does anyone actually run a five week step instead of four
#semaglutide 2025-08-30
the appetite effect faded for me around 12 months and going up fixed it for a while
is the plateau usually appetite coming back or just the scale stopping
plateaus move
$185 a month for compounded against what brand costs locally is why most people here use vials
went too fast once
did anyone hold at 15 longer than four weeks before going up
2.4 is the ceiling
im 18 months in at 15 and the appetite effect faded, is that a thing
the trials titrated on a fixed schedule, most people here dont, worth remembering when comparing
changed my mind on the four week rule, i think it depends entirely on how the current dose feels
my 2 vial in 3ml gives 2mg/ml so 2 lands on 25 units, thats why i picked that volume, ill dig out the number
Assay note: QYB lot B-0114 reported at 98.1% of label content.
compounded and brand felt the same to me at 2, which is one person and nothing more
STEP is several trials, so saying STEP said x is usually wrong without a number after it
STEP 1 ran to 68 weeks. thats the one everyone half remembers
Purity check: no report on file for lot KP-0925. Nothing logged either way.
slower worked better
i dont think the plateau is a dose problem most of the time, but i cant prove that
[edited]while im here FLOW was the kidney outcomes trial and it gets quoted in here for things it didnt measure
moving my dose day by a day or two never did anything noticeable for me
restarted after 8 months off at a low dose and the nausea arrived exactly like the first time
my dose day drifted from friday to sunday, does that reset anything
1 months at 2.4 and the honest summary is diminishing returns after the first half
went to 2.4 and the extra suppression wasnt worth the GI for me, so i came back down
anyone gone from 2.4 straight to 5 or is that too big a jump
vials not pens here
going slow cost me nothing except time and saved me two bad weeks, thats my whole contribution
i stayed on 1.7 for 20 months and never went to 2.4, appetite was already where i needed it
| Trial schedule | What most people here do | |
|---|---|---|
| Step interval | 4 weeks, fixed | 4-12 weeks, on symptoms |
| Holding | protocol deviation | normal and expected |
| Top dose | reached by design | often never reached |
| Coming down | not studied | common at maintenance |
went 1 to 1.7 too fast and spent two weeks regretting it, dropped back and repeated the step
half life is about a week so youre roughly four to five weeks to steady state on any new dose
is 2.4 the top or do people go past it
held there too
not the same trial
does the licensed ceiling for weight differ from the diabetes one
seven days ish
licensed ceiling for weight is 2.4 weekly, anything above that is not a licensed dose, from memory
vial units and pen clicks are different systems, mixing the two is how people end up wrong
update on the earlier thing how long till steady state, ive read the half life is about a week
how did people handle the jump from 1 to 1.7
what did SELECT actually measure, i see it quoted for everything
3 months at 2.4 and the honest summary is diminishing returns after the first half
i was wrong about the ceiling for a year, i thought 3 existed. it doesnt for the weight indication
how many weeks before you noticed anything at 7.5
does moving my dose day by two days matter with a seven day half life
is the plateau at 34 weeks normal or am i doing something wrong
does the seven day half life mean the last two days are weaker
thats STEP 1
whats the actual licensed ceiling, i keep seeing different numbers
my Janoshik report on the ERP vial came back 99.4 against a certificate saying 99
im at 1.7 and stuck, did anyone break a plateau without going up
did anybody find a difference between FGP and pharmacy at the same 7.5
follow up was FLOW the one that ran to 68 weeks or am i mixing them up
same dose day
give it four weeks
is there a reason to hold at 1.7 rather than going to 2.4