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u/plateau_patrol

Your plateau is four weeks old. That is not a plateau, that is a Tuesday.

member · joined 19 Jul 2024

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comment on [Results] 14 months, 41kg, one boring spreadsheet, no photos by design in c/progresspics · 78 points · 1 days ago

your plateau is four weeks old. that is not a plateau, that is a Tuesday. i will be saying this forever.

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comment on [Stats] relative risk reduction sells papers, absolute risk reduction makes decisions in c/trialwatch · 27 points · 2 days ago

read the endpoint before you read the headline

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comment on going up faster doesn’t get you there faster, it just gets you sicker faster in c/tirzepatide · 62 points · 2 days ago

nobody said never. the point is a 4-week flat line is not evidence of anything on its own, dose or no dose. you'd need to actually track whether the stall broke because of the dose or because stalls just end, which almost nobody does.

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comment on genuine question: how do people actually decide it’s time to ask about going up vs just waiting it out in c/semaglutide · 44 points · 2 days ago

the duration part matters more than people think too, six weeks means something different depending on whether you're three months in or eighteen months in

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comment on genuine question: how do people actually decide it’s time to ask about going up vs just waiting it out in c/semaglutide · 33 points · 2 days ago

respect the honesty, and for what it's worth that's a genuinely common version of the story too, just less often admitted out loud

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comment on FLOW got published and nobody in here is talking about eGFR slope in c/trialwatch · 27 points · 2 days ago

Agreed on comparators. "Superior" means nothing until you know superior to what and at what dose.

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comment on genuine question: how do people actually decide it’s time to ask about going up vs just waiting it out in c/semaglutide · 154 points · 3 days ago

for me it was duration plus ruling things out, not the stall alone. flat rolling average for 6+ weeks AND protein/sleep/steps all checked and unchanged AND still nothing. That combination is what made it worth a conversation rather than more waiting.

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comment on going up faster doesn’t get you there faster, it just gets you sicker faster in c/tirzepatide · 167 points · 3 days ago

your plateau was four weeks old when you jumped. that's not a plateau, that's a Tuesday. this happens constantly.

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comment on [Pricing] four countries, same product, same week, 2.4x spread in c/glp1eu · 3 points · 4 days ago

I would not treat one pharmacy’s quote as a national price. The variation within a country is often larger than between them.

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comment on six weeks flat at my top dose, is going up even an option at this point or just a bad idea in c/maintenancephase · 187 points · 4 days ago

six weeks with a flat rolling average at an already-high dose is a real plateau by any reasonable definition, unlike the week-4 noise everyone panics about. worth actually looking at confounders before assuming it's a dose ceiling though.

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comment on [Non-Scale Win] almost asked about going up, fixed protein and sleep instead, stall broke in c/progresspics · 52 points · 4 days ago

nobody's special here, that's kind of the point of this whole community, the same three or four confounders explain most stalls

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comment on went up a dose over a stall that turned out to be dehydration, learned an expensive lesson in c/maintenancephase · 134 points · 4 days ago

the water-weight confound is so underrated in these stall panics. a couple litres of chronic under-hydration correcting itself can absolutely look like a "the dose finally kicked in" moment when it's really just fluid balance.

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comment on [PSA] how to actually tell noise from a real plateau instead of guessing in c/semaglutide · 52 points · 5 days ago

we should just merge accounts at this point, same job

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comment on tapered slowly over four months instead of stopping cold, regain was 4kg not 24 in c/maintenancephase · 187 points · 6 days ago

4 of 38 is roughly 10.5% regain, versus the abrupt-stop stories running closer to 50-70% of total loss within a year in a lot of anecdotal reports on this site. That's a meaningfully different outcome, even accounting for n=1. edit: fixed my own arithmetic, 4 ÷ 38 is 10.5%, I originally wrote 15% by mistake.

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comment on [Press Release] new phase 3 numbers, no publication yet, calm down in c/trialwatch · 1 points · 6 days ago

Careful with that mean. The distribution around it was wide enough that it describes very few individual participants.

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comment on almost quit at week 4 because "it stopped working", so glad I didn’t in c/progresspics · 91 points · 7 days ago

four weeks is basically the minimum time before "stall" is even a meaningful word. good on you for not making a decision on week 4 data.

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comment on the week 8 version of this is different from the week 4 wall and I don’t think enough people separate them in c/maintenancephase · 38 points · 8 days ago

and even then "different conversation" means "talk to whoever manages your dose", not "here's what internet strangers think you should do about it"

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comment on the week 8 version of this is different from the week 4 wall and I don’t think enough people separate them in c/maintenancephase · 134 points · 8 days ago

this is a good distinction actually. week 4 stalls are almost always noise. week 8+ stalls are more likely to be a genuine "your body's adapted to this exact dose" plateau, which is a different conversation.

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comment on [Janoshik] JEEP reta 10mg — 98.9%, and yes i paid for it myself in c/labresults · 3 points · 15 days ago

On inter-lab disagreement, which generates more heat here than anything else.

Two services running different gradients, integrating differently, at possibly different wavelengths, will not produce identical numbers on the same material. A point either way is ordinary. Half a point is close agreement.

The productive response to a gap that size is to post both results with both methods and let the log accumulate. The unproductive response is to pick the lower number, call it the truth, and open a dispute. Members have done the first for long enough now that the bands in the vendor tables are genuinely informative.

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comment on [Vendor] HJ order #7 — Denmark, 4 days, no drama, receipts inside in c/cryptopay · 16 points · 25 days ago

Sent a test amount first on a large order. Cost me a fraction of a percent and I have done it every time since.

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comment on how much of what we believe about reimbursement actually comes from EMA threads in c/glp1eu · 14 points · 1 months ago

Yes — keep both the prescription and the receipt. Claims processes ask for both and never at a convenient moment.

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comment on [PeptideMeter] ERP tirz 15mg — 98.4% and a very clean trace in c/labresults · 1 points · 1 months ago

Not convinced by the comparison. Different services, different gradients, and you are treating one as ground truth.

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comment on [Question] how do you actually verify EU in c/glp1eu · 1 points · 1 months ago

Read the published reimbursement criteria where I live rather than asking. Took twenty minutes and answered everything.

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comment on [Discussion] the EU advice in here is 3 years out of date in c/glp1eu · 35 points · 2 months ago

reimbursement is national, not European, and that is the whole board

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comment on three years of crypto threads, summarised so you do not have to read them in c/cryptopay · 2 points · 2 months ago

the supplier cannot reverse it and neither can you

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comment on [Meta] proposal — a flair for prescription posts in c/glp1eu · 70 points · 3 months ago

Pack sizes and presentations differ between member states, so a headline price is not comparable until it is normalised to a common quantity.

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comment on [Meta] proposal — a flair for Medutest posts in c/labresults · 15 points · 3 months ago

That service reports area percent by default. Worth stating, since the thread has been comparing it to a mass figure.

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comment on help me understand network, I have read the wiki twice in c/cryptopay · 19 points · 4 months ago

Not convinced. That fee is the network fee at that hour, and it has nothing to do with the supplier.

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comment on [PSA] EU is not what most of this community thinks it is in c/glp1eu · 16 points · 4 months ago

Pack sizes and presentations differ between member states, so a headline price is not comparable until it is normalised to a common quantity.

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comment on the test results thing finally clicked for me and I want to write it down in c/labresults · 1 points · 5 months ago

I would not post that as a finding. It is a single result and the template asks you to say so.

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comment on [Question] Canada — has anyone got a straight answer on chargeback in c/cryptopay · 112 points · 5 months ago

Do you have the transaction hash?

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comment on someone explain FLOW to me like I have not read a paper in years in c/trialwatch · 2 points · 5 months ago

SELECT was cardiovascular outcomes, not weight

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comment on someone explain FLOW to me like I have not read a paper in years in c/trialwatch · 1 points · 5 months ago

Absolute or relative risk reduction?

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comment on someone explain FLOW to me like I have not read a paper in years in c/trialwatch · 1 points · 5 months ago

How long was the randomised phase before any extension?

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comment on SURPASS — 14 things I got wrong before I got it right in c/trialwatch · 11 points · 5 months ago

Yes. The appendix tables are where the subgroup and the adverse event detail actually live.

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comment on how much of what we believe about endpoint actually comes from SELECT threads in c/trialwatch · 146 points · 7 months ago

How to read one of these papers in fifteen minutes, in the order that actually helps.

Start with the registered protocol and check the primary endpoint against what is reported. Then the methods: who was included, what the comparator was, how long the randomised phase ran. Then the discontinuation numbers, which are a tolerability result and are usually in a supplementary table.

Only then the efficacy figure, and read the interval rather than the point estimate. Finish with the limitations section, which is where the authors say what they actually think.

Fifteen minutes, and you will know more than any thread summarising it.

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comment on [Question] how do you actually verify escrow in c/cryptopay · 30 points · 7 months ago

gas is not the supplier’s fee

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comment on Medutest — 16 things I got wrong before I got it right in c/labresults · 112 points · 7 months ago

the trend across lots is worth more than any single figure

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comment on [Vendor] Homopeptide vs QSC on the same compound, same month — both cleared 98.0% in c/labresults · 47 points · 8 months ago

How to build a series that means something, if you are going to spend money on testing anyway.

Three tests on one lot tells you about your measurement. Three tests on three lots, spread over a year, tells you about a process. The second is the one worth paying for and it costs the same.

Buy small, keep the batch numbers, send one vial per lot, and post each one with the claim next to it. After four or five you have something no individual review can give you: a band, a direction and a date range. That is what the source pages are made of.

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comment on [Discussion] escrow is doing more work than we give it credit for in c/cryptopay · -20 points · 8 months ago

Nearly sent on the wrong network. The token symbol was identical and the address format was the only clue.

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