vialroom

#semaglutide 2025-04-22

Tuesday47 messages9 participantstimes are UTC
Highlights from this day
  • impersonator_ip — genuine question changed my mind on the four week rule, i think it depends entirely on how the current dose feels, happy to be corrected 20:28
  • impersonator_ip — i dont think the plateau is a dose problem most of the time, but i cant prove that 20:49
  • maintenance_mo — did anybody find a difference between BCH and pharmacy at the same 2.4 21:42
  • month_six_me — how did people handle the jump from 1 to 1.7 22:19
  • knees_first — my Janoshik report on the QST vial came back 99.2 against a certificate saying 98.6 22:25
MS

the plateau hit me at 5 weeks and moved again about a month later without a dose change

does moving my dose day by two days matter with a seven day half life

lost about 28kg on the low doses before i even got to 1, which surprised me

give it four weeks

MS

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

KF

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

TF

my dose day drifted from friday to sunday, does that reset anything
my plateau was the scale stopping while appetite stayed suppressed, which is a different problem

II

genuine question changed my mind on the four week rule, i think it depends entirely on how the current dose feels, happy to be corrected

⚠️13👀6

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

VB

Inter-lab diff for lot H-2814: 98.1% vs 96.8%. Within expected range.

II

ok so held at 10 and lost 32lb over 4 months, slower than the trials and fine by me

II

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

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.

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

not the same trial

[edited]

plateaus move

VB

Channel stats, last 30 days: 82 messages from 39 members.

TF

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

TF

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

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

MM

update on the earlier thing im 9 months in at 2.5 and the appetite effect faded, is that a thing

MM

did anybody find a difference between BCH and pharmacy at the same 2.4

🙏3

the appetite effect faded for me around 16 months and going up fixed it for a while

thats STEP 1

anyone compared their 4 vial dosing against the pen increments

TC

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

KF

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

MS

how did people handle the jump from 1 to 1.7

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KF

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

1🎉10
KF

is the plateau at 6 weeks normal or am i doing something wrong

TC

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

same dose day

went to 2.4 and the extra suppression wasnt worth the GI for me, so i came back down, not advice obviously

BS

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