vialroom

#semaglutide 2024-08-25

Sunday30 messages8 participantstimes are UTC
Highlights from this day
  • pinch_not_stretch — ok so steady state is the bit people skip, judging a new dose after eight days tells you almost nothing 18:49
  • surpass_two — update on the earlier thing the plateau hit me at 23 weeks and moved again about a month later without a dose change 19:05
  • split_dose_sam — i stayed on 1.7 for 13 months and never went to 2.4, appetite was already where i needed it 20:09
  • half_life_hal — i dont think the plateau is a dose problem most of the time, but i cant prove that 20:45
  • surpass_two — my Medutest report on the QST vial came back 99.2 against a certificate saying 99.4 21:15
ST

anyone compared their 2.5 vial dosing against the pen increments

WT

steady state takes weeks

weights-monthly.csv
146 rows · not retained in the public archive

STEP is several trials, so saying STEP said x is usually wrong without a number after it, i could be wrong

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.

does the seven day half life mean the last two days are weaker

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
WT

vial units and pen clicks are different systems, mixing the two is how people end up wrong

📉1💀4
KF

went 1 to 1.7 too fast and spent two weeks regretting it, dropped back and repeated the step

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

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

VB

Inter-lab diff for lot G-0641: 96.8% vs 99.2%. Within expected range.

🧪1⚠️10
PN

ok so steady state is the bit people skip, judging a new dose after eight days tells you almost nothing

wk 1-4    0.25mg
wk 5-10   0.50mg   (held 2 extra weeks)
wk 11-14  1.00mg
wk 15-26  1.70mg   (held, long)
wk 27+    2.40mg
📉6
KF

compounded and brand felt the same to me at 2.4, which is one person and nothing more

ST

update on the earlier thing the plateau hit me at 23 weeks and moved again about a month later without a dose change

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
❤️3👀12🔥4

the appetite effect faded for me around 15 months and going up fixed it for a while

2.4 is the ceiling

SD

i stayed on 1.7 for 13 months and never went to 2.4, appetite was already where i needed it

📉114🔥4

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

HL

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

👍6💀4🎉14
TF

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

TF

update on the earlier thing €55 a month for compounded against what brand costs locally is why most people here use vials

unrelated but FLOW was the kidney outcomes trial and it gets quoted in here for things it didnt measure, thats one data point

ST

my Medutest report on the QST vial came back 99.2 against a certificate saying 99.4

wk 1-4    0.25mg
wk 5-10   0.50mg   (held 2 extra weeks)
wk 11-14  1.00mg
wk 15-26  1.70mg   (held, long)
wk 27+    2.40mg

i held at 10 for 8 months and it was the best decision i made
my 10 vial in 2ml gives 2.5mg/ml so 2 lands on 30 units, thats why i picked that volume

ST

whats the actual licensed ceiling, i keep seeing different numbers