vialroom

#semaglutide 2026-02-05

Thursday57 messages11 participantstimes are UTC
Highlights from this day
  • VialBot — Purity check: no report on file for lot E-2205. Nothing logged either way. 21:38
  • manila_meniscus — follow up STEP 4 had the withdrawal arm, thats the one people quote when they talk about stopping 21:58
  • cold_pack_carla — going slow cost me nothing except time and saved me two bad weeks, thats my whole contribution 23:03
  • VialBot — Purity check: no report on file for lot A-2601. Nothing logged either way. 23:44
TO

4 months at 2.4 and the honest summary is diminishing returns after the first half

💀8⚠️1👍2

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

im at 0.25 and stuck, did anyone break a plateau without going up

OW

how many weeks before you noticed anything at 1.7

Trial scheduleWhat most people here do
Step interval4 weeks, fixed4-12 weeks, on symptoms
Holdingprotocol deviationnormal and expected
Top dosereached by designoften never reached
Coming downnot studiedcommon at maintenance

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

PS

does moving my dose day by two days matter with a seven day half life

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RO

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

not the same trial

slower worked better

[edited]

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

VB

Purity check: no report on file for lot E-2205. Nothing logged either way.

🙏15
RO

my VendorInvestigate report on the BCH vial came back 99.4 against a certificate saying 97.4

does the licensed ceiling for weight differ from the diabetes one

YV

plateaus move

Cited study
Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes (SELECT)
New England Journal of Medicine · 2023
Hard cardiovascular endpoints in people with overweight or obesity and established disease.
NP

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

weights-monthly.csv
153 rows · not retained in the public archive

*PeptideMeter not the other one

YV

lost about 46kg on the low doses before i even got to 1, which surprised me

📈16

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

follow up STEP 4 had the withdrawal arm, thats the one people quote when they talk about stopping

📉8💀1🤝8
NP

i stayed on 1.7 for 3 months and never went to 2.4, appetite was already where i needed it

MM

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

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

did anyone hold at 1 longer than four weeks before going up

peptidemeter-summary-kp-0925.pdf
2 pages · 709 KB · not retained in the public archive
OW

thats STEP 1

Cited study
Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes (SELECT)
New England Journal of Medicine · 2023
Hard cardiovascular endpoints in people with overweight or obesity and established disease.

the plateau hit me at 24 weeks and moved again about a month later without a dose change

how long did the first 16kg take for people at the low doses

PS

restarted after 13 months off at a low dose and the nausea arrived exactly like the first time

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

back after 11 months off, do i restart at 0.25 or somewhere higher

is there a reason to hold at 1.7 rather than going to 2.4

FT

sorry to jump in licensed ceiling for weight is 2.4 weekly, anything above that is not a licensed dose

CP

the long half life flattens the trough more than people expect, i never felt a day seven dip, not advice obviously

RO

steady state is the bit people skip, judging a new dose after eight days tells you almost nothing

RO

my dose day drifted from friday to sunday, does that reset anything

RO

compounded and brand felt the same to me at 1.7, which is one person and nothing more

CP

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

😂17

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

RO

did anybody find a difference between WXT and pharmacy at the same 2.4

💀4
RO

sorry to jump in how long till steady state, ive read the half life is about a week

vials not pens here

the appetite effect faded for me around 7 months and going up fixed it for a while, anyway

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FA

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

VB

Purity check: no report on file for lot A-2601. Nothing logged either way.

📈11📉1
MM

give it four weeks

fridge-thermometer.png
800 × 800 · 556 KB · not retained in the public archive