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

stalled for 18 weeks at 12.5mg and I refuse to panic this time

Lab Receipts ×7 Well Actually ×2

stalled for 18 weeks at 12.5mg and I refuse to panic this time — a position I have arrived at slowly and would like tested.

To save the first four comments: 18 weeks and 12.5mg.

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

The thing nobody warned me about was how much of this is logistics — storing it, remembering it, the same day every week.

Screenshot none of this. Read the whole thread, including the parts where I am told I am wrong.

2,397 up / 622 down79% upvoted40 commentsid t50lg126 Jan 2025

40 comments

20 in this archive, depth 5

best — the order this archive was captured in

u/piotr_nascimento161 points·1 year ago

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.

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u/marit_sandvik67 points·1 year ago·edited

Correction to my own post above — I said 2.5mg and I have been on 15mg since the spring. Same argument, wrong number.

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u/slow_logbook_ftwOP44 points·1 year ago

14kg over 53 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/slow_logbook_ftwOP41 points·1 year ago·edited

What step are you on and how long have you been there?

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u/fatima_wojcik13 points·1 year ago

zepbound and mounjaro are the same compound with different labels

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u/zaid_balogun6 points·1 year ago

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

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u/rania_marchand162 points·1 year 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/customs_seizure_sid133 points·1 year 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/line_petrov-34 points·1 year ago

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

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u/emil_okwuosa83 points·1 year ago

Sulphur burps for the first eight days after each step, then nothing. Predictable enough that I planned my week around it.

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u/copay_card_cc37 points·1 year ago·edited

Sulphur burps for the first eight days after each step, then nothing.

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/kaia_cabrera84 points·1 year ago

if 7.5 is working, 10 is not automatically better

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u/slow_logbook_ftwOP39 points·1 year ago·edited

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/customs_seizure_sid15 points·1 year ago

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

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u/forest_plot_fionastats10 points·1 year 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/kaia_cabrera5 points·1 year ago

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

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u/mikkel_kimani5 points·1 year ago

pens and vials are the same molecule, the price is the difference

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u/dexa_twice_yearlyMOD49 points·1 year ago

Left up, flair changed to Discussion. It is an opinion post and that is fine as long as it is labelled.

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u/hassan_nilsen43 points·1 year ago

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

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u/kian_ekstrom32 points·1 year 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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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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