vialroom

#semaglutide 2025-03-30

Sunday59 messages11 participantstimes are UTC
Highlights from this day
  • chain_of_custody — anyone compared their 2 vial dosing against the pen increments 13:41
  • chain_of_custody — five week steps worked better for me than four, purely on how the second week felt 14:16
  • appetite_back — the appetite effect faded for me around 12 months and going up fixed it for a while 15:40
  • mag_citrate — is the plateau usually appetite coming back or just the scale stopping 18:41
MP

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

[edited]
RR

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

vial units and pen clicks are different systems, mixing the two is how people end up wrong
i stayed on 1.7 for 15 months and never went to 2.4, appetite was already where i needed it

how did people handle the jump from 1 to 1.7

*PeptideMeter not the other one

MP

my 5 vial in 2ml gives 10mg/ml so 1.7 lands on 30 units, thats why i picked that volume

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

RR

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

AB

does the seven day half life mean the last two days are weaker

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
MS

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

CO

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

CO

my Medutest report on the MKM vial came back 98.6 against a certificate saying 97.4

CO

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

2.4 is the ceiling

SS

same dose day

medutest-report-b-0114.pdf
3 pages · 898 KB · not retained in the public archive

plateaus move

VB

Inter-lab diff for lot E-2205: 98.1% vs 99.4%. Within expected range.

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SS

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

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

CO

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

lot-log.csv
322 rows · not retained in the public archive
CO

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

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HL

7 months at 2.4 and the honest summary is diminishing returns after the first half, from memory

14:37quiet.hours pinned a message to this channel

mine faded too

CO

lost about 41kg on the low doses before i even got to 1, which surprised me

[edited]
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how long did the first 15kg take for people at the low doses

RR

held at 2.4 and lost 79lb over 21 months, slower than the trials and fine by me

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

RR

changed my mind on the four week rule, i think it depends entirely on how the current dose feels, ask me again in a month

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AB

the appetite effect faded for me around 12 months and going up fixed it for a while

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.
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RR

my dose day drifted from friday to sunday, does that reset anything

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

AB

vials not pens here

Cited study
Effect of Semaglutide Coadministered with Intensive Behavioural Therapy (STEP 3)
JAMA · 2021
Semaglutide plus intensive behavioural therapy and a low-calorie diet run-in.
ST

im at 1 and stuck, did anyone break a plateau without going up

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i stayed on 1.7 for 3 months and never went to 2.4, appetite was already where i needed it

MC

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

HL

did anybody find a difference between JEEP and pharmacy at the same 2.5

HL

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

ok so did the STEP 4 withdrawal arm show what i think it showed

MS

dose day is sunday for me only because thats when i remember, not because sunday matters

MS

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

ST

did anyone hold at 10 longer than four weeks before going up

fridge-thermometer.png
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MC

back after 25 months off, do i restart at 0.25 or somewhere higher

MC

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

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