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ForumsTirzepatide (Mounjaro / Zepbound)Mounjaro pen vs compounded vial - pros and cons? — looking for input Page 2

Mounjaro pen vs compounded vial - pros and cons? — looking for input

nick_newbie Tue, Jul 9, 2024 at 10:50 AM 43 replies 2,583 viewsPage 2 of 9
raj_cambridge
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Jul 9, 2024 at 12:08 PM#6

The figures, for anyone assembling their own picture. Practical numbers: half-life about 5 days, steady state 3 to 4 weeks, ladder 2.5 / 5 / 7.5 / 10 / 12.5 / 15mg, and the maintenance doses with published data behind them are 5, 10 and 15mg.

Last edited: Jul 9, 2024 at 1:08 PM
19 14SleepFixSam, PurityPaulOR, MaxMetOK and 16 others
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amy_econ_NJ
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Jul 9, 2024 at 12:38 PM#7

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

What actually distinguishes 503A from 503B, in terms of what each may make and from what starting material?

Last edited: Jul 9, 2024 at 3:38 PM
18 13hannah_MT, Dr.SportsMedIN, amy_econ_NJ and 15 others
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james_edin
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Jul 9, 2024 at 1:08 PM#8
raj_cambridge said:
Practical numbers: half-life about 5 days, steady state 3 to 4 weeks, ladder 2.5 / 5 / 7.5 / 10 / 12.5 / 15mg, and the maintenance doses with…

Adding the part of the answer the thread has not reached. 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: Jul 9, 2024 at 3:08 PM
17 12tane_welly, Dr.PathRoch, mona_PHX and 14 others
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nick_newbie
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Jul 9, 2024 at 1:38 PM#9

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

The bulks-list asymmetry was the piece I had missed entirely. It explains why one of my two pharmacies is still arguing it can supply and the other simply stopped.

Last edited: Jul 9, 2024 at 4:38 PM
16 11LarryQC_SD, wanda_boise, NurseAsh_DET and 13 others
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FranDenver
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Jul 9, 2024 at 4:02 PM#10
james_edin said:
SURMOUNT-1 landed around 20.9% mean weight loss at 15mg over 72 weeks, against roughly 15% for semaglutide 2.4mg in STEP 1.

Agreed, and the enforcement dates were staggered by category — 503A first, 503B a few weeks later — because outsourcing facilities have manufactured inventory and clinic contracts to unwind while a 503A makes to order.

32 5GenomicsKate, Dr.ObesityMed, HealthEcon_DC and 29 others
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