vialroom

#tirzepatide 2025-08-06

Wednesday44 messages11 participantstimes are UTC
Highlights from this day
  • lean_mass_lex — changed my mind about needing 15, i was chasing a number rather than an outcome, for what its worth 16:47
  • lean_mass_lex — the two compounds arent interchangeable week for week even if the effect ends up similar 17:15
  • vialkeeper — the sweet spot argument is really about effect per side effect, not a magic number 17:41
  • swab_dry_first — SURMOUNT was the weight programme and SURPASS was diabetes, thats the split people mix up, anyway 18:10
  • nausea_window — how many weeks at 7.5 before you knew it was enough 21:01
PM

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

LM

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

LM

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

👍7📉6👀4

15 is the top

NW

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

LM

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

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)

folklore probably

my Medutest result on a GL Biochem vial came in at 97.4 which is why i keep buying from them

VI

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

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

💀1117👍12
SD

did going from 1 semaglutide to 5 of this feel like a step down for anyone

SD

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

👀6
SD

i argued the sweet spot was nonsense and then spent 18 months at 7.5 not needing more

easier gi for me

PT

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

unrelated but plateaued at 23 weeks the same way i did on semaglutide, so i doubt its compound specific

the switch felt like a step down at first and then caught up around week 20

LM

at 0.5 my appetite is gone entirely, did anyone go down rather than up

LM

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

SO

right so im at 12 and thinking about 1.7, did anyone gain anything from that step

is the 5 vial the common one or do people use 2

10 was enough

👍1💀1❤️1
PM

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

went back to semaglutide after 21 months because the cost difference mattered more than the GI

[edited]
SD

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

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

5 did nothing

medutest-report-a-2418.pdf
3 pages · 585 KB · not retained in the public archive

SURMOUNT is weight

NW

how many weeks at 7.5 before you knew it was enough

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.