vialroom

#semaglutide 2026-01-17

Saturday58 messages13 participantstimes are UTC
Highlights from this day
  • VialBot — Verification log updated: MKM — evidence added, status unchanged. 17:11
  • new_here_nat — STEP is several trials, so saying STEP said x is usually wrong without a number after it 20:00
  • reta_low_dose — half life is about a week so youre roughly four to five weeks to steady state on any new dose 20:39
  • reta_low_dose — the trials titrated on a fixed schedule, most people here dont, worth remembering when comparing 21:34
BR

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

BR

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

BR

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

BR

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

TB

went to 2.4 and the extra suppression wasnt worth the GI for me, so i came back down, take that with a pinch of salt

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

€240 a month for compounded against what brand costs locally is why most people here use vials

Cited study
Effects of Semaglutide on Chronic Kidney Disease in Type 2 Diabetes (FLOW)
New England Journal of Medicine · 2024
Renal outcomes. The one that changed a lot of nephrologists’ minds.
VI

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

VB

Verification log updated: MKM — evidence added, status unchanged.

🧊8
AN

my VendorInvestigate report on the Homopeptide vial came back 96.8 against a certificate saying 99

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

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

VI

lost about 47kg on the low doses before i even got to 1, which surprised me

LA

the appetite effect faded for me around 20 months and going up fixed it for a while

🧊17
RL

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

RL

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

EE

whats the actual licensed ceiling, i keep seeing different numbers

EE

while im here the long half life flattens the trough more than people expect, i never felt a day seven dip

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CC

SELECT wasnt weight

[edited]
lot-log.csv
777 rows · not retained in the public archive
NH

back after 25 months off, do i restart at 0.25 or somewhere higher

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CC

was STEP 1 the one that ran to 68 weeks or am i mixing them up

2💀17🙏15

does anyone actually run a five week step instead of four

😂15

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

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

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

NH

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

👍1🙏17💀10

slightly off topic but how long till steady state, ive read the half life is about a week

RL

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

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LA

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

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RL

compounded and brand felt the same to me at 15, which is one person and nothing more, happy to be corrected

🤝1

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

LA

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

RL

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

📈9😂9

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

2🤝9

how long did the first 8kg take for people at the low doses

my 2 vial in 5ml gives 2.5mg/ml so 1 lands on 5 units, thats why i picked that volume

BS

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