vialroom

#tirzepatide 2025-08-19

Tuesday45 messages11 participantstimes are UTC
Highlights from this day
  • nine_nine_one — back after 24 months, do i restart at 2.5 or pick up near where i left off 15:13
  • VialBot — Verification log updated: CPC — evidence added, status unchanged. 17:16
  • VialBot — Reminder set. I will post here in 8 days. 17:26
  • swirl_not_shake — is there a reason to titrate slower than the four week schedule 17:52
  • split_shipment — the two compounds arent interchangeable week for week even if the effect ends up similar 20:07
NN

back after 24 months, do i restart at 2.5 or pick up near where i left off

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easier gi for me

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.
SS

anyone tracked whether the GI difference held at the top doses

SS

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

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

why does everyone talk about 7.5 and not 10

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SS

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

SS

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

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

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.

whats the plateau pattern here, same as semaglutide or different

SS

did going from 12 semaglutide to 5 of this feel like a step down for anyone

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SS

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

VB

Verification log updated: CPC — evidence added, status unchanged.

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CC

at 1 my appetite went completely and i dropped back a step, eating nothing isnt a win

P2

i sat at 7.5 for 18 months and never needed more, which is where the folklore comes from

VB

Reminder set. I will post here in 8 days.

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EM

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

CC

the GI difference held for me right up to 15, which isnt what a couple of people here found

[edited]
EM

the 5 vial in 1.5ml gives 8mg/ml which puts 12 on 40 units, nice round numbers

EE

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

SN

plateaued at 32 weeks the same way i did on semaglutide, so i doubt its compound specific

EE

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

sorry to jump in held 10 for 16 months and lost 48kg over that stretch, slow and boring and fine

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SS

my Medutest result on a SWB vial came in at 99.2 which is why i keep buying from them

EE

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

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

GG

i argued the sweet spot was nonsense and then spent 9 months at 7.5 not needing more, ill dig out the number

SS

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

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