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c/tirzepatide·posted 1 year ago by u/line_petrov

[Question] how do you actually verify Mounjaro

Question Clean Column ×8 Sourced ×1 Slow Clap ×3

Asking properly rather than in a comment on somebody else’s thread: how do you actually verify Mounjaro.

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.

Weekly dosing again, half-life in the same neighbourhood as sema, so a step change takes about a month to reach steady state. Judging a new step at day five is judging noise.

It is a dual GIP and GLP-1 receptor agonist, and the GIP arm is the part that has no equivalent in the semaglutide threads. That is why the side-effect profile reads differently rather than just milder.

If somebody has the same thing measured a different way, post it next to mine and we will see whether they agree.

17,411 up / 13,404 down57% upvoted34 commentsid qx3rw921 Oct 2024

34 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/line_petrov548 points·1 year 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/bastian_ekstrom456 points·1 year ago

The four-week interval in the label is a minimum.

Not sure about this bit. The GIP arm being real does not tell you that it is what caused your particular week.

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[deleted]214 points·1 year ago

[deleted]

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u/search_before_post482 points·1 year ago

The thing nobody warned me about was how much of this is logistics — storing it, remembering it, the same day every week.

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u/taper_off_tabitha126 points·1 year ago

Same experience with the appetite effect being flatter across the week rather than front-loaded.

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u/mikkel_kimani86 points·1 year ago

the four-week step schedule is the label, not folklore

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u/titration_marshalMOD380 points·1 year ago

Left up, flair changed to Discussion. It is an opinion post and that is fine as long as it is labelled.

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u/line_petrov166 points·1 year ago

hold the dose that works, the ladder is not a leaderboard

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u/blunt_coldbox2947 points·1 year ago

That percentage is body weight change, not body fat. Different measurement, and the distinction gets lost every time.

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u/aurel_lindqvist21 points·1 year ago

pens and vials are the same molecule, the price is the difference

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u/customs_seizure_sid9 points·1 year ago

Week 7 was the first time the scale moved after a five-week stall. I changed nothing in that window.

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u/search_before_post271 points·1 year ago

the trials titrated on a calendar, real people titrate on symptoms

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u/adnan_nascimento189 points·1 year ago

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

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u/ingrid_correia266 points·1 year ago

Left up, flair changed to Discussion.

Saving this one. It is the clearest statement of the stall problem I have read here.

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u/ferran_mensah309 points·1 year ago

Agreed, and the trial number is a mean of a very wide distribution — the tails are enormous and nobody posts from the middle.

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u/adnan_nascimento-10 points·1 year ago

Does nausea follow the day after the shot, or is it spread across the week?

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u/tarek_kirchner1 point·1 year ago

Yes — 10mg being a genuine landing place for a lot of people is underrated. There is no medal for 15.

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u/georgi_chowdhury1 point·1 year ago

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

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u/kaia_cabrera0 points·1 year ago

Correction to my own post above — I said 5mg and I have been on 7.5mg since the spring. Same argument, wrong number.

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u/ignacio_vanhecke1 point·1 year ago·edited

Correction to my own post above — I said 5mg and I have been on 7.5mg since the spring.

kaia_cabrera is right that the two molecules are not interchangeable. There is no published conversion and the ones circulating are invented.

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u/vito_chowdhury128 points·1 year ago

SURMOUNT-1 ran 72 weeks with the top arm around 21% mean body weight change. SURPASS is the diabetes programme and reports glycaemic endpoints, so quoting the two interchangeably is a category error.

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u/elin_varga60 points·1 year ago

Right. And the sema-to-tirz "conversion" people post is invented. There is no published equivalence.

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u/emil_okwuosa66 points·1 year ago

I would separate the two claims. That the GIP arm exists is uncontroversial; that it explains your food noise pattern is a guess.

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u/kofi_balogun0 points·1 year 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/ahmed_fonseca1 point·1 year ago

Yes. I stepped to 12.5 because the calendar said so, not because anything needed fixing, and I regretted it for a fortnight.

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u/titration_marshalmod · c/semaglutide63 points·1 year ago

Not sure that follows. You went up a step and changed your training in the same fortnight.

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u/slow_logbook_ftw39 points·1 year ago

Are you comparing yourself with the trial mean or with the people who post the most?

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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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