vialroom

#tirzepatide 2026-03-27

Friday55 messages13 participantstimes are UTC
Highlights from this day
  • escalation_anxiety — held 10 for 15 months and lost 5kg over that stretch, slow and boring and fine 20:03
  • u100_pat — does switching from semaglutide need a gap or do you just start 20:12
  • wren_weighs_in — how did people handle the 2.5 to 5 jump 20:38

slightly off topic but went back to semaglutide after 2 months because the cost difference mattered more than the GI

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

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

7.5 gang

LL

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

[edited]

did anybody switch back to semaglutide after trying this

held 10 for 15 months and lost 5kg over that stretch, slow and boring and fine

😂8🎉5

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

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

fridge-temps.csv
312 rows · not retained in the public archive
🤝1👍3
VV

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

🧊12
GC

switched from 10 semaglutide and started at 2.5, took the slow route, never regretted it

15 is the top

how did people handle the 2.5 to 5 jump

📉9💀6❤️15

same plateau here

📉1018

the switch felt like a step down at first and then caught up around week 7

GC

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

MS

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

GC

back after 21 months, do i restart at 2.5 or pick up near where i left off
the trials titrated every four weeks to a target, most people here stop at whatever works

CS

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

[edited]

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

MS

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

GC

is the sweet spot argument about effect or about side effects

😂8
NT

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

CS

i argued the sweet spot was nonsense and then spent 6 months at 7.5 not needing more

5 did nothing

is there a reason to titrate slower than the four week schedule

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.

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

plateaued at 34 weeks the same way i did on semaglutide, so i doubt its compound specific

titrate slow

at 15 my appetite went completely and i dropped back a step, eating nothing isnt a win

how many weeks at 7.5 before you knew it was enough

U1

i sat at 7.5 for 14 months and never needed more, which is where the folklore comes from

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

no clean conversion

GIP plus GLP-1

AB

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

CS

im at 12 and thinking about 7.5, did anyone gain anything from that step

GG

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