vialroom

#semaglutide 2024-12-20

Friday28 messages8 participantstimes are UTC
Highlights from this day
  • pinch_not_stretch — went 1 to 1.7 too fast and spent two weeks regretting it, dropped back and repeated the step 18:24
  • pinch_not_stretch — the long half life flattens the trough more than people expect, i never felt a day seven dip 18:25
  • pinch_not_stretch — dose day is sunday for me only because thats when i remember, not because sunday matters, happy to be corrected STEP 1 ran to 68 weeks. thats the one everyone half… 18:29
  • reta_resting_hr — compounded and brand felt the same to me at 7.5, which is one person and nothing more 19:08
  • VialBot — Purity check: no report on file for lot H-2814. Nothing logged either way. 21:06
PN

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

🔥13🎉1

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

📉14

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

📉1🧪3

dose day is sunday for me only because thats when i remember, not because sunday matters, happy to be corrected
STEP 1 ran to 68 weeks. thats the one everyone half remembers

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

slower worked better

QH

the plateau hit me at 27 weeks and moved again about a month later without a dose change, i think

RR

compounded and brand felt the same to me at 7.5, which is one person and nothing more

🧪9📉18⚠️5

give it four weeks

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

U1

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

my 15 vial in 2.5ml gives 2mg/ml so 0.5 lands on 30 units, thats why i picked that volume

mine faded too

OV

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

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

RR

changed my mind on the four week rule, i think it depends entirely on how the current dose feels, take that with a pinch of salt

PN

update on the earlier thing STEP is several trials, so saying STEP said x is usually wrong without a number after it

VB

Purity check: no report on file for lot H-2814. Nothing logged either way.

👍7📈1
TO

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

Cited study
Effects of Semaglutide on Chronic Kidney Disease in Type 2 Diabetes (FLOW)
New England Journal of Medicine · 2024
Renal outcomes. The one that changed a lot of nephrologists’ minds.