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ForumsTirzepatide (Mounjaro / Zepbound)GIP receptor: the underappreciated half of tirzepatide's mechanism — need advice Page 3

GIP receptor: the underappreciated half of tirzepatide's mechanism — need advice

Dr.EM_Chicago Tue, Nov 4, 2025 at 7:40 AM 15 replies 1,283 viewsPage 3 of 3
SurmountFan_IN
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Nov 5, 2025 at 12:34 PM#11
traveltech_sara said:
The GIP arm is doing real work rather than padding the label.

Saving this. It is the first explanation that did not require me to already understand it.

20 20DebRD_ATL, KristenIndy, MarkLI_maint and 17 others
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Dr.EndoEP
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Nov 6, 2025 at 10:24 AM#12

Clinical perspective, offered as context rather than as advice.

Dose-response modeling for tirzepatide: Emax model fitting to the STEP/SURMOUNT dose-finding data shows:

Semaglutide: ED50 ≈ 0.6mg, Emax ≈ -18%, Hill coefficient ≈ 1.3
Tirzepatide: ED50 ≈ 6mg, Emax ≈ -25%, Hill coefficient ≈ 1.5

Clinical implication: most patients achieve >80% of maximal response by the mid-range dose (1.7mg sema, 10mg tirz). Going to the maximum dose provides diminishing returns — possibly not worth the additional side effect burden for some patients. Individualize dosing based on response vs tolerability.

Last edited: Nov 6, 2025 at 12:24 PM
19 19james_edin, FranDenver, Dr.BariatricHTX and 16 others
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LipidDoc_ATL
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Nov 7, 2025 at 8:14 AM#13
Dr.ObesityLA said:
The mechanism is more central than most summaries suggest.

I do not accept the framing. The question has been narrowed to the version that has a tidy answer, and the part that was dropped is the part the OP actually asked about.

Worth separating that from the pharmacology, which this thread keeps folding into the same question. They behave differently and the advice does not transfer.

18 18AttorneyGrant, DebRD_ATL, KristenIndy and 15 others
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TirzTom
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Nov 8, 2025 at 6:05 AM#14

The figures, for anyone assembling their own picture. Keep the original post as written when you update it, and add the correction underneath. An edited-away mistake is invisible to the next person who makes it.

Last edited: Nov 8, 2025 at 10:05 AM
17 17SandraNC_45, Dr.EndoIndy, tom_AK and 14 others
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mike_mod
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Nov 9, 2025 at 3:56 AM#15

Moderator note: leaving this open. It is being argued well and the disagreement is the useful part. Report rather than reply if it drifts again.

Last edited: Nov 9, 2025 at 5:56 AM
16 16PurityPaulOR, MaxMetOK, MounjBrad and 13 others
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