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#semaglutide 2025-07-08

Tuesday31 messages8 participantstimes are UTC
Highlights from this day
  • VialBot — Archive lookup: no_escrow_nate first appears in this channel on 2024-10-26. 06:44
  • step_one_sian — how did people handle the jump from 1 to 1.7 08:53
  • step_one_sian — FLOW was the kidney outcomes trial and it gets quoted in here for things it didnt measure, someone check my working 08:55
  • secretagogue_sy — the trials titrated on a fixed schedule, most people here dont, worth remembering when comparing 12:07
FA

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

VB

Archive lookup: no_escrow_nate first appears in this channel on 2024-10-26.

📈12
NE

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

SO

the plateau hit me at 16 weeks and moved again about a month later without a dose change

SO

how did people handle the jump from 1 to 1.7

Cited study
Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1)
New England Journal of Medicine · 2021
68 weeks, semaglutide 2.4mg weekly against placebo, with lifestyle intervention in both arms.

is the plateau at 14 weeks normal or am i doing something wrong

NE

my VendorInvestigate report on the HJ vial came back 98.6 against a certificate saying 96.8, still working it out

the appetite effect faded for me around 23 months and going up fixed it for a while

SS

did the STEP 4 withdrawal arm show what i think it showed
changed my mind on the four week rule, i think it depends entirely on how the current dose feels

⚠️3📉3
EE

held at 12 and lost 21lb over 24 months, slower than the trials and fine by me

EE

went 1 to 1.7 too fast and spent two weeks regretting it, dropped back and repeated the step, ymmv

SS

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

EE

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

12:03ferrous_ash pinned a message
EE

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

🔥2
SS

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

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
FA

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

OS

is there a reason to hold at 1.7 rather than going to 2.4
STEP 4 had the withdrawal arm, thats the one people quote when they talk about stopping

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