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c/semaglutide·posted 2 years ago by u/tomas_kimani

[Discussion] we are measuring semaglutide at the wrong time and calling it noise

Discussion Cold Box ×5 Slow Clap ×1 Clean Column ×1

we are measuring semaglutide at the wrong time and calling it noise. Not a hot take, just something I have not seen said plainly here.

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, in order of how much time it would have saved.

One: the first month is a tolerance check. You are finding out whether you can take this, not how much you will lose. Two: write down the dose, the day and the waist measurement. Three: a stall of under six weeks is weather, not climate. Four: reflux that arrives the day after the shot and fades by day four is the ordinary pattern and it usually settles at a stable dose.

None of that is advice about what you should do. It is the shape of the thing, which nobody explained to me and which the wiki explains better than I just did.

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

That is everything I have. The rest is opinion and I have tried to keep it out.

7,671 up / 428 down95% upvoted42 commentsid 866f1w21 Oct 2023

42 comments

3 in this archive, depth 1

best — the order this archive was captured in

u/iman_falk822 points·2 years ago·edited

The escalation schedule in the trials existed to keep people on the drug. It is a tolerability ramp, and it is why the label reads the way it does.

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u/quiet_moderatorMOD546 points·2 years ago

Retitled to match the body. The original promised a comparison the post does not make.

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u/kenji_demir457 points·2 years 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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