vialroom

#semaglutide 2025-02-15

Saturday44 messages12 participantstimes are UTC
Highlights from this day
  • area_percent — did anybody find a difference between QST and pharmacy at the same 2 17:22
  • area_percent — how long did the first 26kg take for people at the low doses five week steps worked better for me than four, purely on how the second week felt 18:47
  • homa_ir_hugo — my plateau was the scale stopping while appetite stayed suppressed, which is a different problem 19:38
VO

coming back to this dose day is sunday for me only because thats when i remember, not because sunday matters, ill dig out the number

VO

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

MP

my 2 vial in 1.5ml gives 4mg/ml so 7.5 lands on 30 units, thats why i picked that volume

VB

Archive lookup: verify_or_dont first appears in this channel on 2024-12-23.

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VO

slightly off topic but FLOW was the kidney outcomes trial and it gets quoted in here for things it didnt measure

IO

going slow cost me nothing except time and saved me two bad weeks, thats my whole contribution, n of 1 obviously

VO

20 months at 2.4 and the honest summary is diminishing returns after the first half, take that with a pinch of salt

FA

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

the appetite effect faded for me around 20 months and going up fixed it for a while, still working it out

€120 a month for compounded against what brand costs locally is why most people here use vials

give it four weeks

mine faded too

FA

i held at 2 for 6 months and it was the best decision i made

BS

held at 10 and lost 55lb over 20 months, slower than the trials and fine by me

Cited study
Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1)
New England Journal of Medicine · 2021
68 weeks, semaglutide 2.4mg weekly against placebo, with lifestyle intervention in both arms.

2.4 is the ceiling

TT

how long till steady state, ive read the half life is about a week
five week steps worked better for me than four, purely on how the second week felt

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BS

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

transit-times.csv
453 rows · not retained in the public archive
IO

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

VB

Archive lookup: blank_slate_bo first appears in this channel on 2024-10-25.

BS

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

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AP

did anybody find a difference between QST and pharmacy at the same 2

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

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

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

Cited study
Semaglutide vs Liraglutide for Weight Loss in Adults with Overweight or Obesity (STEP 8)
JAMA · 2022
Weekly against daily, head to head.
TT

was STEP 1 the one that ran to 68 weeks or am i mixing them up

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

TT

lost about 29kg on the low doses before i even got to 1, which surprised me

AP

i stayed on 1.7 for 13 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
AP

how long did the first 26kg take for people at the low doses
five week steps worked better for me than four, purely on how the second week felt

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AA

STEP 1 ran to 68 weeks. thats the one everyone half remembers
$120 a month for compounded against what brand costs locally is why most people here use vials

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whats the actual licensed ceiling, i keep seeing different numbers

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is 2.4 the top or do people go past it

MP

did the STEP 4 withdrawal arm show what i think it showed
the long half life flattens the trough more than people expect, i never felt a day seven dip

went too fast once

VL

compounded and brand felt the same to me at 7.5, which is one person and nothing more

MP

brand vs compounded, is there a difference people can actually feel