Bookmarking this. I will come back when I have something worth adding.
Reading SURMOUNT-1 without the press release — one year on
Building on post #7 rather than restating it.
I would rather this thread reach "we do not know" about Reading SURMOUNT-1 without the press than reach a confident answer that nobody can support when asked.
The five maintenance doses in the tirzepatide programme give a genuine dose-response curve, which is unusual. Most trials in this space compare one or two doses against placebo and cannot say anything about the shape of the relationship.
SURMOUNT-4's randomised withdrawal design is the strongest available evidence about what happens on stopping. It says nothing about a lower maintenance dose, because the comparison was continue versus placebo rather than continue versus less.
Confirming post #45 from a second method, which matters more than confirming it from a second person.
Offering a way to settle Reading SURMOUNT-1 without the press rather than another opinion about it. Two measurements, taken the same way, a fortnight apart. If the difference is within the noise, the question was not answerable at this precision.
Confirming post #48 from a second method, which matters more than confirming it from a second person.
Small methodological point on Reading SURMOUNT-1 without the press: repeating a measurement is cheap and resolves most of what is being argued about here at no cost to anyone.
Read the full topic (51 posts)
This topic was referenced in
- What the GIP component of tirzepatide is thought to contribute, and how confident we can be — the long versionCompounds › Tirzepatide · 52 replies
- [2026 update] Does dual agonism explain the effect size, or is it dose?Compounds › Tirzepatide · 63 replies
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