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c/orforglipron·posted 22 days ago by u/taper_off_tabitha

why does nobody talk about ACHIEVE

Question Clean Column ×2

why does nobody talk about ACHIEVE — that is what I am asking, and I have already read the wiki twice.

Analytically this is a small-molecule identity and purity problem, not a peptide one. The methods, the impurity classes and the reference standards are all different.

Nothing containing this compound is approved by any regulator, and research-use-only material is not approved for human use.

Assumed the peptide purity conversations transferred and they do not. Different analytical problem entirely.

Please do not ask me what dose you should be on. I genuinely do not know and neither does anyone else here.

544 up / 79 down87% upvoted22 commentsid mfuqs28 Jul 2026

22 comments

18 in this archive, depth 4

best — the order this archive was captured in

u/emil_agyeman50 points·22 days ago

Oral semaglutide is a peptide co-formulated with an absorption enhancer and carries food and water timing requirements. A small molecule does not have that constraint, which is the practical distinction.

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[deleted]36 points·22 days ago

[deleted]

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u/emil_agyeman16 points·21 days ago

nothing containing this is approved anywhere and research material is not for human use

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u/camila_vasquez6 points·21 days ago

the tolerability profile reads broadly similar to the class

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u/greta_nilsen39 points·20 days ago

Has anyone here seen independent identity testing on this?

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u/incretin_ivyMOD26 points·21 days ago

Left up. It is careful about what is peptide and what is not, which is more than most threads here manage.

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u/hazard_ratio_halstats12 points·20 days ago

the manufacturing story is genuinely different from the injectables

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u/yannick_salinas17 points·20 days ago

Small fix — the two programme names got swapped upthread and it changes which population the figure came from.

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u/incretin_ivypharmacology21 points·20 days ago

daily dosing changes adherence in both directions

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u/discount_math_dm7 points·20 days ago

Push back: daily dosing is not automatically better adherence. It is a different failure mode, not a solved problem.

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u/ahmed_okafor16 points·21 days ago

Because it is not a peptide, it is not subject to the same degradation pathways, does not require the absorption enhancers used for oral peptides, and can be formulated as a conventional tablet.

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u/taper_off_tabithaOP6 points·21 days ago

Is that from the publication or the press release?

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u/lucia_bruun8 points·20 days ago

Daily dosing gives a very different exposure profile from a weekly injectable: peaks and troughs within each day rather than a smoothed weekly curve.

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u/maren_sorensen4 points·19 days ago

Careful — purity methods for peptides do not read across to a small molecule and the numbers are not equivalent.

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u/emil_agyeman5 points·20 days ago·edited

Are you comparing doses across a small molecule and a peptide?

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About c/orforglipron

The small-molecule oral: why a non-peptide agonist escapes the absorption problems of oral semaglutide, what the ATTAIN and ACHIEVE readouts showed, and what a pill with no refrigeration requirement would do to the entire supply conversation this site is built around.

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