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#tirzepatide 2024-10-04

Friday40 messages10 participantstimes are UTC
Highlights from this day
  • orfor_watch — anyone got a 10 recon they like for the 15 vials 16:46
  • orfor_watch — is there a reason to titrate slower than the four week schedule 17:01
  • drawup_dee — SURMOUNT-OSA was the sleep apnoea trial and it is not a weight headline however its quoted 17:58
  • vial_ledger — sorry to jump in the sweet spot thing is survivorship, the people it worked for stayed and said so, i could be wrong 19:15
  • non_scale_win — start low anyway, ill dig out the number 20:06
BF

plateaued at 21 weeks the same way i did on semaglutide, so i doubt its compound specific

[edited]
BF

at 15 the GI came back for me, so my easier profile claim only applies below that

[edited]
OW

at 1.7 my appetite went completely and i dropped back a step, eating nothing isnt a win

DD

the sweet spot argument is really about effect per side effect, not a magic number

OW

anyone got a 10 recon they like for the 15 vials

janoshik-f-1330.pdf
2 pages · 916 KB · not retained in the public archive
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is there a reason to titrate slower than the four week schedule

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DD

the 15 vial in 2ml gives 4mg/ml which puts 0.25 on 40 units, nice round numbers

VB

New independent result logged — HJ, lot H-2814, purity 98.6% (PeptideMeter).

LU

no gap when i switched, took the last semaglutide dose and started this a week later

DD

if youre coming off semaglutide the honest answer is start low and find out, theres no table

did anybody switch back to semaglutide after trying this

DD

SURMOUNT-OSA was the sleep apnoea trial and it is not a weight headline however its quoted

Trial scheduleWhat most people here do
Step interval4 weeks, fixed4-12 weeks, on symptoms
Holdingprotocol deviationnormal and expected
Top dosereached by designoften never reached
Coming downnot studiedcommon at maintenance
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i log everything and my appetite curve looks flatter across the week than my semaglutide log did, anyway

did anyone go past 15 and was there any point to it
the GIP explanation for easier nausea is plausible and i still treat it as a story not a fact

BF

the GIP explanation for easier nausea is plausible and i still treat it as a story not a fact

VL

follow up i argued the sweet spot was nonsense and then spent 14 months at 7.5 not needing more

dual agonist, GIP as well as GLP-1, thats the whole difference in one line

anyone tracked whether the GI difference held at the top doses

sorry to jump in the sweet spot thing is survivorship, the people it worked for stayed and said so, i could be wrong

Cited study
Tirzepatide Once Weekly for the Treatment of Obesity (SURMOUNT-1)
New England Journal of Medicine · 2022
72 weeks, tirzepatide 5, 10 and 15mg against placebo.

im at 0.25 and thinking about 2.5, did anyone gain anything from that step

restarted at 2.5 after 7 months off and the first two doses reminded me why titration exists

VB

Inter-lab diff for lot C-4402: 99.4% vs 96.8%. Within expected range.

SA

coming off semaglutide, is there a conversion or do i restart at 2.5

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BF

40 units of a 10 solution is a lot of volume and i check that one twice every single time

OW

5 was where i first noticed it properly, 2.5 did almost nothing for me

BB

does switching from semaglutide need a gap or do you just start

Cited study
Tirzepatide for Obstructive Sleep Apnea and Obesity (SURMOUNT-OSA)
New England Journal of Medicine · 2024
AHI as the primary endpoint, with and without PAP therapy.