the trials titrated every four weeks to a target, most people here stop at whatever works
#tirzepatide 2026-05-22
- point_two_five — at 15 the GI came back for me, so my easier profile claim only applies below that, take that with a pinch of salt 18:22
- point_two_five — for the archive switched from 1.7 semaglutide and started at 2.5, took the slow route, never regretted it 18:33
- dana_titrates — went back to semaglutide after 16 months because the cost difference mattered more than the GI 18:45
- ari_arrives — ok so restarted at 2.5 after 11 months off and the first two doses reminded me why titration exists 19:08
5 did nothing
genuine question did going from 15 semaglutide to 5 of this feel like a step down for anyone
at 15 the GI came back for me, so my easier profile claim only applies below that, take that with a pinch of salt
12 did nothing extra over 10 for me and that still holds a year later
for the archive switched from 1.7 semaglutide and started at 2.5, took the slow route, never regretted it
| Trial schedule | What most people here do | |
|---|---|---|
| Step interval | 4 weeks, fixed | 4-12 weeks, on symptoms |
| Holding | protocol deviation | normal and expected |
| Top dose | reached by design | often never reached |
| Coming down | not studied | common at maintenance |
the two compounds arent interchangeable week for week even if the effect ends up similar
i sat at 7.5 for 26 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
the 10 vial in 2.5ml gives 10mg/ml which puts 0.5 on 50 units, nice round numbers
went back to semaglutide after 16 months because the cost difference mattered more than the GI
i argued the sweet spot was nonsense and then spent 3 months at 7.5 not needing more
GI was noticeably easier for me than semaglutide at what felt like the same appetite effect
plateaued at 2 weeks the same way i did on semaglutide, so i doubt its compound specific
SURMOUNT-1 versus SURPASS-2, which one was the weight trial
ok so restarted at 2.5 after 11 months off and the first two doses reminded me why titration exists
titrate slow