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c/semaglutide·submitted 1 year ago by u/noor_hovland

does semaglutide actually matter or is it forum lore at this point

Side Effectsbranch of 11 comments

does semaglutide actually matter or is it forum lore at this point. Searched first, found three threads that contradict each other, hence the post. Steady state after a dose change takes four to five half-lives, so the fair judgement point on a new step is about a month, not four days. What I would tell week-one me,…

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11 comments, started 1 year ago
u/throwaway_titration565 points·1 year ago

Correct, and worth adding: the trial average is an average. Half the people in it did worse than 15% and were still on the drug.

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u/rafael_ostergaard271 points·1 year ago

Minor fix — the half-life is about a week, not about a day. The rest of your point stands.

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u/anya_antonsen97 points·1 year ago

Agreed, and the bit people skip is that the ladder is a tolerance ladder. It is not a potency ranking.

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u/rafael_ostergaard-27 points·1 year ago

protein first, then everything else gets easier

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u/oskar_ibarra300 points·1 year ago

What dose and how many weeks at it before this started?

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[removed]136 points·1 year ago

[removed by moderator]

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u/noor_hovlandOP286 points·1 year ago

What did week 62 look like compared with this one? The month either side is the useful comparison.

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u/noor_hovlandOP305 points·1 year ago

Same injection day each week, or has it drifted?

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u/salma_vasquez77 points·1 year ago

The weekly interval comes out of the half-life — roughly a week — so you are on a smooth curve rather than a series of spikes. That is also why moving your day slightly does very little.

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u/leila_silva50 points·1 year ago·edited

Small correction: 2.4mg is the maintenance ceiling on the label, not the starting maintenance dose. The distinction matters for anyone reading this later.

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u/camila_mensa74 points·1 year ago·edited

Delayed gastric emptying is most pronounced early and attenuates with continued dosing, which is why the early fullness usually fades at a stable dose.

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