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ForumsDosing & ProtocolsTirzepatide titration: 2.5→5→7.5→10→12.5→15mg guide Page 9

Tirzepatide titration: 2.5→5→7.5→10→12.5→15mg guide

Dr.Martinez Mon, Feb 19, 2024 at 5:20 PM 181 replies 34,127 viewsPage 9 of 20
andrew_nyc
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Apr 11, 2024 at 6:16 PM#41
SleepDoc_PDX said:
One habit that pays for itself: post the method alongside the number.

Genuinely useful, thank you. I had the facts and not the framework. Taking it to my next appointment.

Last edited: Apr 11, 2024 at 11:16 PM
46 21Dr.KarenChen, Dr.NateNeph, PharmD_Rodriguez and 43 others
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julia.endo
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Apr 13, 2024 at 9:33 PM#42

Adding the clinical framing, because it changes how the question reads. It is worth asking what the claim would look like if it were false. If nothing would look different, it is not a claim about the world and no amount of discussion will settle it.

45 20mark_tokyo, hans_munich, jason_sac26 and 42 others
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mike_mod
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Apr 16, 2024 at 12:48 AM#43

Moderator note: reminder that nothing in this thread is medical advice, and that clinical claims need a source. Thread quality here is what the rules are for. Keep it up.

44 19DoseLogDan, SleepFixSam, PurityPaulOR and 41 others
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DerekSJ_a1c
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Apr 18, 2024 at 4:02 AM#44
julia.endo said:
It is worth asking what the claim would look like if it were false.

Coming at julia.endo’s question from a different direction. Four weeks is the pharmacokinetics, not caution. With a one-week half-life you need four to five half-lives to reach steady state, so at two weeks you are dosing on top of a concentration that has not finished rising. Escalating then stacks exposure and you get the side-effect burden of the higher dose before you have seen the benefit of the current one.

Last edited: Apr 18, 2024 at 9:02 AM
43 18traveltech_sara, AttorneyGrant, DebRD_ATL and 40 others
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anders_CPH
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Apr 20, 2024 at 7:15 AM#45

One concrete data point for the thread. Give anything pharmacological four weeks before you judge it, and give anything measured weekly a four-point rolling average before you call it a trend.

Last edited: Apr 20, 2024 at 11:15 AM
42 17ChrisMacros, KetoKyle, CanadaChris and 39 others
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