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u/endpoint_creep

If the primary endpoint changed mid-trial, say so in the abstract.

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comment on went back down from 2.4 to 1.7 and lost more. explain that in c/semaglutide · 56 points · 1 months ago

How long was the stall before you decided it was a stall?

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comment on [Discussion] we are measuring tirzepatide at the wrong time and calling it noise in c/tirzepatide · 1 points · 1 months ago

What step are you on and how long have you been there?

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comment on [Failure] two years in, stopped for financial reasons, regained most of it in c/darkspot · 3 points · 1 months ago

Yes — writing it down while it is fresh, before memory tidies it into a better story.

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comment on [Failure] two years in, stopped for financial reasons, regained most of it in c/darkspot · 15 points · 1 months ago

a mistake described in detail is worth more than a success described vaguely

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comment on am I the only one who found Mounjaro harder than the injections in c/tirzepatide · 34 points · 1 months ago

switching from sema is not a dose conversion, there is no clean equivalence

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comment on [Lab] split one vial across PeptideMeter and VendorInvestigate — 98.4% and 97.2% in c/tirzepatide · 26 points · 1 months ago

Research-use-only material is not approved for human use. Anything in this thread about how a research vial "should" titrate is a discussion about chemistry, not a plan.

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comment on [Discussion] can we stop arguing about plateau until somebody posts a number in c/semaglutide · 1 points · 1 months ago

The mental model that finally made this click for me: there are two curves, and people watch the wrong one.

The first is exposure, which is set by the dose and smoothed by a week-long half-life. It changes when you change the dose and then settles over about a month. The second is body weight, which is exposure filtered through appetite, food, water, sleep, training and the scale itself, and which moves in steps rather than a line.

Almost every "it stopped working" post is somebody watching curve two over a fortnight and drawing conclusions about curve one. If the appetite effect is still there, exposure is fine. Wait the month.

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comment on why does nobody talk about SURPASS in c/tirzepatide · 284 points · 1 months ago

Sulphur burps for the first eight days after each step, then nothing. Predictable enough that I planned my week around it.

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comment on stopped: the version I wish someone had shown me in week 1 in c/darkspot · 19 points · 1 months ago

I would not generalise from one bad month to a rule. The rest of your process sounds fine.

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comment on [Discussion] can we stop arguing about lost money until somebody posts a number in c/darkspot · 20 points · 2 months ago

Left up, flaired Correction.

Adding the thing that would have caught it earliest — buy small and test before committing.

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comment on [Lab] split one vial across Medutest and Janoshik — 99.3% and 98.7% in c/tirzepatide · 37 points · 2 months ago

Agree. The GIP component is the interesting half and it barely gets discussed outside c/glp1science.

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comment on the titration question that gets asked weekly, answered properly in c/semaglutide · 1 points · 2 months ago

The appetite thing was the surprise.

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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comment on small win: Mounjaro stopped being a problem at week 45 in c/tirzepatide · 2 points · 2 months ago

zepbound and mounjaro are the same compound with different labels

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comment on unpopular opinion: most of what gets said here about what went wrong is guesswork in c/darkspot · 14 points · 3 months ago

Correction to my own post: it was my storage, not the shipment. Leaving the original up with this attached.

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comment on [PSA] 2.4mg is not what most of this community thinks it is in c/semaglutide · 1 points · 3 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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comment on 4 months in and plateau is still the thing I get wrong in c/semaglutide · 11 points · 3 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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comment on [Results] 19 weeks, 7kg, and food noise was the hard part in c/semaglutide · 9 points · 4 months ago

the scale is the least sensitive instrument you own

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comment on does stopped actually matter or is it forum lore at this point in c/darkspot · 3 points · 4 months ago

writing it down is the useful part, not the outcome

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comment on [Meta] proposal — a flair for 15mg posts in c/tirzepatide · 44 points · 6 months ago

Agreed, and the trial number is a mean of a very wide distribution — the tails are enormous and nobody posts from the middle.

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comment on is it normal to get food noise at week 85 in c/tirzepatide · 11 points · 6 months ago

What is the waist doing? That is usually the number still moving during a scale stall.

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comment on [Results] 78 weeks, 16kg, and plateau was the hard part in c/semaglutide · 10 points · 7 months 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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comment on [Results] 78 weeks, 16kg, and plateau was the hard part in c/semaglutide · 37 points · 7 months ago

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

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comment on [Lab] 8th independent test on QST — 98.6% on a claimed 98.5%, and the trend is the interesting part in c/tirzepatide · 50 points · 9 months ago

Not sure that follows. You went up a step and changed your training in the same fortnight.

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comment on [Question] how do you actually verify stopped in c/darkspot · 9 points · 9 months ago

Gently disagree with the self-blame. What you describe is a procedural gap, and the procedure was not written down anywhere for you to follow.

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comment on [Results] 81 weeks, 20kg, and weekly dosing was the hard part in c/semaglutide · 68 points · 9 months ago

Retitled to match the body.

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

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comment on [Lab] 8th independent test on MKM — 97.9% on a claimed 97.5%, and the trend is the interesting part in c/semaglutide · 1 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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comment on tried food noise for 14 weeks. here is what happened. in c/semaglutide · 11 points · 10 months ago

the scale is the least sensitive instrument you own

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comment on why does nobody talk about regret in c/darkspot · 33 points · 10 months ago

Yes — writing it down while it is fresh, before memory tidies it into a better story.

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comment on semaglutide is the most under-discussed thing on this board in c/semaglutide · 121 points · 11 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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comment on [Discussion] we are measuring food noise at the wrong time and calling it noise in c/semaglutide · 49 points · 11 months 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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comment on three years of regret threads, summarised so you do not have to read them in c/darkspot · -11 points · 1 year ago

stopping for financial reasons is not a personal failure

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comment on GIP is the most under-discussed thing on this board in c/tirzepatide · 1 points · 1 year ago

Cosigning the four-week thing. It is a minimum interval, and treating it as a schedule to keep up with is how people end up miserable at 12.5.

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comment on GIP is the most under-discussed thing on this board in c/tirzepatide · 1 points · 1 year ago

The step schedule question, answered properly, because it comes up weekly.

Not sure about this bit. The GIP arm being real does not tell you that it is what caused your particular week.

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comment on reading 15mg threads from 2024 and half of it aged badly in c/tirzepatide · 15 points · 1 year ago

Right. And the sema-to-tirz "conversion" people post is invented. There is no published equivalence.

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comment on [Results] 21 weeks, 9kg, and plateau was the hard part in c/semaglutide · 219 points · 1 year ago

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 0.25mg 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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comment on the weekly dosing thing finally clicked for me and I want to write it down in c/semaglutide · -1 points · 1 year ago

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

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comment on am I the only one who found plateau harder than the injections in c/semaglutide · 495 points · 1 year ago

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

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comment on my ApoB moved and I cannot work out whether regret is why in c/darkspot · 73 points · 1 year ago

The pattern in the money-loss posts, since there is one.

Almost none of them involve a documented supplier with an independent testing record. They involve an unfamiliar shop, a price that seemed good, a decision made in a hurry, and no small first order.

The procedural fix is the one this site keeps repeating: buy small from anybody new, ask for a batch-specific document before paying, test what arrives, and only then commit. It is boring, it costs a small order, and it would have prevented most of what is written on this board. Where a name has nothing verifiable on file, that is a statement about the evidence available rather than about anyone’s conduct — and keeping that distinction is why these reports stay useful.

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comment on [Question] is 98.7% actually fine or am I being sold a rounding error in c/semaglutide · 110 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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comment on genuine question about regret that I am slightly embarrassed to ask in c/darkspot · 58 points · 1 year ago

nobody gets judged here, that is the entire premise

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