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Evidence-based GLP-1 & peptide discussion since 2023
ForumsTirzepatide (Mounjaro / Zepbound)Switching from sema to tirz and WOW the difference — what worked for you? Page 2

Switching from sema to tirz and WOW the difference — what worked for you?

COA_Karl Thu, Aug 7, 2025 at 10:38 PM 13 replies 1,517 viewsPage 2 of 3
KevinCompounds
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Aug 8, 2025 at 12:00 AM#6
anders_CPH said:
Steady state is faster than people expect: half-life about five days, so you are at plateau in roughly three to four weeks rather than five.

I read this differently from anders_CPH, on substance rather than tone. The "tirzepatide is simply better" summary irritates me. It is better on mean weight loss, and the cardiovascular outcome evidence is far thinner than semaglutide's. If the reason for treating is cardiovascular risk rather than weight, the evidence base points the other way.

24 2jennifer_SEA, tyler_CSCS, VanRx_Mike and 21 others
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DanielChem_CHI
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Aug 8, 2025 at 12:32 AM#7

Adding the numbers, since they settle part of this. One habit that pays for itself: post the method alongside the number. A figure without its method cannot be checked, and an unchecked figure is how this community accumulates folklore.

Last edited: Aug 8, 2025 at 2:32 AM
25 3Dr.DermMIA, fiona_VT, denise_HTX and 22 others
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PedsEndoPhilly
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Aug 8, 2025 at 1:04 AM#8
KevinCompounds said:
The "tirzepatide is simply better" summary irritates me.

There is a second half to this that has not been said yet. Most of what circulates confidently in this community traces back to one summary of one study, and the qualifier was dropped somewhere in the third retelling.

26 4jason_paloalto, Dr.LeslieOBGYN, MikeNYC_runner and 23 others
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tyler_CSCS
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Aug 8, 2025 at 1:36 AM#9

A narrower follow-up, since the general answer is now clear:

How much of the tirzepatide advantage is the GIP component and how much is simply that the dose ladder goes higher in receptor-occupancy terms?

27 5amy_econ_NJ, bbq_ray_KC, oliver_london and 24 others
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COA_Karl
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Aug 8, 2025 at 4:10 AM#10

OP back with an update, since a thread like this is useless without one.

I stayed at 10mg. Another six months, another 7kg, no new side effects, and my reading of the dose-response says the last two steps were never going to be worth what they cost me.

25 0LindaRN_retired, tommy_boulder, hyun_seoul and 22 others
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