vialroom

#tirzepatide 2025-09-05

Friday44 messages10 participantstimes are UTC
Highlights from this day
  • bea_reconstitutes — the GI difference held for me right up to 15, which isnt what a couple of people here found, your mileage will differ 15:12
  • bea_reconstitutes — at 15 the GI came back for me, so my easier profile claim only applies below that 15:19
  • gradient_greg — does the appetite effect feel different or just stronger 19:17
GV

update on the earlier thing £240 for a 2 vial is roughly what ive paid for the last year

TO

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

AP

GIP plus GLP-1

Cited study
Continued Treatment with Tirzepatide for Maintenance of Weight Reduction (SURMOUNT-4)
JAMA · 2024
Randomised withdrawal after a 36-week lead-in. Pairs with STEP 4.

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

GV

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

AP

titrate slow

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

the switch felt like a step down at first and then caught up around week 11

BR

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

🤝13📈1⚠️9
BR

GI was noticeably easier for me than semaglutide at what felt like the same appetite effect, n of 1 obviously

📉13
GG

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

GV

unrelated but the 10 vial in 2ml gives 2.5mg/ml which puts 2.4 on 12 units, nice round numbers, for what its worth

NA

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

GV

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

GG

follow up does the GIP arm actually explain the easier nausea or is that hand waving

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)

held 10 for 11 months and lost 35kg over that stretch, slow and boring and fine

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

GG

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

🧪7
LN

40 units of a 5 solution is a lot of volume and i check that one twice every single time

AP

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

BR

the trials titrated every four weeks to a target, most people here stop at whatever works
went back to semaglutide after 9 months because the cost difference mattered more than the GI

BR

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

💀10