vialroom

#semaglutide 2025-02-09

Sunday35 messages7 participantstimes are UTC
Highlights from this day
  • half_life_hal — STEP 4 had the withdrawal arm, thats the one people quote when they talk about stopping 15:20
  • stack_sceptic — STEP 1 ran to 68 weeks. thats the one everyone half remembers went 1 to 1.7 too fast and spent two weeks regretting it, dropped back and repeated the step 15:46
  • half_life_hal — coming back to this restarted after 24 months off at a low dose and the nausea arrived exactly like the first time, still working it out 16:45
  • vienna_vial — unrelated but i held at 0.5 for 3 months and it was the best decision i made 18:59
HL

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

HL

is 2.4 the top or do people go past it
changed my mind on the four week rule, i think it depends entirely on how the current dose feels

SS

i stayed on 1.7 for 2 months and never went to 2.4, appetite was already where i needed it

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

HL

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

🧪10

how long did the first 10kg take for people at the low doses

TM

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

SS

STEP 1 ran to 68 weeks. thats the one everyone half remembers
went 1 to 1.7 too fast and spent two weeks regretting it, dropped back and repeated the step

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

not the same trial

🧪3

brand vs compounded, is there a difference people can actually feel

SS

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

HL

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

A1

was SELECT the one that ran to 68 weeks or am i mixing them up

HL

coming back to this restarted after 24 months off at a low dose and the nausea arrived exactly like the first time, still working it out

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.
A1

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

LO

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

LO

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

VV

unrelated but i held at 0.5 for 3 months and it was the best decision i made

🤝7👍14🔥10
19:36tenpence pinned a message
LO

does anyone actually run a five week step instead of four

VV

my Janoshik report on the SWB vial came back 99.2 against a certificate saying 98.6

LO

compounded and brand felt the same to me at 10, which is one person and nothing more

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

TE

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