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c/tirzepatide·submitted 3 months ago by u/elin_varga

Zepbound — my 8-week log, condensed into one table

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Zepbound — my 8-week log, condensed into one table. I have gone back and forth on this for months. Sulphur burps for the first eight days after each step, then nothing. Predictable enough that I planned my week around it. The distribution matters more than the mean. In the trial population the interquartile spread…

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9 comments, started 3 months ago
u/emil_barros453 points·3 months ago

Research-use-only material is not approved for human use. Anything in this thread about how a research vial "should" titrate is a discussion about chemistry, not a plan.

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u/mikkel_ogunleye664 points·3 months ago

The four-week interval in the label is a minimum. Nothing about the pharmacology requires you to step on schedule, and the trials stepped on a calendar because trials have to.

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u/elin_vargaOP320 points·3 months ago

dual agonist, so the GIP arm is doing something the sema threads will not tell you about

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u/laila_wikstrom261 points·3 months ago

the appetite effect is blunter than sema, in a good way, most weeks

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u/elin_vargaOP-30 points·3 months ago

What is the waist doing? That is usually the number still moving during a scale stall.

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u/throwaway_wl20260 points·3 months ago

This matches mine. Milder injection-site soreness than I expected, and what there was settled inside a fortnight of each step.

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u/hana_pereira1 point·3 months ago

2.5mg is a four-week starting dose, not a maintenance dose. Worth being precise since people search these threads.

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u/tidy_vialdrawer_pls1 point·3 months ago

Went 10 to 12.5 on the calendar and had the worst fortnight of the whole run. Dropped back to 10 and everything settled.

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u/thyroid_tangent541 points·3 months ago

On comparing yourself with the trial number.

SURMOUNT-1 reported roughly 21% mean body weight change at 72 weeks on the highest arm. Three things get dropped every time that figure is quoted here. It is a mean, and the distribution around it is very wide. It is 72 weeks, which is a year and a half. And it is a trial population with trial support, which is not the same as a person with a spreadsheet.

Use it as a rough shape, not a benchmark. A 12% year is inside the ordinary range and people quit over it every week on this board.

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About c/tirzepatide

Tirzepatide-specific discussion: the dual-agonist pharmacology, the 2.5 → 15mg ladder, the appetite profile people describe as different from semaglutide, and the SURMOUNT/SURPASS trial programme. Comparisons with semaglutide are welcome as long as they are specific about dose equivalence being unknown.

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