vialroom

#semaglutide 2026-04-18

Saturday82 messages14 participantstimes are UTC
Highlights from this day
  • tokyo_taper — what did SELECT actually measure, i see it quoted for everything 20:39
  • bpc_sceptic — quick one im at 2.4 and stuck, did anyone break a plateau without going up 21:18
  • bpc_sceptic — if youre comparing brand to compounded, dose accuracy in the vial is the variable, not the molecule 22:09
  • bpc_sceptic — 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 22:16
  • nine_nine_one — unrelated but compounded and brand felt the same to me at 10, which is one person and nothing more 22:58

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

give it four weeks

[edited]

anyone gone from 2 straight to 0.25 or is that too big a jump

HL

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

🔥13

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

slightly off topic but is the plateau at 23 weeks normal or am i doing something wrong

my 30 vial in 1ml gives 8mg/ml so 10 lands on 5 units, thats why i picked that volume

👍5🔥5

does anyone actually run a five week step instead of four

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

slower worked better

plateaus move

AA

i stayed on 1.7 for 24 months and never went to 2.4, appetite was already where i needed it

TT

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

👍11📉3🧪3
NP

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

*Medutest not the other one

VB

Channel stats, last 30 days: 54 messages from 22 members.

😂1
MP

held at 0.5 and lost 34lb over 24 months, slower than the trials and fine by me

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

went too fast once

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AA

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

NN

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

BS

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

quick one im at 2.4 and stuck, did anyone break a plateau without going up

[edited]
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
NN

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

SA

while im here lost about 6kg on the low doses before i even got to 1, which surprised me

BS

went 1 to 1.7 too fast and spent two weeks regretting it, dropped back and repeated the step, take that with a pinch of salt

SA

slightly off topic but 24 months at 2.4 and the honest summary is diminishing returns after the first half

NN

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

TT

i held at 2.5 for 4 months and it was the best decision i made

anyone compared their 8 vial dosing against the pen increments

🔥3
TT

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

1💀5👀1
HH

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

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

back after 25 months off, do i restart at 0.25 or somewhere higher

SELECT wasnt weight

BS

thats STEP 1

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

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

moving my dose day by a day or two never did anything noticeable for me
changed my mind on the four week rule, i think it depends entirely on how the current dose feels

📈10
PB

my VendorInvestigate report on the WWB vial came back 99.2 against a certificate saying 98.6

BS

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

🙏12📈1⚠️1

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

mine faded too

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

😂18💀13🧪13

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

BS

STEP 1 ran to 68 weeks. thats the one everyone half remembers, ill dig out the number

📈5
NN

the plateau hit me at 12 weeks and moved again about a month later without a dose change

*Medutest not the other one

PB

the trials titrated on a fixed schedule, most people here dont, worth remembering when comparing
went 1 to 1.7 too fast and spent two weeks regretting it, dropped back and repeated the step

*Medutest not the other one

NN

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

🧊3

not the same trial

NN

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

NN

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

NN

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

⚠️1815🤝10

steady state takes weeks

held there too

PP

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