in as promised in the title: 65 weeks on 15mg, full numbers, ask me anything boring.

The relevant figures are 65 weeks and 15mg, and they come from the same log I have kept the whole time.

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.

Held 7.5 for five months. Everyone kept asking when I was going to 10. The answer was never, because 7.5 was working.

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

1,024 up / 349 down75% upvoted31 commentsid qcgaeq25 Jun 2026

31 comments

25 in this archive, depth 6

best — the order this archive was captured in

u/alcohol_aversion36 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/yusuf_ramos28 points·1 months ago

6kg over 25 weeks, never went past 10mg, and reflux stayed mild the whole way. Posting because the loud threads are all 15mg.

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u/fatima_wojcik-26 points·1 months ago

2.5 is the starter dose and it is not meant to be the dose that works

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u/ewan_marchand8 points·1 months ago

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

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u/copay_card_cc2 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/emil_okwuosa24 points·1 months ago

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

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u/curious_panel_only13 points·1 months 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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u/slow_logbook_ftwOP14 points·1 months ago

Which week did the appetite change actually land for you?

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u/laila_wikstrom31 points·1 months ago

the four-week step schedule is the label, not folklore

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u/hair_shed_hannah8 points·1 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/aksel_kjaer13 points·1 months ago·edited

week 7 is early to draw any conclusion at all

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u/gustav_vermeulen5 points·1 months ago

sulphur burps are the signature complaint and they are not dangerous

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u/slow_logbook_ftwOP4 points·1 months ago

sulphur burps are the signature complaint and they are not dangerous

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/sten_palacios0 points·1 months ago

Vials and pens carry the same molecule; what differs is fill volume, device tolerance and whether you are doing your own arithmetic. Neither is inherently more accurate.

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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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