vialroom

#tirzepatide 2025-05-31

Saturday32 messages6 participantstimes are UTC
Highlights from this day
  • amsterdam_aliquot — went back to semaglutide after 14 months because the cost difference mattered more than the GI 13:25
  • tail_factor — how long before the dual thing was noticeable to you 14:18
  • two_lifts_a_week — is 7.5 really the sweet spot or is that just channel folklore 15:10
TF

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

TF

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

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AA

if youre coming off semaglutide the honest answer is start low and find out, theres no table
licensed top is 15 weekly, past that is not a licensed dose and nobody here can tell you what it does

⚠️3💀1
TF

did anyone find the GI easier than semaglutide at an equivalent effect

AA

went back to semaglutide after 14 months because the cost difference mattered more than the GI

📈14
TF

restarted at 2.5 after 25 months off and the first two doses reminded me why titration exists

TF

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

AA

while im here does the GIP arm actually explain the easier nausea or is that hand waving

TF

how long before the dual thing was noticeable to you

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
AA

licensed top is 15 weekly, past that is not a licensed dose and nobody here can tell you what it does, i could be wrong

*Janoshik not the other one

TL

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

FF

switched from 2.5 semaglutide and started at 2.5, took the slow route, never regretted it

WN

the 40 vial in 1.5ml gives 4mg/ml which puts 1 on 5 units, nice round numbers

WN

back after 1 months, do i restart at 2.5 or pick up near where i left off

🎉1

right so at 0.5 my appetite went completely and i dropped back a step, eating nothing isnt a win

TL

update on the earlier thing whats the plateau pattern here, same as semaglutide or different

Cited study
Tirzepatide versus Semaglutide Once Weekly in Type 2 Diabetes (SURPASS-2)
New England Journal of Medicine · 2021
The head-to-head everyone quotes. Note the semaglutide comparator dose.
WN

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

does the appetite effect feel different or just stronger

did going from 10 semaglutide to 5 of this feel like a step down for anyone

TF

40 units of a 2.5 solution is a lot of volume and i check that one twice every single time

[edited]