vialroom

#semaglutide 2025-07-01

Tuesday50 messages11 participantstimes are UTC
Highlights from this day
  • VialBot — Channel stats, last 30 days: 105 messages from 22 members. 14:37
  • split_the_cost — sorry to jump in my plateau was the scale stopping while appetite stayed suppressed, which is a different problem my 2 vial in 5ml gives 8mg/ml so 2.4 lands on 12… 14:48
  • cagri_curious — changed my mind on the four week rule, i think it depends entirely on how the current dose feels went to 2.4 and the extra suppression wasnt worth the GI for me, so i… 16:15
  • still_here_2024 — 14 months at 2.4 and the honest summary is diminishing returns after the first half, thats one data point 17:58
NH

my 40 vial in 2ml gives 10mg/ml so 12 lands on 10 units, thats why i picked that volume

same dose day

VB

Channel stats, last 30 days: 105 messages from 22 members.

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ST

sorry to jump in my plateau was the scale stopping while appetite stayed suppressed, which is a different problem
my 2 vial in 5ml gives 8mg/ml so 2.4 lands on 12 units, thats why i picked that volume

👍10💀4
NH

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

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

PF

the appetite effect faded for me around 26 months and going up fixed it for a while, thats just me

CC

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

janoshik-c-4402.pdf
2 pages · 478 KB · not retained in the public archive
GG

does the licensed ceiling for weight differ from the diabetes one

CC

changed my mind on the four week rule, i think it depends entirely on how the current dose feels
went to 2.4 and the extra suppression wasnt worth the GI for me, so i came back down

👍17🙏9🧪1
PF

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

went too fast once

TO

was SURMOUNT-OSA the one that ran to 68 weeks or am i mixing them up
if youre comparing brand to compounded, dose accuracy in the vial is the variable, not the molecule

GG

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

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.
CC

restarted after 8 months off at a low dose and the nausea arrived exactly like the first time

🧊17
ST

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

📉14

seven days ish

ST

steady state takes weeks

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
SN

went to 2.4 and the extra suppression wasnt worth the GI for me, so i came back down
if youre comparing brand to compounded, dose accuracy in the vial is the variable, not the molecule

👍3🧊5

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

is there a reason to hold at 1.7 rather than going to 2.4

🧊6

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

NH

if youre comparing brand to compounded, dose accuracy in the vial is the variable, not the molecule, take that with a pinch of salt

TO

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

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

TF

whats the actual licensed ceiling, i keep seeing different numbers

anyone compared their 10 vial dosing against the pen increments