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Evidence-based GLP-1 & peptide discussion since 2023
ForumsTirzepatide (Mounjaro / Zepbound)5mg → 10mg → 15mg titration — looking for input Page 3

5mg → 10mg → 15mg titration — looking for input

MikeKY_noInsulin Mon, Dec 25, 2023 at 9:19 PM 30 replies 2,350 viewsPage 3 of 6
mike_mod
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Dec 26, 2023 at 1:34 AM#11

Moderator note: This thread has been getting great engagement. Please remember to cite sources when making clinical claims.

No issues to report — carry on. 👍

Last edited: Dec 26, 2023 at 3:34 AM
47 20PharmHunterJen, TomTeleRx, DoseLogDan and 44 others
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sarah_TO
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Dec 26, 2023 at 1:51 AM#12

As a pharmacist, I want to add some clinical context to this discussion on 5mg → 10mg → 15mg titration looking for.

Building on what MikeKY_noInsulin said — the evidence base here is robust. The key publications to reference are from the SELECT program[1].

Key clinical points:

  1. Efficacy is dose-dependent and typically requires 4-5 weeks to reach steady state
  2. Side effect profile is predictable and usually manageable with standard protocols
  3. Monitoring should include baseline labs and follow-up at 3-month intervals
  4. Patient education significantly improves outcomes and adherence

Standard disclaimer: this is educational, not individualized medical advice.

References:
[1] See thread title for relevant study identification.
Last edited: Dec 26, 2023 at 5:51 AM
11 11Dr.EndoEP, GraceAZ_72, carl_compliance and 8 others
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PeptideChemSF
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Dec 26, 2023 at 2:08 AM#13
mike_mod said:
Please remember to cite sources when making clinical claims

Gonna push back on this one. 5mg → 10mg → 15mg titration is not that straightforward in my experience. I have been on this for 12 months and the reality is messier than the trials suggest.

Don't get me wrong — the medication works. But cost accessibility is a real barrier. We should be honest about that.

26 7FDA_TrackerJim, ricardo_MIA, BrianDallas92 and 23 others
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BrianDallas92
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Dec 26, 2023 at 2:25 AM#14

Want to share my personal experience related to 5mg → 10mg → 15mg titration since I think it might help others in a similar situation.

I started my GLP-1 journey in October 2024 at 255 lbs with prediabetes and hypertension. My endocrinologist prescribed semaglutide 0.25mg to start.

Now, 6 months later: I am down 45 lbs, my labs have normalized, and I am off 2 of my 3 medications. The 5mg → 10mg → 15mg aspect specifically was something that made a big difference in my journey.

This community helped me every step of the way.

47 1Dr.EndoEP, GraceAZ_72, carl_compliance and 44 others
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rachel_ABQ
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Dec 26, 2023 at 2:42 AM#15

Saving this for reference. Top-tier content.

Last edited: Dec 26, 2023 at 7:42 AM
27 13Dr.CardioMD, EndoResFellow, PharmacoVig_BOS and 24 others
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