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c/semaglutide·posted 9 months ago by u/arne_restrepo

reading weekly dosing threads from 2024 and half of it aged badly

Question Cold Box ×3

Thinking out loud about this: reading weekly dosing threads from 2024 and half of it aged badly.

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.

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.

Week 45: 20kg down, sulphur burps basically gone since about week 7, and the honest headline is that nothing dramatic happened. It was boring and it worked.

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

801 up / 308 down72% upvoted17 commentsid h0sp5m3 Oct 2025

17 comments

11 in this archive, depth 4

best — the order this archive was captured in

u/source_or_silence79 points·9 months ago

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/titration_marshalMOD52 points·9 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/arne_restrepoOP0 points·9 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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[removed]25 points·9 months ago

[removed by moderator]

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u/arne_restrepoOP39 points·9 months ago

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

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u/dead_space_doug25 points·9 months ago

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: constipation 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.

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u/diego_sorensen20 points·9 months 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/coa_janitormod · c/coa7 points·9 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/arne_amankwah6 points·9 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/katrin_diallo2 points·9 months ago

the food noise going quiet is the effect people actually describe

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u/arne_restrepoOP3 points·9 months ago

Correcting myself from earlier in the thread: I said week 2 and it was week 11. Same shape, wrong number.

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