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Evidence-based GLP-1 & peptide discussion since 2023
ForumsDosing & ProtocolsTirzepatide titration: 2.5→5→7.5→10→12.5→15mg guide Page 5

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

Dr.Martinez Fri, Nov 24, 2023 at 5:20 PM 72 replies 44,284 viewsPage 5 of 15
emma_london
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Oct 2024
London, UK
Nov 25, 2023 at 12:25 AM#21

kevin_tulsa — that is really helpful context on Tirzepatide titration. Follow-up question: did you change anything about your diet at the same time?

I am in a similar situation (month 2) and trying to set realistic expectations.

Last edited: Nov 25, 2023 at 6:25 AM
15 22sarah_nash92, FitDadDave, RunnerRach and 12 others
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traveltech_sara
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156
678
Jan 2025
Remote, USA
Nov 25, 2023 at 12:42 AM#22

To answer AussieAnna's question specifically:

From a clinical standpoint, Tirzepatide titration is well-supported by the literature.

The short answer: follow the standard titration protocol and reassess at 4-6 weeks.

The longer answer involves pharmacokinetic considerations around steady-state concentrations, which I am happy to elaborate on if helpful.

13 5LarryQC_SD, wanda_boise, NurseAsh_DET and 10 others
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Dr.PainCLE
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Mar 2024
Cleveland, OH
Nov 25, 2023 at 12:59 AM#23

emma_london — wow. This community is amazing.

Last edited: Nov 25, 2023 at 3:59 AM
27 23oliver_london, tane_welly, Dr.PathRoch and 24 others
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lucas_SP_BR
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456
1,890
Jun 2024
São Paulo, BR
Nov 25, 2023 at 1:16 AM#24

Adding my data to this Tirzepatide titration discussion:

MetricBaselineMonth 5Month 8
Weight274 lbs219 lbs209 lbs
A1C6.8%6.0%5.4%
hsCRP8.04.00.8

Protocol: Semaglutide 1.7mg/wk, resistance training 3x/wk, protein 1.6g/kg/day.

21 2KarenAZ_mom, zoe_NC, Dr.ObesityLA and 18 others
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ben_calgary
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Oct 2024
Calgary, CA
Nov 25, 2023 at 1:33 AM#25

Slightly tangential to Tirzepatide titration but emma_london reminded me — does anyone have experience combining this with metformin?

I know it is not exactly on-topic but it seems related enough to ask here rather than starting a new thread. Apologies if this has been covered — I did search first.

Last edited: Nov 25, 2023 at 7:33 AM
34 4NauseaFreeNow, SteveThurs, B12Beth and 31 others
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