vialroom

#semaglutide 2025-09-24

Wednesday45 messages9 participantstimes are UTC
Highlights from this day
  • cagri_curious — changed my mind on the four week rule, i think it depends entirely on how the current dose feels 17:56
  • sharps_bin_sid — right so if youre comparing brand to compounded, dose accuracy in the vial is the variable, not the molecule, i could be wrong 18:34
  • seizure_letter — unrelated but whats the actual licensed ceiling, i keep seeing different numbers 19:56
CC

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

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LL

i was wrong about the ceiling for a year, i thought 3 existed. it doesnt for the weight indication

coa-a-2418.pdf
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SB

right so if youre comparing brand to compounded, dose accuracy in the vial is the variable, not the molecule, i could be wrong

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JJ

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

AA

did anybody find a difference between FGP and pharmacy at the same 0.25

AA

i held at 2.5 for 6 months and it was the best decision i made

SB

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

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SB

slightly off topic but 13 months at 2.4 and the honest summary is diminishing returns after the first half

AA

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

AA

ok so going slow cost me nothing except time and saved me two bad weeks, thats my whole contribution
€38 a month for compounded against what brand costs locally is why most people here use vials

STEP 1 ran to 68 weeks. thats the one everyone half remembers

SB

follow up my dose day drifted from friday to sunday, does that reset anything

AA

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

slightly off topic but did the STEP 4 withdrawal arm show what i think it showed

anyone gone from 12 straight to 1.7 or is that too big a jump

SL

unrelated but whats the actual licensed ceiling, i keep seeing different numbers

Cited study
Semaglutide vs Liraglutide for Weight Loss in Adults with Overweight or Obesity (STEP 8)
JAMA · 2022
Weekly against daily, head to head.
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FLOW was the kidney outcomes trial and it gets quoted in here for things it didnt measure

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

compounded and brand felt the same to me at 2, which is one person and nothing more

lost about 15kg on the low doses before i even got to 1, which surprised me

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my 5 vial in 1ml gives 10mg/ml so 2 lands on 12 units, thats why i picked that volume

how long till steady state, ive read the half life is about a week

SL

my PeptideMeter report on the QSC vial came back 96.8 against a certificate saying 99.4

LL

SELECT was cardiovascular outcomes in people with overweight and existing disease, not a weight trial
my Medutest report on the FGP vial came back 98.1 against a certificate saying 97.4

MP

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

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JJ

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

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*Medutest not the other one

vials not pens here

LL

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

LL

for the archive does the licensed ceiling for weight differ from the diabetes one

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