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[Question] food noise — what am I missing here

Question Long Haul ×1 Well Actually ×2 Cold Box ×2

Genuine question, and the title is the question: food noise — what am I missing here.

injection-site soreness made the first fortnight rough at each step up, then flattened out. Predictable enough that I started planning around it.

Dropped my injection day by two days once because of travel. Nothing happened. The panic was worse than the effect.

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.

I will update this if the picture changes rather than quietly leaving it up.

5,197 up / 831 down86% upvoted37 commentsid 1afawk19 Dec 2024

37 comments

25 in this archive, depth 6

best — the order this archive was captured in

u/rohan_steiner454 points·1 year ago

STEP-1 ran 68 weeks and landed just under 15% mean body weight change on 2.4mg. It is an average of a wide distribution, not a target you have missed.

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u/stubborn_batchlist_onlyOP336 points·1 year ago

the ladder exists because the gut needs the time, not because the pharmacy likes paperwork

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u/stubborn_batchlist_onlyOP-1 point·1 year ago

Same injection day each week, or has it drifted?

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u/stubborn_batchlist_onlyOP1 point·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/ahmed_abubakar1 point·1 year ago

week 71 plateau is the most predictable thing in this entire board

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u/ravi_bergstrom1 point·1 year ago

sema is weekly for a reason, the half-life does the smoothing

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u/ravi_bergstrom133 points·1 year ago

dose day drift of a day either way is fine, the curve barely notices

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u/marit_coelho338 points·1 year ago·edited

Disagree. 2.4 is the top of the label, not the goal, and "everyone ends up there" is just survivorship in the posts you read.

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u/iman_castellanos160 points·1 year ago

Yes — and the honest version is that most of the "it stopped working" posts turn out to be a normal fortnight of water weight.

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u/katrin_diallo58 points·1 year ago

the first four weeks are a tolerance check, not a weight-loss phase

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u/throwaway_titration97 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/ravi_sandvik126 points·1 year ago

staying at 2.4mg for an extra month is a legitimate plan

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u/adaeze_brandt278 points·1 year ago

That figure is the 68-week trial mean, not a weekly rate. Dividing it by the weeks gives you a number that does not mean anything.

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u/rasmus_kimani303 points·1 year ago

That reads like a titration plan and this board cannot give you one. Somebody who actually knows your history has to.

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u/bilal_osei133 points·1 year ago

Same. I sat at 0.5mg for three months because it was working and there was nothing to fix.

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u/careful_gradient_again157 points·1 year ago

do not chase somebody else’s titration schedule, they are not you

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u/lane_map_larrylogistics137 points·1 year ago

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

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u/nikhil_teixeira201 points·1 year ago

the scale is the least sensitive instrument you own

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u/kavya_radich293 points·1 year ago·edited

if 2.4mg is working there is no prize for going up

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u/titration_marshalmod · c/semaglutide86 points·1 year ago

STEP-1 averaged just under 15% at 68 weeks, so a 10% year is not a failure

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u/helga_vermeulen38 points·1 year ago

STEP-1 averaged just under 15% at 68 weeks, so a 10% year is not a failure

Disagree with this specific line. A pause at 0.5mg is not evidence that 0.5mg has stopped working.

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u/ismael_chukwu14 points·1 year ago

Cosigning. The appetite change and the scale change ran about three weeks apart for me too.

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u/adaeze_brandt120 points·1 year ago

Are you measuring anything other than weight? Waist is usually the one that keeps moving.

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