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#semaglutide 2025-11-06

Thursday35 messages8 participantstimes are UTC
Highlights from this day
  • site_itch — the trials titrated on a fixed schedule, most people here dont, worth remembering when comparing i held at 5 for 4 months and it was the best decision i made 22:03
  • monoisotopic — i held at 7.5 for 4 months and it was the best decision i made 22:55
  • lena_lots — for the archive my 2 vial in 3ml gives 5mg/ml so 12 lands on 12 units, thats why i picked that volume 23:04
SI

im 11 months in at 10 and the appetite effect faded, is that a thing

🙏2📈1

restarted after 5 months off at a low dose and the nausea arrived exactly like the first time

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

the long half life flattens the trough more than people expect, i never felt a day seven dip, not advice obviously

🧪1👍12

the trials titrated on a fixed schedule, most people here dont, worth remembering when comparing
i held at 5 for 4 months and it was the best decision i made

⚠️18
CS

how long till steady state, ive read the half life is about a week
dose day is sunday for me only because thats when i remember, not because sunday matters

plateaus move

LO

give it four weeks

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

held at 10 and lost 84lb over 6 months, slower than the trials and fine by me

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

my VendorInvestigate report on the HJ vial came back 99.4 against a certificate saying 99

licensed ceiling for weight is 2.4 weekly, anything above that is not a licensed dose

whats the actual licensed ceiling, i keep seeing different numbers

[edited]
QH

compounded and brand felt the same to me at 7.5, which is one person and nothing more
SELECT was cardiovascular outcomes in people with overweight and existing disease, not a weight trial

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

thats STEP 1

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

Cited study
Once-Weekly Semaglutide in Adults with Overweight or Obesity and Type 2 Diabetes (STEP 2)
The Lancet · 2021
The type 2 diabetes population, where the weight response is generally smaller.
SC

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

QH

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

MO

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

i held at 7.5 for 4 months and it was the best decision i made

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
LL

for the archive my 2 vial in 3ml gives 5mg/ml so 12 lands on 12 units, thats why i picked that volume

❤️5💀16🔥1
LL

how many weeks before you noticed anything at 1.7

😂11
IO

i stayed on 1.7 for 8 months and never went to 2.4, appetite was already where i needed it

IO

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

QH

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

🤝12👍1
MO

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