nambo said:
mamallama said:
GeeB5 said:
Hi everyone,
I'd like to know what drives your decision to switch things up, and how you figure out the right moment to adjust your dose. Is there some kind of schedule you stick to? Or do you simply trust your gut?
Thanks so much ahead of time.
I joined to pick up exactly this kind of knowledge. Having spent a few years at the maximum tirs dose, the results just aren't what they used to be for me. So at this point I'm weighing my options for what comes next.
For the past year I've used tirz, but about four months back I hit a plateau. My current split dose is 5mg every 4 days, which works out to roughly 10 mg/week — so I'm not actually at the maximum. I've held off on going to 15 mg/week because the STEP-1 RCT reported 22.5% weight loss at 15mg versus 21.4% at 10mg, meaning higher doses bring steep diminishing returns.
Across different trials, tirz 15mg produced weight loss anywhere from 20.2% (surmount-5) up to 25.5% (redefine-4). If I switched to max-dose reta, the weight loss range would be 24.2% to 28.7%, depending on the trial (triumph-4, redefine-4, etc.). That's not a huge improvement over tirz, yet the cost rises considerably.
Adding cagrilintide is what I'm considering, because it looks the most promising. A Lancet study pitted sema 2.4mg against cagri 2.4mg and the two together; weight loss came out to 5.1%, 8.1%, and 15.6% respectively. Stacking cagri's distinct MOA onto tirz really does appear likely to deliver bigger weight loss than making the switch to reta. And I'm not buying the claims about reta having muscle recomp advantages over tirz — that's purely anecdotal and no trial backs it up.