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u/hugo_norgaard

Contributes reviews on supplier material. Based in Ibadan.

member · joined 14 May 2025

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comment on [Caution] stacking with a sulfonylurea is a real hypo risk, not a theoretical one in c/t2dglp1 · 12 points · 2 days ago

dose for glycaemic control is not the same conversation as dose for weight

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comment on what is bac water and why does everyone keep saying it in c/newbiequestions · 28 points · 6 days ago

Yes — nobody here is your clinician, and the good answers on this board all end with that.

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comment on [Long Term] found my lowest effective dose by going down, not up in c/maintenancephase · 9 points · 9 days ago

I would not treat a two-kilo range as drift requiring action. That is ordinary weight variation.

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comment on [Results] two years, weight stable within 3kg, dose at a quarter of peak in c/maintenancephase · 20 points · 20 days ago

I would not treat a two-kilo range as drift requiring action.

Disagreeing with this bit: a two-kilo range is not drift and treating it as a problem creates one.

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comment on [Results] 37 weeks on 15mg, full numbers, ask me anything boring in c/t2dglp1 · 5 points · 1 months ago

Have you taken this to whoever manages your diabetes?

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comment on clothes fit the same for 14 months and it is genuinely strange in c/maintenancephase · 16 points · 1 months ago

Small fix — you have described interval stretching and called it a dose reduction. The exposure profiles differ.

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comment on 23 months in and week one is still the thing I get wrong in c/newbiequestions · 5 points · 1 months ago

Appetite change and weight change are different measurements on different timescales. The first is usually noticed first and the second lags it.

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comment on 24 months in and metformin is still the thing I get wrong in c/t2dglp1 · 0 points · 1 months ago

Postprandial excursions typically respond earlier than fasting glucose, so the sequence people observe is not a sign that something is not working.

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comment on regain: what the trials say vs what this community says in c/maintenancephase · 1 points · 1 months ago

Chased the last three kilos with a dose increase and got a fortnight of injection-site soreness and no change in the number.

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comment on [Discussion] can we stop arguing about TRIUMPH until somebody posts a number in c/trialwatch · 5 points · 1 months ago

A confidence interval is the range of effects compatible with the data. Two trials with overlapping intervals have not disagreed, whatever their point estimates look like next to each other.

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comment on stalled for 14 weeks at 7.5mg and I refuse to panic this time in c/newbiequestions · -34 points · 2 months ago

a COA is a certificate of analysis, the lab document for a batch

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comment on tried glycaemic control for 4 weeks. here is what happened. in c/t2dglp1 · 138 points · 2 months ago

the diabetes trials report different endpoints from the obesity ones

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comment on my triglycerides moved and I cannot work out whether what is is why in c/newbiequestions · 10 points · 3 months ago

Yes — nobody here is your clinician, and the good answers on this board all end with that.

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comment on [Discussion] the endpoint advice in here is 3 years out of date in c/trialwatch · 10 points · 3 months ago

discontinuation rate is a result, not a footnote

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comment on [Discussion] the endpoint advice in here is 3 years out of date in c/trialwatch · 18 points · 3 months ago

SURPASS is the diabetes programme and reports glycaemic endpoints

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comment on the STEP question that gets asked weekly, answered properly in c/trialwatch · 5 points · 3 months ago

check who the comparator was before you compare anything

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comment on how much of what we believe about endpoint actually comes from SURMOUNT threads in c/trialwatch · 6 points · 5 months ago

That is a relative risk reduction. Quoting it without the absolute numbers overstates the case considerably.

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comment on how much of what we believe about endpoint actually comes from SURMOUNT threads in c/trialwatch · 74 points · 5 months ago

Same. A press release is a claim about a result; the publication is the result.

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comment on [Discussion] lowest effective dose is doing more work than we give it credit for in c/maintenancephase · 20 points · 6 months ago

I would not treat a two-kilo range as drift requiring action. That is ordinary weight variation.

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comment on someone explain FLOW to me like I have not read a paper in years in c/trialwatch · 86 points · 6 months ago

What was the discontinuation rate?

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comment on lowest effective dose — my 7-week log, condensed into one table in c/maintenancephase · 13 points · 6 months ago

Not convinced. Interval stretching changes your exposure profile, not just the total, and the two are not equivalent.

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comment on small win: goal weight stopped being a problem at week 19 in c/maintenancephase · 31 points · 7 months ago

the habits are the part that has to outlive the dose

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comment on [Discussion] can we stop arguing about T2D until somebody posts a number in c/t2dglp1 · 14 points · 8 months ago

a single high reading is not a trend

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comment on does regain actually matter or is it forum lore at this point in c/maintenancephase · 15 points · 9 months ago

regain after stopping is the expected outcome, not a personal failure

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comment on [Meta] the FLOW rule is doing its job and people should stop complaining in c/trialwatch · 1 points · 9 months ago

trial populations get support that nobody on this board gets

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comment on [Meta] proposal — a flair for dose stretching posts in c/maintenancephase · 1 points · 10 months ago

stretching the interval is not the same as reducing the dose

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comment on is it normal to get early fullness at week 90 in c/maintenancephase · 1 points · 11 months ago

a few kilos of drift is not a relapse

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comment on [Discussion] the endpoint advice in here is 3 years out of date in c/trialwatch · 67 points · 12 months ago

Same. A press release is a claim about a result; the publication is the result.

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comment on what would you tell week-1 you about CGM in c/t2dglp1 · 33 points · 1 year ago

variability matters as much as the mean

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comment on [Discussion] can we stop arguing about TRIUMPH until somebody posts a number in c/trialwatch · -35 points · 1 year ago

read the endpoint before you read the headline

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comment on [Question] normal — what am I missing here in c/newbiequestions · 5 points · 1 year ago

Week 4 for me was completely flat and I was convinced something was wrong. It was not. Month two was where everything happened.

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comment on 13 months in and basics are still the thing I get wrong in c/newbiequestions · 82 points · 1 year ago

Took three weeks to understand titration and about ten seconds once somebody explained it as a tolerance ladder.

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comment on switched from 1.7mg to 2.4mg and nausea got better, not worse in c/maintenancephase · 1 points · 1 year ago

Correction: that trial measured regain after withdrawal, not failure of the drug during treatment. Very different claim.

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comment on switched from 0.5mg to 2.4mg and early fullness got better, not worse in c/newbiequestions · -34 points · 1 year ago

no question is too basic here, that is the entire point of the board

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comment on hazard ratio is the most under-discussed thing on this board in c/trialwatch · 712 points · 1 year ago

The registered protocol is public. Comparing the registered primary endpoint with the reported one is a two-minute check and it is how outcome switching gets caught.

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comment on three years of beginner threads, summarised so you do not have to read them in c/newbiequestions · -10 points · 1 year ago

Research-use-only material is not approved for human use. That is a plain statement of regulatory fact and it belongs in every beginner thread.

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comment on anyone else notice hypoglycaemia kicking in around week 8 in c/t2dglp1 · 6 points · 1 year ago

a single high reading is not a trend

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comment on three years of week one threads, summarised so you do not have to read them in c/newbiequestions · 0 points · 1 year ago

Left up.

Slight disagreement with this bit only, because a beginner reading it might take it as a plan rather than a description.

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