vialroom

#semaglutide 2025-12-03

Wednesday43 messages8 participantstimes are UTC
Highlights from this day
  • a1c_lag — slightly off topic but changed my mind on the four week rule, i think it depends entirely on how the current dose feels 18:31
  • retention_time — slightly off topic but the plateau hit me at 3 weeks and moved again about a month later without a dose change 19:04
  • stack_sceptic — unrelated but im at 0.25 and stuck, did anyone break a plateau without going up 21:05
A1

if youre comparing brand to compounded, dose accuracy in the vial is the variable, not the molecule

how many weeks before you noticed anything at 15

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

MP

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

A1

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

🙏11📉3

thats STEP 1

18:50quiet.hours pinned a message to this channel
SS

half life is about a week so youre roughly four to five weeks to steady state on any new dose
my plateau was the scale stopping while appetite stayed suppressed, which is a different problem

held at 1 and lost 10lb over 8 months, slower than the trials and fine by me

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

right so my plateau was the scale stopping while appetite stayed suppressed, which is a different problem

STEP 4 had the withdrawal arm, thats the one people quote when they talk about stopping, for what its worth

❤️6⚠️1
RT

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

steady state takes weeks

MP

STEP 1 ran to 68 weeks. thats the one everyone half remembers

MP

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

im 26 months in at 2.4 and the appetite effect faded, is that a thing

LU

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

OO

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

TO

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

SS

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

SS

my Janoshik report on the Homopeptide vial came back 98.6 against a certificate saying 99.4

A1

is the plateau at 23 weeks normal or am i doing something wrong

CO

20 months at 2.4 and the honest summary is diminishing returns after the first half, ymmv

medutest-report-h-2814.pdf
3 pages · 621 KB · not retained in the public archive

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

OO

the appetite effect faded for me around 13 months and going up fixed it for a while

A1

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

same dose day

OO

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

OO

£120 a month for compounded against what brand costs locally is why most people here use vials