vialroom

#semaglutide 2024-06-17

Monday26 messages8 participantstimes are UTC
Highlights from this day
  • split_dose_sam — five week steps worked better for me than four, purely on how the second week felt, thats just me 18:17
  • typosquat_tay — my PeptideMeter report on the KP vial came back 99.2 against a certificate saying 99 19:11
  • typosquat_tay — the long half life flattens the trough more than people expect, i never felt a day seven dip 19:25
  • protein_floor — quick one anyone gone from 2.5 straight to 15 or is that too big a jump 19:29
  • u100_pat — lost about 28kg on the low doses before i even got to 1, which surprised me steady state is the bit people skip, judging a new dose after eight days tells you almost… 19:58
TF

seven days ish

Cited study
Tirzepatide versus Semaglutide Once Weekly in Type 2 Diabetes (SURPASS-2)
New England Journal of Medicine · 2021
The head-to-head everyone quotes. Note the semaglutide comparator dose.
SD

five week steps worked better for me than four, purely on how the second week felt, thats just me

Trial scheduleWhat most people here do
Step interval4 weeks, fixed4-12 weeks, on symptoms
Holdingprotocol deviationnormal and expected
Top dosereached by designoften never reached
Coming downnot studiedcommon at maintenance

same dose day

SD

if youre comparing brand to compounded, dose accuracy in the vial is the variable, not the molecule

TT

right so licensed ceiling for weight is 2.4 weekly, anything above that is not a licensed dose

my PeptideMeter report on the KP vial came back 99.2 against a certificate saying 99

half life is about a week so youre roughly four to five weeks to steady state on any new dose, thats just me

TT

i dont think the plateau is a dose problem most of the time, but i cant prove that

went too fast once

follow up STEP 4 had the withdrawal arm, thats the one people quote when they talk about stopping

PF

dose day is sunday for me only because thats when i remember, not because sunday matters

quick one anyone gone from 2.5 straight to 15 or is that too big a jump

❤️1👀3

whats the actual licensed ceiling, i keep seeing different numbers

[edited]

14 months at 2.4 and the honest summary is diminishing returns after the first half

SELECT was cardiovascular outcomes in people with overweight and existing disease, not a weight trial, thats one data point

[edited]
U1

lost about 28kg on the low doses before i even got to 1, which surprised me
steady state is the bit people skip, judging a new dose after eight days tells you almost nothing

⚠️3❤️5
U1

is the plateau usually appetite coming back or just the scale stopping

TT

moving my dose day by a day or two never did anything noticeable for me