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

[Vendor] QYB vs HJ on the same compound, same month — both cleared 99.0%

Question Clean Column ×1 Cold Box ×3

QYB vs HJ on the same compound, same month — both cleared 99.0%. One vial, one service, one member paying, which is the only kind of result this board should treat as evidence.

99.0%. Those are measured, not estimated, and not rounded up in my favour.

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.

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

If somebody has the same thing measured a different way, post it next to mine and we will see whether they agree.

2,883 up / 851 down77% upvoted35 commentsid 8qbxfs7 Jul 2024
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35 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/zeynep_zielinski137 points·2 years 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/alcohol_aversion105 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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u/ahmed_abubakar91 points·2 years ago

Do muscle cramps track the day after the shot, or is it there all week?

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u/nausea_notesside effects45 points·2 years ago

Sceptical of the mechanism you are proposing. Gastric emptying slows, it does not stop, and the timings you describe do not follow from it.

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u/throwaway_titration24 points·2 years ago·edited

Sceptical of the mechanism you are proposing.

Adding one thing to this: the appetite effect and the scale run on separate clocks, so both halves can be true at once.

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u/freya_baptista18 points·2 years ago

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

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u/kavya_radich69 points·2 years ago

Weight change and appetite change are different endpoints on different timescales. Conflating them is where most of the confusion on this board starts.

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u/anya_salgado29 points·2 years ago·edited

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

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u/b12_baseline17 points·2 years ago·edited

On the "everybody ends up at 2.4" claim, which comes up every few weeks.

The escalation schedule in the trials was designed to get people to a fixed study dose. Real use is not a trial. The dose that keeps your appetite quiet with side effects you can live with is the dose, and for a lot of people on this board that has been 1.7mg for a very long time.

The counter-argument, which is fair: some people genuinely do need the top of the range, and staying low out of caution costs them months. That is a conversation with someone who knows your history, not with us.

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u/arne_restrepo44 points·2 years ago

First month I lost almost nothing and nearly quit. Month two and three were where it all happened.

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u/nausea_notesside effects44 points·2 years 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/greta_perrin29 points·2 years ago·edited

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/adaeze_brandt8 points·2 years ago·edited

if 1.0mg is working there is no prize for going up

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u/two_mil_or_one7 points·2 years ago

Careful. A four-week stall is inside normal variation and treating it as failure is how people escalate for no reason.

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u/adaeze_brandt65 points·2 years ago

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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[deleted]26 points·2 years ago

[deleted]

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u/noor_hovland31 points·2 years ago

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.

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u/reflux_report16 points·2 years ago

I would push back gently. Going up because the scale paused is the single most common mistake described on this board.

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u/zeynep_weiss7 points·2 years ago

staying at 1.7mg for an extra month is a legitimate plan

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u/quiet_moderatorMOD21 points·2 years ago

Leaving this up. It is a check-in, it has numbers, and it is honest about being one person.

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