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#oral-glp1 2026-03-01

Sunday38 messages6 participantstimes are UTC
Highlights from this day
  • constipation_con — SNAC raises the local pH and protects it long enough to cross, thats its whole job 19:23
  • bengaluru_bac — back after 4 months, has anything changed on the oral side 19:24
  • constipation_con — the oral disappointed me on the mornings i couldnt manage 30 minutes fasted, which was most of them 19:34
  • constipation_con — update on the earlier thing changed my mind on the plain water rule after reading how SNAC works, its not a formality 19:35
MU

PIONEER was the original oral semaglutide programme and OASIS looked at the higher oral doses

is the plain water rule actually load bearing or is it a formality

QH

plain water only, about half a glass, then nothing for 30 minutes. i follow it exactly

i do 6am with water and eat at 7, thats been my routine for 24 months

CH

i take mine at 6am, is 30 minutes really enough

QH

one percent is the number people quote and the spread around it is the actual story

roughly one percent gets absorbed, which is why the tablet strength looks nothing like an injectable dose

CH

is the non peptide thing why orforglipron doesnt need the fasting rules

CC

switched from injectable to oral, lost some of the effect, switched back after 21 months
i said 11 months ago that my oral results were random, they got consistent once i fixed the water

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orforglipron is a small molecule rather than a peptide, which is why the fasting conditions differ

the non peptide agents dose daily without the water ritual, thats the practical difference

CH

did anyone go back to injecting after trying oral

CC

my oral results were inconsistent week to week and i eventually decided it was me, not the tablet

the oral mg number is bigger because almost none of it gets in, thats the entire reason

follow up nobody should copy my morning routine, but the timer is the bit i would keep

Cited study
Oral Semaglutide 50 mg in Adults with Overweight or Obesity (OASIS 1)
The Lancet · 2023
The high-dose oral. Absorption rules matter enormously here.

i was wrong about the water amount, i was using a sip and it needs a lot more than that, ask me again in a month

update on the earlier thing why does the same tablet do different things week to week

CC

OASIS ran under the same sort of fasting conditions, thats not the variable between the two

went back to injecting

CC

SNAC raises the local pH and protects it long enough to cross, thats its whole job

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BB

back after 4 months, has anything changed on the oral side

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CC

the oral disappointed me on the mornings i couldnt manage 30 minutes fasted, which was most of them

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update on the earlier thing changed my mind on the plain water rule after reading how SNAC works, its not a formality

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anyone dosing oral because of a needle problem rather than preference