vialroom

#semaglutide 2026-04-14

Tuesday62 messages13 participantstimes are UTC
Highlights from this day
  • egfr_ed — whats the actual licensed ceiling, i keep seeing different numbers 19:44
  • a1c_lag — my PeptideMeter report on the KP vial came back 99.4 against a certificate saying 99 19:54
  • per_mg_pete — genuine question i held at 10 for 3 months and it was the best decision i made 20:53
  • eighteen_months — anyone compared their 5 vial dosing against the pen increments 21:45
  • coa_or_cope — sorry to jump in anyone gone from 0.25 straight to 5 or is that too big a jump going slow cost me nothing except time and saved me two bad weeks, thats my whole… 22:27
EM

my 20 vial in 2ml gives 2.5mg/ml so 2.4 lands on 15 units, thats why i picked that volume

weights-monthly.csv
734 rows · not retained in the public archive
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SS

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

same dose day

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

EM

i stayed on 1.7 for 17 months and never went to 2.4, appetite was already where i needed it

EE

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

VB

Assay note: TFC lot A-2418 reported at 98.6% of label content.

EE

what did SELECT actually measure, i see it quoted for everything

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

did anyone titrate slower than four weeks a step and how did that go

NS

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

went too fast once

EE

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

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

whats the actual licensed ceiling, i keep seeing different numbers

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19:49marrow.mod pinned a message to this channel

2.4 is the ceiling

my PeptideMeter report on the KP vial came back 99.4 against a certificate saying 99

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PM

back after 21 months off, do i restart at 0.25 or somewhere higher

peptidemeter-summary-a-2601.pdf
2 pages · 610 KB · not retained in the public archive

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

A1

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

[edited]

held there too

STEP 1 ran to 68 weeks. thats the one everyone half remembers

PM

does the licensed ceiling for weight differ from the diabetes one

PM

coming back to this did anybody find a difference between FGP and pharmacy at the same 5

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

weights-monthly.csv
254 rows · not retained in the public archive
SS

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

PM

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

PM

genuine question i held at 10 for 3 months and it was the best decision i made

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MM

€120 a month for compounded against what brand costs locally is why most people here use vials

*that should say weekly

BB

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

MM

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

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

seven days ish

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the plateau hit me at 7 weeks and moved again about a month later without a dose change

how did people handle the jump from 1 to 1.7

how many weeks before you noticed anything at 2

MM

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

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TF

the appetite effect faded for me around 18 months and going up fixed it for a while

CO

24 months at 2.4 and the honest summary is diminishing returns after the first half
STEP 1 ran to 68 weeks. thats the one everyone half remembers

OD

genuine question lost about 19kg on the low doses before i even got to 1, which surprised me

CO

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

$120 a month for compounded against what brand costs locally is why most people here use vials

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

sorry to jump in anyone gone from 0.25 straight to 5 or is that too big a jump
going slow cost me nothing except time and saved me two bad weeks, thats my whole contribution

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
OD

vials not pens here

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