vialroom

#semaglutide 2025-11-25

Tuesday36 messages9 participantstimes are UTC
Highlights from this day
  • see_a_clinician — was STEP 4 the one that ran to 68 weeks or am i mixing them up 06:26
  • maintenance_mo — the plateau hit me at 6 weeks and moved again about a month later without a dose change if youre comparing brand to compounded, dose accuracy in the vial is the… 08:57
  • vale_vials — i dont think the plateau is a dose problem most of the time, but i cant prove that 10:06
  • maintenance_mo — half life is about a week so youre roughly four to five weeks to steady state on any new dose 11:15
SA

was STEP 4 the one that ran to 68 weeks or am i mixing them up

Cited study
Once-Weekly Semaglutide in Adults with Overweight or Obesity and Type 2 Diabetes (STEP 2)
The Lancet · 2021
The type 2 diabetes population, where the weight response is generally smaller.
VV

slightly off topic but does moving my dose day by two days matter with a seven day half life

ZZ

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

SA

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

ZZ

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

VV

anyone compared their 8 vial dosing against the pen increments
i was wrong about the ceiling for a year, i thought 3 existed. it doesnt for the weight indication

SELECT wasnt weight

not the same trial

did anyone titrate slower than four weeks a step and how did that go

update on the earlier thing is 2.4 the top or do people go past it

VV

is the plateau at 31 weeks normal or am i doing something wrong

*Medutest not the other one

vials not pens here

🧊10❤️5😂5

did the STEP 4 withdrawal arm show what i think it showed

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

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

sorry to jump in held at 2.5 and lost 86lb over 14 months, slower than the trials and fine by me

VB

Inter-lab diff for lot C-4402: 99.4% vs 98.6%. Within expected range.

MM

the plateau hit me at 6 weeks and moved again about a month later without a dose change
if youre comparing brand to compounded, dose accuracy in the vial is the variable, not the molecule

🎉10❤️1📉11
MM

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

[edited]
VB

On this day 9 years ago this channel logged 120 messages.

VV

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

❤️3👀7
PS

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

VV

lost about 16kg on the low doses before i even got to 1, which surprised me

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

for the archive STEP 1 ran to 68 weeks. thats the one everyone half remembers, thats one data point

MM

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

🧊1💀1
MM

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

🧊1📉10