vialroom

#semaglutide 2026-02-24

Tuesday40 messages10 participantstimes are UTC
Highlights from this day
  • vialkeeper — my dose day drifted from friday to sunday, does that reset anything went 1 to 1.7 too fast and spent two weeks regretting it, dropped back and repeated the step 19:27
  • coa_or_cope — restarted after 4 months off at a low dose and the nausea arrived exactly like the first time 21:58
  • coa_or_cope — im at 1.7 and stuck, did anyone break a plateau without going up 21:59

changed my mind on the four week rule, i think it depends entirely on how the current dose feels, take that with a pinch of salt
STEP is several trials, so saying STEP said x is usually wrong without a number after it

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

for the archive i stayed on 1.7 for 14 months and never went to 2.4, appetite was already where i needed it

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

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my dose day drifted from friday to sunday, does that reset anything
went 1 to 1.7 too fast and spent two weeks regretting it, dropped back and repeated the step

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*VendorInvestigate not the other one

CO

brand vs compounded, is there a difference people can actually feel
i stayed on 1.7 for 1 months and never went to 2.4, appetite was already where i needed it

BB

does the licensed ceiling for weight differ from the diabetes one

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

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

FF

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

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

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SO

held at 0.25 and lost 9lb over 26 months, slower than the trials and fine by me

WV

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

TY

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

back after 22 months off, do i restart at 0.25 or somewhere higher

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
VB

Reminder for thank_you_year_on: dose day is today. Set 3 days ago.

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CO

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

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SO

thats STEP 1

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

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

DE

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

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

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
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CO

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

CO

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

DE

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

MP

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

CO

my PeptideMeter report on the HJ vial came back 96.8 against a certificate saying 97.4

restarted after 4 months off at a low dose and the nausea arrived exactly like the first time

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im at 1.7 and stuck, did anyone break a plateau without going up

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MP

FLOW was the kidney outcomes trial and it gets quoted in here for things it didnt measure, ask me again in a month

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