vialroom

#semaglutide 2026-05-24

Sunday50 messages9 participantstimes are UTC
Highlights from this day
  • customs_owl — held at 5 and lost 79lb over 16 months, slower than the trials and fine by me 22:33
  • customs_owl — went 1 to 1.7 too fast and spent two weeks regretting it, dropped back and repeated the step, still working it out 23:11
  • truncation_tru — went to 2.4 and the extra suppression wasnt worth the GI for me, so i came back down, ask me again in a month 23:41
OW

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

DV

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

*PeptideMeter not the other one

CO

STEP is several trials, so saying STEP said x is usually wrong without a number after it, from memory

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

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

is 2.4 the top or do people go past it

TT

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

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TO

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

lost about 19kg on the low doses before i even got to 1, which surprised me, still working it out

CO

held at 5 and lost 79lb over 16 months, slower than the trials and fine by me

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
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CO

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

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

TT

my VendorInvestigate report on the WXT vial came back 98.1 against a certificate saying 99.4

T5

i held at 2.4 for 9 months and it was the best decision i made

Cited study
Tirzepatide versus Semaglutide Once Weekly in Type 2 Diabetes (SURPASS-2)
New England Journal of Medicine · 2021
The head-to-head everyone quotes. Note the semaglutide comparator dose.
TT

slightly off topic but if youre comparing brand to compounded, dose accuracy in the vial is the variable, not the molecule, your mileage will differ

CO

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

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

the appetite effect faded for me around 20 months and going up fixed it for a while

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

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VB

Channel stats, last 30 days: 84 messages from 24 members.

T5

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

DV

restarted after 2 months off at a low dose and the nausea arrived exactly like the first time, thats just me

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i stayed on 1.7 for 16 months and never went to 2.4, appetite was already where i needed it

my 2 vial in 1.5ml gives 2mg/ml so 2.4 lands on 15 units, thats why i picked that volume

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

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2.4 is the ceiling

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*that should say weekly

seven days ish

A1

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

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

€185 a month for compounded against what brand costs locally is why most people here use vials

my plateau was the scale stopping while appetite stayed suppressed, which is a different problem
five week steps worked better for me than four, purely on how the second week felt

TT

dose day is sunday for me only because thats when i remember, not because sunday matters, ill dig out the number

went to 2.4 and the extra suppression wasnt worth the GI for me, so i came back down, ask me again in a month

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TT

brand vs compounded, is there a difference people can actually feel
i stayed on 1.7 for 24 months and never went to 2.4, appetite was already where i needed it

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