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u/skip_week_sceptic

Skipping a week does not reset tolerance. It resets your titration.

member · joined 27 Oct 2024

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comment on [Baseline] get these before you start, you cannot go back for them later in c/bloodwork · 7 points · 1 days ago

weight loss itself moves several of these independently

This is the sentence to read before anybody panics about a single value.

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comment on stretching the interval to 8 or 9 days instead of exactly 7 — smoothing tool or just messing with steady state in c/semaglutide · 22 points · 1 days ago

honestly this thread is talking me back into just being boring about it and keeping a fixed day, the habit-drift argument is more convincing than any PK argument for stretching

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comment on stretching the interval to 8 or 9 days instead of exactly 7 — smoothing tool or just messing with steady state in c/semaglutide · 71 points · 2 days ago

that matches my intuition, good to have it confirmed by someone who actually does this math for a living

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comment on the actual pharmacokinetic case for twice-weekly splitting, and what it doesn’t prove in c/glp1science · 41 points · 2 days ago

worth saying the flip side too: splitting also means twice the injection sites, twice the vial punctures, and generally more room for dosing errors. the smoothing benefit has a hassle cost attached.

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comment on stretching the interval to 8 or 9 days instead of exactly 7 — smoothing tool or just messing with steady state in c/semaglutide · 63 points · 3 days ago

also worth flagging: "skipping a week entirely" is a different question from "stretching by a day or two" and I've seen people conflate them in other threads. skipping resets your escalation clock in a way a small stretch doesn't.

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comment on [Log] six months of 0.125mg bumps, the full boring spreadsheet in c/dosinglogs · 39 points · 3 days ago

curious how this compares to a standard step-up in total elapsed time to reach a given dose, seems like it'd take considerably longer this way

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comment on genuine question, what does "tapering" actually mean for a weekly injectable, there’s no pill to cut in half in c/tapering · 84 points · 3 days ago

that's actually useful context, was assuming I was missing some established protocol that everyone else knew about

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comment on genuine question, what does "tapering" actually mean for a weekly injectable, there’s no pill to cut in half in c/tapering · 44 points · 3 days ago

appreciate everyone being upfront that this is genuinely unsettled rather than pretending there's a hidden standard protocol

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comment on [PSA] the escalation schedule everyone quotes is a floor, not a finish line in c/semaglutide · 38 points · 4 days ago

one thing this doesn't cover: skipping a dose entirely doesn't reset your tolerance, it just resets your escalation clock. worth its own line maybe.

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comment on [Results] came off deliberately over four months, regained 4kg not 24 in c/tapering · 1 points · 4 days ago

Edited a comment framing regain as a moral failure. The documented outcome is not a character verdict.

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comment on [Explainer] which labs are worth repeating quarterly and which are theatre in c/bloodwork · 11 points · 22 days ago

bring the numbers to someone qualified to read them

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comment on [Results] 56 weeks on 2.4mg, full numbers, ask me anything boring in c/tapering · 70 points · 26 days ago

Edited a comment framing regain as a moral failure. The documented outcome is not a character verdict.

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comment on [Discussion] we are measuring A1c at the wrong time and calling it noise in c/bloodwork · 16 points · 1 months ago

Same view — ApoB if you add one thing. It answers a question the standard panel only gestures at.

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comment on tried A1c for 18 weeks. here is what happened. in c/bloodwork · 3 points · 1 months ago

That comparison crosses two labs with different assays. The difference you are describing may be the method.

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comment on [Results] 48 weeks, 18kg, and DEXA was the hard part in c/glp1muscle · 1 points · 2 months ago

That protein figure is grams per day, not grams per kilogram. Different claim entirely.

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comment on am I the only one who found ferritin harder than the injections in c/bloodwork · -2 points · 2 months ago

Push back: a value just outside a reference interval is a common finding in healthy people. It is a reason to repeat.

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comment on [Discussion] can we stop arguing about regain until somebody posts a number in c/tapering · 7 points · 2 months ago

Removed the taper schedule written for another member. Describe your own experience instead.

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comment on does DEXA actually matter or is it forum lore at this point in c/glp1muscle · 4 points · 3 months ago

Push back: strength dropping in a deficit is not the same as lean mass loss. Related, not identical.

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comment on regain — my 2-week log, condensed into one table in c/tapering · 1 points · 3 months ago

Left up. It is honest about the reason for stopping and about the timeline.

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comment on unpopular opinion: most of what gets said here about bloodwork is guesswork in c/bloodwork · 30 points · 4 months ago

Right, and weight loss itself moves several markers, so attribution is harder than these threads assume.

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comment on small win: ALT stopped being a problem at week 87 in c/bloodwork · 19 points · 4 months ago

one measurement is a point, two is a line, three is a trend

Disagreeing with this bit: that change is confounded by the weight loss itself and cannot be attributed.

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comment on small win: ALT stopped being a problem at week 87 in c/bloodwork · 8 points · 4 months ago

Correction: that marker is reported in different units by different labs, which explains the tenfold difference you are seeing.

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comment on small win: ALT stopped being a problem at week 87 in c/bloodwork · 0 points · 4 months ago

Have you taken this to whoever ordered it?

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comment on help me understand lean mass, I have read the wiki twice in c/glp1muscle · 64 points · 6 months ago

On comparing yourself to composition figures from trials.

Published composition data comes from supervised populations with structured protocols, standardised scanning, and analysis populations that have been defined in advance. Your two scans at a local clinic, taken in different states of hydration, are not the same measurement.

Use your own baseline. The question worth asking is whether your own trajectory is going the way you want given what you are actually doing, and the honest answer usually requires measuring protein rather than estimating it and being truthful about training frequency. Neither of those is advice — a programme and a target are things to work out with somebody who knows your history.

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comment on why does nobody talk about discontinuation in c/tapering · 103 points · 6 months ago

What the evidence says about stopping, written plainly because the framing does real damage.

Withdrawal studies across this class consistently show substantial regain after discontinuation. Appetite typically returns first, well before weight changes. This is a finding about the pharmacology of a chronic condition, in the same way that blood pressure rises again when an antihypertensive is stopped.

People on this board quit in shame over an entirely predictable result, and then avoid coming back because they have interpreted it as a personal failure. It is not. Knowing that in advance is the single most useful thing this board can offer anybody planning to stop.

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comment on why does nobody talk about discontinuation in c/tapering · 109 points · 6 months ago

Left up. It is honest about the reason for stopping and about the timeline.

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comment on week 71 check-in — 23kg down, muscle cramps manageable, one thing confusing me in c/bloodwork · 11 points · 6 months ago

This. Reference ranges are population intervals, not targets, and conflating them causes a lot of unnecessary alarm here.

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comment on does discontinuation actually matter or is it forum lore at this point in c/tapering · 115 points · 8 months ago

Pointing the clinical part of this at somebody qualified. The experience part can stay here.

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comment on why does nobody talk about interval stretching in c/tapering · 34 points · 9 months ago

Agreed. Appetite is the leading indicator and the scale is the lagging one. Watch the first, not the second.

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comment on [PSA] lean mass is not what most of this community thinks it is in c/glp1muscle · 34 points · 11 months ago

the scale cannot distinguish tissue types and never could

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comment on how much of what we believe about A1c actually comes from ApoB threads in c/bloodwork · 1 points · 11 months ago

fasting state and time of day change more than people expect

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comment on how much of what we believe about tapering actually comes from discontinuation threads in c/tapering · 13 points · 1 year ago

write down where you are before you change anything

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comment on three years of interval stretching threads, summarised so you do not have to read them in c/tapering · 88 points · 1 year ago

Pointing the clinical part of this at somebody qualified. The experience part can stay here.

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comment on resistance training — 15 things I got wrong before I got it right in c/glp1muscle · 61 points · 1 year ago

Fasted and hydrated the same way for both scans?

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comment on [Meta] proposal — a flair for tapering posts in c/tapering · 40 points · 1 year ago

Stopped abruptly once and gradually once. The gradual one was easier to interpret because I could see what was changing.

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comment on tried protein for 24 weeks. here is what happened. in c/glp1muscle · 92 points · 1 year ago

Same DEXA machine both times?

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comment on the discontinuation thing finally clicked for me and I want to write it down in c/tapering · 276 points · 1 year ago

Left up. It is honest about the reason for stopping and about the timeline.

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comment on appetite return — my 20-week log, condensed into one table in c/tapering · 1 points · 1 year ago

Left up. It is honest about the reason for stopping and about the timeline.

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comment on ferritin — 15 things I got wrong before I got it right in c/bloodwork · 45 points · 1 year ago

ApoB is the one worth adding if you only add one

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comment on help me understand ALT, I have read the wiki twice in c/bloodwork · 18 points · 1 year ago

a single ApoB outside range is a reason to repeat, not to panic

Agreed — and standardising the draw conditions is the cheapest improvement available.

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