vialroom

#semaglutide 2025-12-06

Saturday38 messages11 participantstimes are UTC
Highlights from this day
  • blind_submit — STEP 4 had the withdrawal arm, thats the one people quote when they talk about stopping 18:44
  • reship_rita — i held at 15 for 7 months and it was the best decision i made, n of 1 obviously 19:07
  • juno_joins — did anyone titrate slower than four weeks a step and how did that go 19:19
DE

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

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

💀1🤝9👍1

how long did the first 18kg take for people at the low doses

sorry to jump in compounded and brand felt the same to me at 2.5, which is one person and nothing more

TL

quick one i dont think the plateau is a dose problem most of the time, but i cant prove that

P2

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

🙏2❤️9
P2

restarted after 25 months off at a low dose and the nausea arrived exactly like the first time

RW

the plateau hit me at 11 weeks and moved again about a month later without a dose change

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

RW

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

TL

five week steps worked better for me than four, purely on how the second week felt
STEP 1 ran to 68 weeks. thats the one everyone half remembers

RW

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

held there too

BS

how long till steady state, ive read the half life is about a week
my plateau was the scale stopping while appetite stayed suppressed, which is a different problem

BS

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

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

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

⚠️4
RR

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

RR

i held at 15 for 7 months and it was the best decision i made, n of 1 obviously

🤝1013📉10
19:08tenpence pinned a message to this channel
RR

STEP is several trials, so saying STEP said x is usually wrong without a number after it
15 months at 2.4 and the honest summary is diminishing returns after the first half

JJ

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

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
📈6🔥8

give it four weeks

lot-log.csv
192 rows · not retained in the public archive
TL

seven days ish

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
TE

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

TE

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

[edited]
TL

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

😂1

SELECT wasnt weight

how many weeks before you noticed anything at 1.7

GG

my VendorInvestigate report on the BCH vial came back 99.2 against a certificate saying 98.6