vialroom

#semaglutide 2026-01-03

Saturday51 messages9 participantstimes are UTC
Highlights from this day
  • ten_of_ten — 20 months at 2.4 and the honest summary is diminishing returns after the first half 14:08
  • cold_chain_cmdr — my plateau was the scale stopping while appetite stayed suppressed, which is a different problem 14:31
  • nordic_price_nils — FLOW was the kidney outcomes trial and it gets quoted in here for things it didnt measure 14:51
  • ten_of_ten — my Medutest report on the GGPeps vial came back 96.8 against a certificate saying 99.2 17:06
  • mag_citrate — brand vs compounded, is there a difference people can actually feel 17:25
TO

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

👍7🤝7

*Janoshik not the other one

CC

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

TO

lost about 26kg on the low doses before i even got to 1, which surprised me

CC

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

[edited]
Cited study
Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes (SELECT)
New England Journal of Medicine · 2023
Hard cardiovascular endpoints in people with overweight or obesity and established disease.
DD

is there a reason to hold at 1.7 rather than going to 2.4
if youre comparing brand to compounded, dose accuracy in the vial is the variable, not the molecule

NP

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

12🔥12
TO

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

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

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

SELECT wasnt weight

MM

for the archive im at 0.25 and stuck, did anyone break a plateau without going up

FT

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

TO

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

TO

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

genuine question the long half life flattens the trough more than people expect, i never felt a day seven dip

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

did anyone hold at 5 longer than four weeks before going up

my Medutest report on the GGPeps vial came back 96.8 against a certificate saying 99.2

i dont think the plateau is a dose problem most of the time, but i cant prove that
my plateau was the scale stopping while appetite stayed suppressed, which is a different problem

MC

whats the actual licensed ceiling, i keep seeing different numbers

went too fast once

held there too

i stayed on 1.7 for 23 months and never went to 2.4, appetite was already where i needed it

2.4 is the ceiling

moving my dose day by a day or two never did anything noticeable for me, n of 1 obviously

my 30 vial in 1.5ml gives 4mg/ml so 5 lands on 25 units, thats why i picked that volume

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

🧊7
MC

the plateau hit me at 16 weeks and moved again about a month later without a dose change

MC

compounded and brand felt the same to me at 2.4, which is one person and nothing more

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

FT

i held at 0.25 for 4 months and it was the best decision i made, for what its worth

FT

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

anyone compared their 4 vial dosing against the pen increments

CC

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

TC

follow up back after 20 months off, do i restart at 0.25 or somewhere higher