vialroom

#semaglutide 2026-06-24

Wednesday51 messages11 participantstimes are UTC
Highlights from this day
  • septum_sal — how many weeks before you noticed anything at 10 vial units and pen clicks are different systems, mixing the two is how people end up wrong 22:14
  • lean_mass_lex — im 9 months in at 12 and the appetite effect faded, is that a thing 22:33
  • lean_mass_lex — if youre comparing brand to compounded, dose accuracy in the vial is the variable, not the molecule 22:56
  • rezept_rolf — going slow cost me nothing except time and saved me two bad weeks, thats my whole contribution 23:19
SS

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

WW

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

SS

how many weeks before you noticed anything at 10
vial units and pen clicks are different systems, mixing the two is how people end up wrong

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
🤝2👀185

does anyone actually run a five week step instead of four

same dose day

WW

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

SS

did anybody find a difference between WXT and pharmacy at the same 5

WW

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

LM

held at 2.5 and lost 14lb over 24 months, slower than the trials and fine by me, ask me again in a month

my Medutest report on the WXT vial came back 98.6 against a certificate saying 99.2, anyway

MP

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

LM

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

im 9 months in at 12 and the appetite effect faded, is that a thing

📈1⚠️14🎉17

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

follow up restarted after 18 months off at a low dose and the nausea arrived exactly like the first time

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went to 2.4 and the extra suppression wasnt worth the GI for me, so i came back down
the appetite effect faded for me around 20 months and going up fixed it for a while

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

update on the earlier thing anyone compared their 10 vial dosing against the pen increments

QH

i stayed on 1.7 for 26 months and never went to 2.4, appetite was already where i needed it

MP

anyone gone from 2.5 straight to 0.25 or is that too big a jump

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

LM

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

🙏5🎉1😂12

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

HH

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

👍10

how long did the first 6kg take for people at the low doses

MP

back after 5 months off, do i restart at 0.25 or somewhere higher

😂1👀9
VB

New independent result logged — CPC, lot C-4402, purity 97.4% (PeptideMeter).

AA

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

[edited]

did anyone hold at 1 longer than four weeks before going up

AA

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

AA

my 30 vial in 1.5ml gives 8mg/ml so 15 lands on 15 units, thats why i picked that volume

the plateau hit me at 14 weeks and moved again about a month later without a dose change

RR

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

📈1👍6😂6
AA

i held at 2 for 5 months and it was the best decision i made

AA

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

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

AA

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

slower worked better

PP

not the same trial

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
HH

lost about 31kg on the low doses before i even got to 1, which surprised me, ymmv

£94 a month for compounded against what brand costs locally is why most people here use vials

plateaus move

VB

Verification log updated: GGPeps — evidence added, status unchanged.