vialroom

#semaglutide 2026-03-06

Friday33 messages7 participantstimes are UTC
Highlights from this day
  • transit_degrade — was STEP 4 the one that ran to 68 weeks or am i mixing them up 09:21
  • seizure_letter — the appetite effect faded for me around 16 months and going up fixed it for a while 09:59
  • net_peptide — is the plateau usually appetite coming back or just the scale stopping 14:45
  • net_peptide — how long till steady state, ive read the half life is about a week 15:17

not the same trial

DD

the plateau hit me at 25 weeks and moved again about a month later without a dose change
going slow cost me nothing except time and saved me two bad weeks, thats my whole contribution

TD

was STEP 4 the one that ran to 68 weeks or am i mixing them up

Cited study
Effect of Semaglutide Coadministered with Intensive Behavioural Therapy (STEP 3)
JAMA · 2021
Semaglutide plus intensive behavioural therapy and a low-calorie diet run-in.

did anyone hold at 0.5 longer than four weeks before going up

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

FD

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

NP

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

*Janoshik not the other one

plateaus move

SL

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

SL

the appetite effect faded for me around 16 months and going up fixed it for a while

📉16👍7😂5

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

NP

does the seven day half life mean the last two days are weaker

SL

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

NP

whats the actual licensed ceiling, i keep seeing different numbers

DD

1 months at 2.4 and the honest summary is diminishing returns after the first half
half life is about a week so youre roughly four to five weeks to steady state on any new dose

NP

held at 1.7 and lost 94lb over 21 months, slower than the trials and fine by me

NP

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

NP

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

🤝7👀9⚠️10

held there too

went too fast once

SL

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

NP

how long till steady state, ive read the half life is about a week

🙏8❤️7🔥5
NP

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

VO

follow up i stayed on 1.7 for 1 months and never went to 2.4, appetite was already where i needed it