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#tirzepatide 2024-12-02

Monday44 messages9 participantstimes are UTC
Highlights from this day
  • LC_MS_Lena — plateaued at 6 weeks the same way i did on semaglutide, so i doubt its compound specific 22:10
  • retention_time — whats the top licensed dose, 15 or does it go higher 22:56
  • step_one_sian — there is no clean conversion between the two, anyone giving you a ratio is guessing 23:26
LM

SURMOUNT was the weight programme and SURPASS was diabetes, thats the split people mix up, n of 1 obviously

plateaued at 6 weeks the same way i did on semaglutide, so i doubt its compound specific

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VO

12 did nothing extra over 10 for me and that still holds a year later

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how long before the dual thing was noticeable to you

whats the plateau pattern here, same as semaglutide or different

[edited]
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how many weeks at 7.5 before you knew it was enough

LM

the sweet spot thing is survivorship, the people it worked for stayed and said so

right so did anyone go past 15 and was there any point to it

QH

at 1.7 my appetite is gone entirely, did anyone go down rather than up

is SURMOUNT-OSA the sleep apnoea one

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switched last year

checked the units twice

is 7.5 really the sweet spot or is that just channel folklore

RT

quick one the 40 vial in 0.5ml gives 4mg/ml which puts 2 on 25 units, nice round numbers

SURMOUNT is weight

DD

i log everything and my appetite curve looks flatter across the week than my semaglutide log did

is the sweet spot argument about effect or about side effects

wk 1-4    2.5mg
wk 5-8    5.0mg
wk 9-20   7.5mg   <- stayed here
wk 21-24  10.0mg  (no extra benefit for me)
wk 25+    7.5mg   (came back down)

changed my mind about needing 15, i was chasing a number rather than an outcome

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titrate slow

is there a reason to titrate slower than the four week schedule

does the appetite effect feel different or just stronger

my Medutest result on a QST vial came in at 99 which is why i keep buying from them

[edited]

the 2.5 to 5 step was the roughest one for me and everything after was easier

did anybody switch back to semaglutide after trying this
the 20 vial in 1ml gives 2.5mg/ml which puts 15 on 8 units, nice round numbers

GIP plus GLP-1

RT

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

no clean conversion

5 did nothing

the switch felt like a step down at first and then caught up around week 24

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SO

there is no clean conversion between the two, anyone giving you a ratio is guessing

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