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#tirzepatide 2026-04-29

Wednesday47 messages10 participantstimes are UTC
Highlights from this day
  • nettle_notes — no gap when i switched, took the last semaglutide dose and started this a week later 16:36
  • juniper_joins — right so plateaued at 2 weeks the same way i did on semaglutide, so i doubt its compound specific, not advice obviously held 10 for 26 months and lost 8kg over that… 16:41
  • nettle_notes — how long before the dual thing was noticeable to you licensed top is 15 weekly, past that is not a licensed dose and nobody here can tell you what it does 17:12
  • juniper_joins — does switching from semaglutide need a gap or do you just start 17:13
  • juniper_joins — quick one held 10 for 24 months and lost 47kg over that stretch, slow and boring and fine 17:34
II

the 2 vial in 2.5ml gives 8mg/ml which puts 7.5 on 50 units, nice round numbers

FD

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

II

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

FD

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

switched last year

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

II

i went to 15 and came back to 10, more suppression wasnt more useful for me

anyone stopped at 10 and stayed there for months

📉2

quick one anyone tracked whether the GI difference held at the top doses

VV

while im here my PeptideMeter result on a HJ vial came in at 99.2 which is why i keep buying from them

NN

i sat at 7.5 for 1 months and never needed more, which is where the folklore comes from

the 2.5 to 5 step was the roughest one for me and everything after was easier, from memory

NN

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

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

JJ

right so plateaued at 2 weeks the same way i did on semaglutide, so i doubt its compound specific, not advice obviously
held 10 for 26 months and lost 8kg over that stretch, slow and boring and fine

😂2❤️4🧊13
NN

the trials titrated every four weeks to a target, most people here stop at whatever works
SURMOUNT was the weight programme and SURPASS was diabetes, thats the split people mix up

NN

how long before the dual thing was noticeable to you
licensed top is 15 weekly, past that is not a licensed dose and nobody here can tell you what it does

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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JJ

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

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JJ

restarted at 2.5 after 3 months off and the first two doses reminded me why titration exists

quick one held 10 for 24 months and lost 47kg over that stretch, slow and boring and fine

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JJ

went back to semaglutide after 21 months because the cost difference mattered more than the GI

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

7.5 gang

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

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

is the sweet spot argument about effect or about side effects

JJ

the switch felt like a step down at first and then caught up around week 15, thats just me

SB

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

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

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

AD

12 did nothing extra over 10 for me and that still holds a year later, take that with a pinch of salt

FD

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

KF

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

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