Giant Semaglutide Thread (and other GLP-1 / GIP agonists)

1mg tirz insulin sensitivity really falls off by day 4.

was going kinda hypo in the 60s in the first few days with a morning BG of 71 and this morning my FBG was 92 but sleep or stress mightve been a factor

doing 1.5mg now (bringing me to serum of just shy of 2mg 2nd shot levels) and doing 2mg next week, hoping to just ride that out as it seems to be a sweet spot if you arent seeking appetite supression
 
Pinned 15 mg Tirz before bed last night and woke up feeling like I got the absolute shit beaten out of me with a bat for eight hours straight. No idea what the hell that was, but I’m still in shock. After vacation I’m definitely dropping the dose. Any smart way to do it? Should I play nice and taper down, or just say “fuck it” and jump straight from 15 to 5 mg and call it a fresh start?

I suggest a gradual taper down. 10 would be reasonable and significantly reduce the risk of a repeat of bad sides, but avoid the appetite rebound that can be insanely strong. Then reassess whether to stay at that level or drop again.

You've invested a lot of time titrating up the proven way, maintaining steady levels with gradual dosage changes. You can maintain that steady course with a small adjustment for the unexpected sides, instead of overreacting and sending levels of insulin and satiety hormones crashing down, only to find yourself scrambling to raise the dose again after an over correction leads to a voracious appetite.
 
Pinned 15 mg Tirz before bed last night and woke up feeling like I got the absolute shit beaten out of me with a bat for eight hours straight. No idea what the hell that was, but I’m still in shock. After vacation I’m definitely dropping the dose. Any smart way to do it? Should I play nice and taper down, or just say “fuck it” and jump straight from 15 to 5 mg and call it a fresh start?
drop down to 5mg. tirz has such a long half life it'll feel natural.

like ghoul says drop down however u like to what dosage you need. but u can absolutely drop down in 1 week
 
Pinned 15 mg Tirz before bed last night and woke up feeling like I got the absolute shit beaten out of me with a bat for eight hours straight. No idea what the hell that was, but I’m still in shock. After vacation I’m definitely dropping the dose. Any smart way to do it? Should I play nice and taper down, or just say “fuck it” and jump straight from 15 to 5 mg and call it a fresh start?
I would not pin for at least a week and then start over with a more reasonable dose
 
Try 5mgs 3 times a week. Thats where I’m at and feel great

Monday / Thrs / Sat

Skin irritation is only side I experience
Speaking of skin irritation anyone found a solution to this? I have rotated abdomen sides made sure everything is clean and dry, new Bac water etc and every time I get a giant spot and irritation. Nothing for the old lady with the same process.
 
Speaking of skin irritation anyone found a solution to this? I have rotated abdomen sides made sure everything is clean and dry, new Bac water etc and every time I get a giant spot and irritation. Nothing for the old lady with the same process.

What is the volume of your injection?
 
Interesting data:
Retatrutide (LY3437943) TFA is a triple agonist peptide of the glucagon receptor (GCGR), glucosedependent insulinotropic polypeptide receptor (GIPR), and glucagon-like peptide-1 receptor (GLP-1R). Retatrutide TFA binds human GCGR, GIPR, and GLP-1R with EC50 values of 5.79, 0.0643 and 0.775 nM, respectively. Retatrutide TFA can be used for the research of obesity.

Source:

The novel GIP, GLP-1, and Glucagon Triple Receptor Agonist LY3437943 Exhibits Robust Efficacy in Preclinical Models of Obesity and Diabetes

American Diabetes Association – 81st Annual Scientific Sessions; Virtual; 25-29 June 2021

TLDR from this paper (see attached images):
Retatrutide compared to native ligands:
1.7x weaker at GLP1r agonism
2.5x weaker at GCCR agonism
7x STRONGER at GIPr agonism

This article shows that even tho it's weaker at the GCCR by 2.5x the glucose output from hepatocytes (liver cells) is only 0.6x weaker. So it's quite effective at burning liver fat directly or gluconeogenesis? I'm not sure.

These agonism numbers make it an "unbalanced ligand" or agonist. Compared to Mazdutide which is much more balanced in it's profile. I'm still to find the EC50 for Mazdutide.

See attached slides for reta. I've got a few more articles to read on it.1000081783.webp1000081787.webp1000081789.webp
 
I am definetly a responder to Tirzepatide. Before Tirz I was 30lbs heaver than I am now, and that was me doing my absolute best with diet and training to keep my weight down. If I hadn't been trying at all I would have been worryingly obese. I have an absurd appetite, always been like this since I was a kid. I tried sema before tirz and 0.25mg of pharma Ozempic gave me the worst stomach pain and nausea of my life (it made me litterally bedbound for a few days) used it for 3 weeks amd ditched it.
Tirzepatide DEFINETLY works for me, I just think that being lower bodyfat is unnatural for my body, so it fights back.
Before Tirz the leanest I had gotten was 15% bf or so and it was a grind. maintained for only like 1 month before balooning back up to 30+% bf. now I am at 13-14% (I guess) and I have to put a good amount of effort to maintain it, but still nowhere near as much effort as I had to put in before to even get below 20%
Have you tried upping your protein to 300g a day? I'm a former fat ass and that is the only thing that stopped the hunger. Lyle Macdonald has great stuff on diet.
 
Have you tried upping your protein to 300g a day? I'm a former fat ass and that is the only thing that stopped the hunger. Lyle Macdonald has great stuff on diet.
I sometimes did eat that much protein but now I try to keep it under 200g since I don't need any more than 150g relistically. That much protein will create a lot of ammonia and oxidative stress. Excessive protein intake also ages you faster and puts strain on your heart and kidneys. tbh I haven't found that eating more than 150-200g of protein satiates me much. just feels like a waste of money and health when vegetables, tubers, legumes and fat sources would be cheaper and healthier.
I did eat 300g+ of protein for some periods of time but now I understand it was just dumb and expensive for me. I felt fuller but still had cravings. I think that eating 150-200g max and having more fats and high fiber carbs is the smarter way to go
 
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I sometimes did eat that much protein but now I try to keep it under 200g since I don't need any more than 150g relistically. That much protein will create a lot of ammonia and oxidative stress. Excessive protein intake also ages you faster and puts strain on your heart and kidneys. tbh I haven't found that eating more than 150-200g of protein satiates me much. just feels like a waste of money and health when vegetables, tubers, legumes and fat sources would be cheaper and healthier.
I did eat 300g+ of protein for some periods of time but now I understand it was just dumb and expensive for me. I felt fuller but still had cravings. I think that eating 150-200g max and having more fats and high fiber carbs is the smarter way to go
Ah okay. Stick with what isn't working then.
 
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