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ForumsSide Effects & ManagementNausea incidence by dose tier — STEP and SURMOUNT meta-analysis Page 3

Nausea incidence by dose tier — STEP and SURMOUNT meta-analysis

Dr.Martinez Mon, Jun 8, 2026 at 2:56 AM 16 replies 432 viewsPage 3 of 4
lori_vegas
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Jun 8, 2026 at 8:02 AM#11
paige_pharma said:
The practical protocol is dull and it works: smaller meals, stop eating at the first sign of fullness rather than at the end of the plate, drop the…

That reframing is the part I needed. Taking it to my next appointment.

31 4amy_econ_NJ, bbq_ray_KC, oliver_london and 28 others
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VendorMark
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Jun 8, 2026 at 9:37 AM#12

From the other side of the consultation, briefly. The honest answer is that the effect is real, the magnitude is contested, and the individual variation is larger than either. Those three things can all be true at once, and most arguments here are two people holding different parts of that.

I would rather be corrected than agreed with, if it comes to it.

32 5KristenIndy, MarkLI_maint, Dr.PeteFamMed and 29 others
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mike.trainer_LA
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Jun 8, 2026 at 11:12 AM#13
traveltech_sara 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.

Pushing back on traveltech_sara here. 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.

Ask again with the specifics and you will get a better answer than this one.

Last edited: Jun 8, 2026 at 3:12 PM
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Dr.AddMedPHL
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Jun 8, 2026 at 12:48 PM#14

The figures, for anyone assembling their own picture. Give anything pharmacological four weeks before you judge it, and give anything measured weekly a four-point rolling average before you call it a trend.

Worth separating that from tirzepatide, which this thread keeps folding into the same question. They behave differently and the advice does not transfer.

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Admin
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Jun 8, 2026 at 2:23 PM#15

Moderator note: reminder that nothing in this thread is medical advice, and that clinical claims need a source. Report rather than reply if it drifts again.

35 8PeptideSynthNJ, Dr.KarenChen, Dr.NateNeph and 32 others
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