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ForumsSide Effects & ManagementSulfur burps on tirzepatide — need advice Page 5

Sulfur burps on tirzepatide — need advice

MaxMetOK Mon, Feb 2, 2026 at 5:45 PM 39 replies 1,218 viewsPage 5 of 8
Dr.SurgeonPGH
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Feb 9, 2026 at 10:27 PM#21
anders_CPH said:
Agreed on the mechanism, with the caveat that the head-to-head used semaglutide 1mg, not 2.4mg.

Same pattern here, and in the same order. The detail I would add is minor and it is already implied above.

25 23DoseLogDan, SleepFixSam, PurityPaulOR and 22 others
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oliver_london
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Feb 10, 2026 at 5:53 PM#22
anders_CPH said:
Agreed on the mechanism, with the caveat that the head-to-head used semaglutide 1mg, not 2.4mg.

Coming at anders_CPH’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.

I would rather be corrected than agreed with, if it comes to it.

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raj_cambridge
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Feb 11, 2026 at 1:18 PM#23

Adding the numbers, since they settle part of this. Say what you would expect to see if you were wrong, before you look. It is a small discipline and it changes what you notice.

27 0TomTeleRx, DoseLogDan, SleepFixSam and 24 others
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Dr.PeteFamMed
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Feb 12, 2026 at 8:43 AM#24

Following on from anders_CPH — and this may be the naive question:

Whether anyone has held 10mg long term rather than climbing, and what happened over the following year?

28 1Dr.BariatricHTX, LindaRN_retired, tommy_boulder and 25 others
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quinn_sf
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Feb 13, 2026 at 4:07 AM#25
raj_cambridge said:
Say what you would expect to see if you were wrong, before you look.

I am going to disagree with the direction of travel here. The thread has converged on the tidiest answer rather than the best-supported one, and those are not the same thing.

Ask again with the specifics and you will get a better answer than this one.

29 2Dr.EndoEP, GraceAZ_72, carl_compliance and 26 others
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