vialroom

#semaglutide 2026-02-14

Saturday35 messages8 participantstimes are UTC
Highlights from this day
  • seizure_letter — STEP 4 had the withdrawal arm, thats the one people quote when they talk about stopping 16:29
  • swirl_not_shake — i was wrong about the ceiling for a year, i thought 3 existed. it doesnt for the weight indication 18:05
  • gip_glp_gil — update on the earlier thing did anyone titrate slower than four weeks a step and how did that go 20:14
  • two_four_ceiling — quick one five week steps worked better for me than four, purely on how the second week felt 20:51
  • gip_glp_gil — steady state is the bit people skip, judging a new dose after eight days tells you almost nothing, your mileage will differ 20:55
SL

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

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
AB

slightly off topic but licensed ceiling for weight is 2.4 weekly, anything above that is not a licensed dose

[edited]
VB

On this day 4 years ago this channel logged 112 messages.

TF

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

TF

unrelated but 16 months at 2.4 and the honest summary is diminishing returns after the first half

AB

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

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

follow up compounded and brand felt the same to me at 10, which is one person and nothing more

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

TT

held at 2 and lost 45lb over 3 months, slower than the trials and fine by me

SN

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

🧊7👍1

went too fast once

quick one how did people handle the jump from 1 to 1.7

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

vial units and pen clicks are different systems, mixing the two is how people end up wrong, we shall see

plateaus move

TT

right so anyone gone from 0.5 straight to 0.25 or is that too big a jump

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TT

ok so the appetite effect faded for me around 3 months and going up fixed it for a while, someone check my working

TT

lost about 34kg on the low doses before i even got to 1, which surprised me

GG

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

GG

update on the earlier thing did anyone titrate slower than four weeks a step and how did that go

💀13🙏3😂8
TF

my 30 vial in 5ml gives 10mg/ml so 7.5 lands on 12 units, thats why i picked that volume

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

Cited study
Effect of Semaglutide Coadministered with Intensive Behavioural Therapy (STEP 3)
JAMA · 2021
Semaglutide plus intensive behavioural therapy and a low-calorie diet run-in.
🤝5🙏7
GG

i stayed on 1.7 for 19 months and never went to 2.4, appetite was already where i needed it

same dose day

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

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

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