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ForumsTirzepatide (Mounjaro / Zepbound)Tirzepatide and cholesterol — LDL/HDL ratio improvements Page 3

Tirzepatide and cholesterol — LDL/HDL ratio improvements

Dr.LipidDallas Sat, May 23, 2026 at 8:05 AM 12 replies 374 viewsPage 3 of 3
LondonLisa
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May 23, 2026 at 9:53 PM#11
Dr.NateNeph 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.

This is exactly what I could not find anywhere else. Taking it to my next appointment.

35 10SaraMom3, Dr.MetabolicMD, RetaRick_CA and 32 others
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sean_dublin
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May 24, 2026 at 6:48 AM#12

Clinical perspective, offered as context rather than as advice.

Comprehensive lipid panel update relevant to the lipid panel:

MarkerBaseline6 Months12 MonthsReference
Total Cholesterol259214184<200
LDL164119104<100
HDL474656>40
Triglycerides239174114<150
LDL-P16791129929<1000

The triglyceride drop is the most impressive. My cardiologist reduced my statin dose based on these results.

34 9sean_dublin, hannah_MT, Dr.SportsMedIN and 31 others
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RetaRick_CA
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May 24, 2026 at 3:43 PM#13
Dr.GutHealth said:
The GIP arm is doing real work rather than padding the label.

I read this differently from Dr.GutHealth, on substance rather than tone. The "tirzepatide is simply better" summary irritates me. It is better on mean weight loss, and the cardiovascular outcome evidence is far thinner than semaglutide's. If the reason for treating is cardiovascular risk rather than weight, the evidence base points the other way.

33 8DadBodDave, AmyNC_wife, SkepticalSean and 30 others
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PeptideMeter — Independent Peptide Analytics

Community-driven peptide testing and vendor rating platform. Transparent results. Unbiased analysis. Trusted by thousands.

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LabKate
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May 25, 2026 at 12:38 AM#14
Dr.LipidDallas said:
ApoB is the more informative number and it is cheap.

Before/after bloodwork compilation for the lipid panel — everything in one place for those who want comprehensive data:

CategoryMarkerBeforeAfter 12moChange
MetabolicA1C8.2%5.4%⬇️ 1.4%
MetabolicFasting Glucose12189⬇️ 31
LipidsLDL15498⬇️ 56
LipidsTriglycerides256111⬇️ 126
InflammationhsCRP5.50.9⬇️ 4.0

Every single metabolic marker improved. This is why I'm a believer in this therapy.

32 7emily_PDX, Dr.SleepRoch, laura_annarbor and 29 others
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Admin
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May 25, 2026 at 9:34 AM#15

Moderator note: two posts asking for a source have been merged into one. Please search the thread before asking again. No action needed from anybody.

31 6PeptideSynthNJ, Dr.KarenChen, Dr.NateNeph and 28 others
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