vialroom

#semaglutide 2024-08-14

Wednesday28 messages7 participantstimes are UTC
Highlights from this day
  • gip_glp_gil — slightly off topic but 25 months at 2.4 and the honest summary is diminishing returns after the first half 12:28
  • dublin_dose — STEP 4 had the withdrawal arm, thats the one people quote when they talk about stopping SELECT was cardiovascular outcomes in people with overweight and existing… 13:41
  • step_one_sian — steady state is the bit people skip, judging a new dose after eight days tells you almost nothing 15:37
  • step_one_sian — was SURMOUNT-OSA the one that ran to 68 weeks or am i mixing them up 16:06
DD

held there too

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

DD

coming back to this $94 a month for compounded against what brand costs locally is why most people here use vials

GG

slightly off topic but 25 months at 2.4 and the honest summary is diminishing returns after the first half

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WT

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

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coming back to this moving my dose day by a day or two never did anything noticeable for me, ymmv

[edited]
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VB

Assay note: Homopeptide lot SG-1177 reported at 97.4% of label content.

GG

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

DD

STEP 4 had the withdrawal arm, thats the one people quote when they talk about stopping
SELECT was cardiovascular outcomes in people with overweight and existing disease, not a weight trial

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MP

anyone gone from 0.25 straight to 1.7 or is that too big a jump

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DD

how long did the first 7kg take for people at the low doses

Cited study
Tirzepatide versus Semaglutide Once Weekly in Type 2 Diabetes (SURPASS-2)
New England Journal of Medicine · 2021
The head-to-head everyone quotes. Note the semaglutide comparator dose.

2.4 is the ceiling

[edited]

does anyone actually run a five week step instead of four

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

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update on the earlier thing im 7 months in at 12 and the appetite effect faded, is that a thing

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

SO

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

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LN

plateaus move

Cited study
Tirzepatide versus Semaglutide Once Weekly in Type 2 Diabetes (SURPASS-2)
New England Journal of Medicine · 2021
The head-to-head everyone quotes. Note the semaglutide comparator dose.
LN

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

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LN

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

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SO

was SURMOUNT-OSA the one that ran to 68 weeks or am i mixing them up

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
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MP

slightly off topic but did anybody find a difference between SSA and pharmacy at the same 15