vialroom

#tirzepatide 2025-07-20

Sunday64 messages11 participantstimes are UTC
Highlights from this day
  • noct.titrate — changed my mind about needing 15, i was chasing a number rather than an outcome, i think held 10 for 13 months and lost 32kg over that stretch, slow and boring and fine 18:49
  • noct.titrate — right so no gap when i switched, took the last semaglutide dose and started this a week later licensed top is 15 weekly, past that is not a licensed dose and nobody… 18:51
  • deamidation — the switch felt like a step down at first and then caught up around week 26 19:21
  • deamidation — coming back to this back after 15 months, do i restart at 2.5 or pick up near where i left off 22:37
CC

update on the earlier thing how long before the dual thing was noticeable to you

DE

did going from 2.4 semaglutide to 5 of this feel like a step down for anyone

NT

quick one anyone tracked whether the GI difference held at the top doses

changed my mind about needing 15, i was chasing a number rather than an outcome, i think
held 10 for 13 months and lost 32kg over that stretch, slow and boring and fine

👀7⚠️11

right so no gap when i switched, took the last semaglutide dose and started this a week later
licensed top is 15 weekly, past that is not a licensed dose and nobody here can tell you what it does

fridge-temps.csv
840 rows · not retained in the public archive
DE

plateaued at 3 weeks the same way i did on semaglutide, so i doubt its compound specific
12 did nothing extra over 10 for me and that still holds a year later

how did people handle the 2.5 to 5 jump

SS

SURMOUNT was the weight programme and SURPASS was diabetes, thats the split people mix up

anyone got a 4 recon they like for the 20 vials

*Medutest not the other one

start low anyway

the switch felt like a step down at first and then caught up around week 26

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)

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

easier gi for me

📉12🤝5😂4
PT

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

the trials titrated every four weeks to a target, most people here stop at whatever works

19:40marrow.mod pinned a message to this channel
PT

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

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

went back to semaglutide after 7 months because the cost difference mattered more than the GI

MM

40 units of a 8 solution is a lot of volume and i check that one twice every single time

transit-times.csv
633 rows · not retained in the public archive
MM

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

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.
TT

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

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

MM

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

SURMOUNT is weight

does the appetite effect feel different or just stronger

[edited]

switched last year

TT

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

👍6
SI

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

DE

the two compounds arent interchangeable week for week even if the effect ends up similar

PT

right so does the GIP arm actually explain the easier nausea or is that hand waving

PT

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

RR

how many weeks at 7.5 before you knew it was enough
at 2.4 my appetite went completely and i dropped back a step, eating nothing isnt a win

RR

GI was noticeably easier for me than semaglutide at what felt like the same appetite effect

GIP plus GLP-1

PT

ok so restarted at 2.5 after 17 months off and the first two doses reminded me why titration exists

💀6👀1
PT

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

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

i sat at 7.5 for 14 months and never needed more, which is where the folklore comes from

SI

right so 15 is the top
GI was noticeably easier for me than semaglutide at what felt like the same appetite effect

held 10 for 14 months and lost 42kg over that stretch, slow and boring and fine

*that should say weekly

anyone stopped at 10 and stayed there for months

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

DE

the 15 vial in 2ml gives 4mg/ml which puts 1 on 50 units, nice round numbers, thats just me

RR

at 2.4 my appetite went completely and i dropped back a step, eating nothing isnt a win

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

DE

whats the top licensed dose, 15 or does it go higher

❤️9
DE

im at 7.5 and thinking about 2.4, did anyone gain anything from that step

coming back to this back after 15 months, do i restart at 2.5 or pick up near where i left off

💀11
DE

did anybody switch back to semaglutide after trying this

[edited]