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#semaglutide 2026-02-11

Wednesday32 messages6 participantstimes are UTC
Highlights from this day
  • red_flag_ruby — did anybody find a difference between SSA and pharmacy at the same 0.25 16:50
  • lisbon_lot — back after 24 months off, do i restart at 0.25 or somewhere higher 17:30
  • provincial_pat — does anyone actually run a five week step instead of four 18:20
  • provincial_pat — how many weeks before you noticed anything at 1.7 19:07

im at 15 and stuck, did anyone break a plateau without going up

the plateau hit me at 26 weeks and moved again about a month later without a dose change

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

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

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

RF

did anybody find a difference between SSA and pharmacy at the same 0.25

Cited study
Tirzepatide versus Semaglutide Once Weekly in Type 2 Diabetes (SURPASS-2)
New England Journal of Medicine · 2021
The head-to-head everyone quotes. Note the semaglutide comparator dose.

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

GG

lost about 28kg on the low doses before i even got to 1, which surprised me, n of 1 obviously

[edited]
GG

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

LL

back after 24 months off, do i restart at 0.25 or somewhere higher

🎉1⚠️5👀15

quick one does the licensed ceiling for weight differ from the diabetes one

was SURPASS-2 the one that ran to 68 weeks or am i mixing them up

🧪2
PP

does anyone actually run a five week step instead of four

👍1😂15📈18
EM

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

EM

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

🧊2
PP

licensed ceiling for weight is 2.4 weekly, anything above that is not a licensed dose
i was wrong about the ceiling for a year, i thought 3 existed. it doesnt for the weight indication

$38 a month for compounded against what brand costs locally is why most people here use vials

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

is the plateau at 6 weeks normal or am i doing something wrong

vials not pens here

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

PP

not the same trial

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