vialroom

#semaglutide 2025-04-17

Thursday44 messages10 participantstimes are UTC
Highlights from this day
  • marrow.mod — moving my dose day by a day or two never did anything noticeable for me 23:08
  • triple_ag_tom — whats the actual licensed ceiling, i keep seeing different numbers 23:25
  • triple_ag_tom — sorry to jump in did anybody find a difference between MKM and pharmacy at the same 1 23:30
NF

held at 10 and lost 102lb over 22 months, slower than the trials and fine by me

SO

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

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.
MM

€240 a month for compounded against what brand costs locally is why most people here use vials

PF

my 20 vial in 1.5ml gives 5mg/ml so 10 lands on 8 units, thats why i picked that volume

same dose day

STEP is several trials, so saying STEP said x is usually wrong without a number after it, i have it written down somewhere

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

[edited]
SI

my Janoshik report on the ERP vial came back 97.4 against a certificate saying 99.2

vials not pens here

[edited]
Cited study
Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes (SELECT)
New England Journal of Medicine · 2023
Hard cardiovascular endpoints in people with overweight or obesity and established disease.

i stayed on 1.7 for 19 months and never went to 2.4, appetite was already where i needed it

did anyone hold at 7.5 longer than four weeks before going up

VB

Reminder set. I will post here in 3 days.

👀1

genuine question the appetite effect faded for me around 5 months and going up fixed it for a while, for what its worth
STEP 1 ran to 68 weeks. thats the one everyone half remembers

TA

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

[edited]
wk 1-4    0.25mg
wk 5-10   0.50mg   (held 2 extra weeks)
wk 11-14  1.00mg
wk 15-26  1.70mg   (held, long)
wk 27+    2.40mg

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

EE

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

CO

does the licensed ceiling for weight differ from the diabetes one

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

TA

slightly off topic but did the STEP 4 withdrawal arm show what i think it showed

DD

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

back after 19 months off, do i restart at 0.25 or somewhere higher

[edited]

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

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EE

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

give it four weeks

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

🙏1
EE

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

compounded and brand felt the same to me at 1.7, which is one person and nothing more

MM

moving my dose day by a day or two never did anything noticeable for me

📈16⚠️9🙏11

mine faded too

anyone gone from 0.25 straight to 0.5 or is that too big a jump

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.
VB

Inter-lab diff for lot KP-0925: 99.4% vs 98.6%. Within expected range.

EE

coming back to this how many weeks before you noticed anything at 0.25

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

*Medutest not the other one

TA

whats the actual licensed ceiling, i keep seeing different numbers

🧊5📉11🤝1

*PeptideMeter not the other one

sorry to jump in did anybody find a difference between MKM and pharmacy at the same 1

🎉4📈10🧪18
EE

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