vialroom

#tirzepatide 2025-12-10

Wednesday18 messages6 participantstimes are UTC
Highlights from this day
  • rotterdam_recon — restarted at 2.5 after 1 months off and the first two doses reminded me why titration exists 18:07
  • rotterdam_recon — 5 was where i first noticed it properly, 2.5 did almost nothing for me 18:37
  • VialBot — Batch lookup SG-1177: 4 independent reports on file, earliest 2025-05-07. 19:02
AB

switched from 7.5 semaglutide and started at 2.5, took the slow route, never regretted it

RR

restarted at 2.5 after 1 months off and the first two doses reminded me why titration exists

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)
TT

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

RR

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

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.
VB

Batch lookup SG-1177: 4 independent reports on file, earliest 2025-05-07.

AB

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

AB

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

no clean conversion

AB

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

is SURMOUNT-OSA the sleep apnoea one

AB

15 is the top

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

how did people handle the 2.5 to 5 jump
the GI difference held for me right up to 15, which isnt what a couple of people here found

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

5 did nothing

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