vialroom

#semaglutide 2025-09-26

Friday58 messages10 participantstimes are UTC
Highlights from this day
  • mcg_not_mg — did anybody find a difference between BCH and pharmacy at the same 12 19:41
  • provincial_pat — is 2.4 the top or do people go past it 21:47
  • stack_sceptic — anyone gone from 15 straight to 7.5 or is that too big a jump 22:01
  • snac_and_water — i stayed on 1.7 for 9 months and never went to 2.4, appetite was already where i needed it 22:19
TT

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

Cited study
Effect of Semaglutide Coadministered with Intensive Behavioural Therapy (STEP 3)
JAMA · 2021
Semaglutide plus intensive behavioural therapy and a low-calorie diet run-in.

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

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

restarted after 7 months off at a low dose and the nausea arrived exactly like the first time

SA

lost about 34kg on the low doses before i even got to 1, which surprised me

slightly off topic but STEP 1 ran to 68 weeks. thats the one everyone half remembers

SELECT wasnt weight

MM

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

VB

Testing queue: 7 submissions open, 120 awaiting dispatch.

MM

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

MM

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

MU

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

did anybody find a difference between BCH and pharmacy at the same 12

peptidemeter-summary-d-0718.pdf
2 pages · 462 KB · not retained in the public archive
🧪5
MN

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

seven days ish

MN

unrelated but how did people handle the jump from 1 to 1.7

MM

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

MU

coming back to this licensed ceiling for weight is 2.4 weekly, anything above that is not a licensed dose

VL

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

📈2

does moving my dose day by two days matter with a seven day half life

anyone compared their 5 vial dosing against the pen increments

does anyone actually run a five week step instead of four

VB

Testing queue: 2 submissions open, 39 awaiting dispatch.

SS

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

👀9
SA

the plateau hit me at 24 weeks and moved again about a month later without a dose change

*week 34 not week 6

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

[edited]

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

PP

the appetite effect faded for me around 22 months and going up fixed it for a while, i think

SA

2.4 is the ceiling

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
SA

while im here whats the actual licensed ceiling, i keep seeing different numbers

slightly off topic but how many weeks before you noticed anything at 1

steady state takes weeks

SS

anyone gone from 15 straight to 7.5 or is that too big a jump

📉11⚠️6
SA

update on the earlier thing my Medutest report on the ERP vial came back 97.4 against a certificate saying 98.1, i think

SA

i stayed on 1.7 for 9 months and never went to 2.4, appetite was already where i needed it

📈7💀8🧊2

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

how long did the first 31kg take for people at the low doses

SA

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

[edited]

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

SS

for the archive is the plateau at 23 weeks normal or am i doing something wrong

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