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ForumsTirzepatide (Mounjaro / Zepbound)Tirzepatide and cholesterol — March 2026 Page 4

Tirzepatide and cholesterol — March 2026

paige_pharma Tue, Dec 16, 2025 at 4:18 AM 37 replies 1,549 viewsPage 4 of 8
Dr.PulmRoch
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Rochester, MN
Dec 17, 2025 at 11:17 AM#16

From the other side of the consultation, briefly.

Omega-3 index improvement on the lipid panel: often overlooked but my omega-3 index went from 3.9% to 8.4% over 8 months. I supplemented with 2g EPA+DHA daily.

This matters because omega-3s are anti-inflammatory and cardioprotective, complementing the GLP-1 benefits. Target omega-3 index is >8%. Combined with the triglyceride reduction from the medication, my lipid profile is the best it's been in decades.

Last edited: Dec 17, 2025 at 12:17 PM
32 7rachel_ABQ, traveltech_sara, AttorneyGrant and 29 others
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Dr.SleepRoch
Senior Member
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Apr 2024
Rochester, MN
Dec 17, 2025 at 3:27 PM#17

From the other side of the consultation, briefly.

Comprehensive lipid panel update relevant to the lipid panel:

MarkerBaseline6 Months12 MonthsReference
Total Cholesterol237212182<200
LDL162122102<100
HDL455654>40
Triglycerides217152112<150
LDL-P15571107957<1000

The triglyceride drop is the most impressive. My cardiologist reduced my statin dose based on these results.

31 6kim_atl_prep, sarah_TO, wendy_avl and 28 others
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LeilaHI
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Jan 2025
Honolulu, HI
Dec 17, 2025 at 7:37 PM#18
Dr.SleepRoch said:
Comprehensive lipid panel update relevant to the lipid panel: Marker Baseline 6 Months 12 Months Reference Total Cholesterol 237 212 182 <200 LDL…

Same pattern here, and in the same order. Posting only so the count is not one.

30 5mike_nyc, VendorMark, COA_Karl and 27 others
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carlos_SATX
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Oct 2024
San Antonio, TX
Dec 17, 2025 at 11:47 PM#19
Dr.SleepRoch said:
Comprehensive lipid panel update relevant to the lipid panel: Marker Baseline 6 Months 12 Months Reference Total Cholesterol 237 212 182 <200 LDL…

Coming at Dr.SleepRoch’s question from a different direction. SURMOUNT-1 landed around 20.9% mean weight loss at 15mg over 72 weeks, against roughly 15% for semaglutide 2.4mg in STEP 1. Different trials, different populations, so the comparison is indicative rather than decisive — but SURPASS-2 was a genuine head-to-head and it pointed the same way.

Last edited: Dec 18, 2025 at 1:47 AM
29 4LindaRN_retired, tommy_boulder, hyun_seoul and 26 others
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mike_mod
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Dec 18, 2025 at 3:57 AM#20

Moderator note: a couple of off-topic posts removed.

Last edited: Dec 18, 2025 at 5:57 AM
7 7PurityPaulOR, MaxMetOK, MounjBrad and 4 others
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