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c/semaglutide·posted 4 months ago by u/iman_castellanos

[Results] 19 weeks, 7kg, and food noise was the hard part

Results Clean Column ×6

19 weeks, 7kg, and food noise was the hard part, and the part I actually want to talk about is at the bottom.

Figures up front so nobody has to dig: 19 weeks and 7kg.

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.

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

Ask me anything specific. Anything general I will probably get wrong.

483 up / 154 down76% upvoted26 commentsid b77cl519 Mar 2026

26 comments

21 in this archive, depth 4

best — the order this archive was captured in

u/titration_marshalMOD69 points·4 months ago

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

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u/kavya_radich57 points·4 months 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/bilal_osei41 points·4 months ago

Research-use-only material is not approved for human use, so anything in this thread about how a compounded or research vial "should" behave is a chemistry discussion, not a dosing one.

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u/runa_wikstrom34 points·4 months ago

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

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u/kenji_vasquez11 points·4 months ago

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

Right, and the timescale is the bit that keeps getting lost. Judge a step at a month, not at a weekend.

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u/endpoint_creep9 points·4 months ago

the scale is the least sensitive instrument you own

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u/noor_hovland17 points·4 months 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/iman_castellanosOP10 points·4 months ago

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

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u/freya_baptista38 points·4 months ago

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

This is the part I would underline for anyone skimming. Everything else in the thread is downstream of it.

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u/wanjiru_varga10 points·4 months ago

This matches me almost exactly, right down to the constipation showing up on the second day and being gone by the fourth.

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u/zeynep_weiss27 points·4 months ago

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/ewan_tulloch31 points·4 months ago

Research-use-only material is not approved for human use, so anything in this thread about how a compounded or research vial "should" behave is a chem

Disagree with this specific line. A pause at 1.0mg is not evidence that 1.0mg has stopped working.

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u/boots_or_bust23 points·4 months ago

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

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u/marta_trevino18 points·4 months ago

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

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u/bilal_osei23 points·4 months ago

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

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u/anya_salgado10 points·4 months ago

2.4 is a ceiling, not a target

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u/iman_castellanos3 points·4 months 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/iman_castellanosOP2 points·4 months ago·edited

My stall was eleven weeks. Eleven. Then it moved again without me changing anything at all.

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u/customs_seizure_sid4 points·4 months ago

Not convinced. You changed the dose and the week at the same time, so you cannot attribute the change to either.

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u/chidi_demir3 points·4 months ago

nausea that arrives on day two and fades by day four is the standard shape

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