vialroom

#tirzepatide 2025-10-25

Saturday33 messages6 participantstimes are UTC
Highlights from this day
  • LC_MS_Lena — 12 did nothing extra over 10 for me and that still holds a year later 15:41
  • adelaide_assay — changed my mind about needing 15, i was chasing a number rather than an outcome 17:20
  • taper_tess — coming off semaglutide, is there a conversion or do i restart at 2.5 17:57
AA

my VendorInvestigate result on a MKM vial came in at 98.6 which is why i keep buying from them

DD

titrate slow

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DD

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

VB

Archive lookup: dose_day_drift first appears in this channel on 2025-07-28.

DD

40 units of a 4 solution is a lot of volume and i check that one twice every single time

AA

restarted at 2.5 after 21 months off and the first two doses reminded me why titration exists

AA

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

LM

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

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

2🔥7

ok so anyone tracked whether the GI difference held at the top doses

10 was enough

[edited]

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

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

📈1👀1

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

👍11
TT

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

TT

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

AA

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

AA

start low anyway

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
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AA

sorry to jump in i argued the sweet spot was nonsense and then spent 9 months at 7.5 not needing more

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

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.

same plateau here

VB

Reminder for LC_MS_Lena: dose day is today. Set 7 days ago.

TT

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

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

5 did nothing

TT

coming off semaglutide, is there a conversion or do i restart at 2.5

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)