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#semaglutide 2024-11-12

Tuesday32 messages9 participantstimes are UTC
Highlights from this day
  • identity_shift — i dont think the plateau is a dose problem most of the time, but i cant prove that 13:54
  • surpass_two — changed my mind on the four week rule, i think it depends entirely on how the current dose feels 14:23
  • cold_pack_carla — back after 11 months off, do i restart at 0.25 or somewhere higher 16:55
  • charge_state — is the plateau usually appetite coming back or just the scale stopping 17:47
IS

went to 2.4 and the extra suppression wasnt worth the GI for me, so i came back down

IS

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

🔥13👀15🤝1

whats the actual licensed ceiling, i keep seeing different numbers

IS

im 23 months in at 12 and the appetite effect faded, is that a thing

🤝11
CP

i stayed on 1.7 for 7 months and never went to 2.4, appetite was already where i needed it

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

£72 a month for compounded against what brand costs locally is why most people here use vials

👍8😂4

does the licensed ceiling for weight differ from the diabetes one

thats STEP 1

how many weeks before you noticed anything at 7.5

changed my mind on the four week rule, i think it depends entirely on how the current dose feels

🙏3😂18
ST

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

right so is there a reason to hold at 1.7 rather than going to 2.4

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
CS

STEP 4 had the withdrawal arm, thats the one people quote when they talk about stopping, i could be wrong

did the STEP 4 withdrawal arm show what i think it showed

IS

while im here what did SELECT actually measure, i see it quoted for everything

CP

back after 11 months off, do i restart at 0.25 or somewhere higher

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
CP

how long did the first 41kg take for people at the low doses

Cited study
Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes (SELECT)
New England Journal of Medicine · 2023
Hard cardiovascular endpoints in people with overweight or obesity and established disease.
MM

my plateau was the scale stopping while appetite stayed suppressed, which is a different problem

BS

compounded and brand felt the same to me at 12, which is one person and nothing more

VO

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

CP

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

⚠️7
VB

New independent result logged — SWB, lot H-2814, purity 98.6% (VendorInvestigate).

Batch lookup A-2601: 6 independent reports on file, earliest 2024-02-20.

KF

lost about 19kg on the low doses before i even got to 1, which surprised me

slower worked better

CS

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

😂15⚠️14🎉18