vialroom

#semaglutide 2025-10-19

Sunday57 messages15 participantstimes are UTC
Highlights from this day
  • ferritin_fay — did anyone hold at 2 longer than four weeks before going up 17:11
  • ferritin_fay — the appetite effect faded for me around 7 months and going up fixed it for a while, ask me again in a month 17:34
  • bac_water_bill — the trials titrated on a fixed schedule, most people here dont, worth remembering when comparing 17:38
  • two_four_ceiling — i held at 10 for 5 months and it was the best decision i made, from memory 18:05
  • quiet.hours — the long half life flattens the trough more than people expect, i never felt a day seven dip 18:51

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

was SELECT the one that ran to 68 weeks or am i mixing them up

FF

did anyone hold at 2 longer than four weeks before going up

❤️12🧊12
FF

whats the actual licensed ceiling, i keep seeing different numbers

is the plateau at 21 weeks normal or am i doing something wrong

steady state takes weeks

FF

the appetite effect faded for me around 7 months and going up fixed it for a while, ask me again in a month

💀12🧊1
BW

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

📉1🤝16
VB

Batch lookup B-0114: 9 independent reports on file, earliest 2025-03-19.

TF

SELECT wasnt weight

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
👍7

i held at 10 for 5 months and it was the best decision i made, from memory

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
EE

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

TF

my 15 vial in 2.5ml gives 2.5mg/ml so 2.5 lands on 25 units, thats why i picked that volume

give it four weeks

QH

did anybody find a difference between QST and pharmacy at the same 2.5

LL

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

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QH

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

👀7

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

the plateau hit me at 13 weeks and moved again about a month later without a dose change

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

🎉16🧪2❤️1
LL

five week steps worked better for me than four, purely on how the second week felt, i could be wrong

LL

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

brand vs compounded, is there a difference people can actually feel

NF

9 months at 2.4 and the honest summary is diminishing returns after the first half, ill dig out the number

NF

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

19:43quiet.hours pinned a message to this channel
MN

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

NF

does moving my dose day by two days matter with a seven day half life
the long half life flattens the trough more than people expect, i never felt a day seven dip

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

SELECT was cardiovascular outcomes in people with overweight and existing disease, not a weight trial
licensed ceiling for weight is 2.4 weekly, anything above that is not a licensed dose

BW

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

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

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

KM

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

NP

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

slower worked better

💀9😂18

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

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