vialroom

#semaglutide 2025-02-13

Thursday36 messages9 participantstimes are UTC
Highlights from this day
  • taper_or_not — for the archive does anyone actually run a five week step instead of four 19:18
  • group_buy_gwen — held at 2 and lost 33lb over 15 months, slower than the trials and fine by me 20:14
  • u100_pat — back after 24 months off, do i restart at 0.25 or somewhere higher steady state is the bit people skip, judging a new dose after eight days tells you almost nothing 21:16
TO

for the archive does anyone actually run a five week step instead of four

🤝1🙏141

the long half life flattens the trough more than people expect, i never felt a day seven dip

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.

mine faded too

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
RR

anyone gone from 2.4 straight to 0.25 or is that too big a jump

SO

for the archive how long did the first 28kg take for people at the low doses

AO

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

my 10 vial in 3ml gives 5mg/ml so 10 lands on 5 units, thats why i picked that volume

fridge-temps.csv
495 rows · not retained in the public archive
GB

held at 2 and lost 33lb over 15 months, slower than the trials and fine by 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
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does the seven day half life mean the last two days are weaker

coming back to this steady state is the bit people skip, judging a new dose after eight days tells you almost nothing, thats one data point

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

RR

moving my dose day by a day or two never did anything noticeable for me, from memory
my plateau was the scale stopping while appetite stayed suppressed, which is a different problem

II

i stayed on 1.7 for 19 months and never went to 2.4, appetite was already where i needed it
i was wrong about the ceiling for a year, i thought 3 existed. it doesnt for the weight indication

RR

for the archive did anyone hold at 1 longer than four weeks before going up

RR

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

sorry to jump in STEP 4 had the withdrawal arm, thats the one people quote when they talk about stopping

U1

my VendorInvestigate report on the ERP vial came back 99 against a certificate saying 98.6

back after 24 months off, do i restart at 0.25 or somewhere higher
steady state is the bit people skip, judging a new dose after eight days tells you almost nothing

👍3🙏10😂3

i held at 1 for 9 months and it was the best decision i made

steady state takes weeks

OW

follow up did anyone titrate slower than four weeks a step and how did that go

U1

im 14 months in at 10 and the appetite effect faded, is that a thing

OW

the trials titrated on a fixed schedule, most people here dont, worth remembering when comparing

OW

the appetite effect faded for me around 19 months and going up fixed it for a while

❤️1⚠️3

how did people handle the jump from 1 to 1.7

AA

€185 a month for compounded against what brand costs locally is why most people here use vials

SELECT wasnt weight