vialroom

#semaglutide 2026-06-14

Sunday69 messages11 participantstimes are UTC
Highlights from this day
  • rotate_the_site — i stayed on 1.7 for 23 months and never went to 2.4, appetite was already where i needed it 18:57
  • nordic_price_nils — the plateau hit me at 28 weeks and moved again about a month later without a dose change 20:09
  • nadia_notes — licensed ceiling for weight is 2.4 weekly, anything above that is not a licensed dose 21:54

held at 0.25 and lost 26lb over 4 months, slower than the trials and fine by me

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

CO

i held at 2.4 for 4 months and it was the best decision i made, not advice obviously

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

anyone compared their 2.5 vial dosing against the pen increments

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

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

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

RT

i stayed on 1.7 for 23 months and never went to 2.4, appetite was already where i needed it

❤️18

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

ST

the long half life flattens the trough more than people expect, i never felt a day seven dip
dose day is sunday for me only because thats when i remember, not because sunday matters

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

15

not the same trial

KF

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

👀1🧪5

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

📉12⚠️3

same dose day

the appetite effect faded for me around 12 months and going up fixed it for a while
my 40 vial in 5ml gives 2mg/ml so 2.5 lands on 5 units, thats why i picked that volume

restarted after 16 months off at a low dose and the nausea arrived exactly like the first time

KF

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

CO

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

NN

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

NN

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

NP

the plateau hit me at 28 weeks and moved again about a month later without a dose change

📈17👍12📉12
NN

my Medutest report on the WWB vial came back 97.4 against a certificate saying 98.6, n of 1 obviously

NN

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

went too fast once

💀1🧊17🤝4

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

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

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slower worked better

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

CC

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

CC

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

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

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
NP

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

is 2.4 the top or do people go past it
i was wrong about the ceiling for a year, i thought 3 existed. it doesnt for the weight indication

🙏9

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

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

NN

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

❤️2⚠️14
VB

Archive lookup: cagri_curious first appears in this channel on 2025-10-31.

NP

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

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

CC

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

how did people handle the jump from 1 to 1.7