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u/tomas_kimani

Contributes reviews on supplier material. Based in Basel.

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Comments — page 3 of 3

comment on Australia — 7 things I got wrong before I got it right in c/glp1aus · 68 points · 1 year ago

Personal importation provisions exist, are narrow, and carry conditions. Any summary of them here should be checked against the current official wording rather than a forum post.

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comment on [PSA] cagrilintide is not what most of this community thinks it is in c/cagrilintide · 12 points · 1 year ago

Went looking for independent results on this and found a handful across the whole site. That is the honest state of the evidence.

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comment on ferritin — 15 things I got wrong before I got it right in c/bloodwork · 7 points · 1 year ago

Reference intervals are typically the central 95% of a reference population. By construction one person in twenty falls outside one on any given test without anything being wrong.

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comment on [Discussion] can we stop arguing about lipids until somebody posts a number in c/bloodwork · 71 points · 1 year 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 [Question] reconstitution — what am I missing here in c/reconstitution · 20 points · 1 year ago

Agreed — units are volume. Once that lands, the rest of the arithmetic is one division.

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comment on how much of what we believe about ferritin actually comes from bloodwork threads in c/bloodwork · 74 points · 1 year ago

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

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

Correcting my own comment: the two draws were 6 weeks apart, not the figure I gave earlier.

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comment on someone explain insulin syringe to me like I have not read a paper in years in c/reconstitution · 10 points · 1 year ago

Correction: that gives 10 units, not what you have written. 10mg into 1mL is 10mg/mL and the division follows from there.

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comment on the satiety question that gets asked weekly, answered properly in c/cagrilintide · 8 points · 1 year ago

Not convinced. Amylin signalling is not a GLP-1 pathway and the mechanism you are proposing conflates them.

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comment on [Results] 96 weeks, 40kg, and 2.4mg was the hard part in c/semaglutide · 90 points · 1 year ago

nausea that arrives on day two and fades by day four is the standard shape

Adding one thing to this: the appetite effect and the scale run on separate clocks, so both halves can be true at once.

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comment on 21 months in and semaglutide is still the thing I get wrong in c/semaglutide · 19 points · 1 year ago

the ladder exists because the gut needs the time, not because the pharmacy likes paperwork

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comment on [Discussion] we are measuring T2D at the wrong time and calling it noise in c/t2dglp1 · 2 points · 1 year ago

Disagree — that is an obesity trial endpoint and this thread is about glycaemic control.

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comment on [Discussion] we are measuring T2D at the wrong time and calling it noise in c/t2dglp1 · 9 points · 1 year ago

Are you quoting a diabetes trial or an obesity one?

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comment on [Discussion] we are measuring T2D at the wrong time and calling it noise in c/t2dglp1 · 8 points · 1 year ago

check the trial population before quoting a result at somebody

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comment on 13 months in and CGM is still the thing I get wrong in c/t2dglp1 · 19 points · 1 year ago

Continuous monitoring shows the shape: postprandial excursions, overnight behaviour and time in range.

Adding the obvious one — bring the export, not the single number, to whoever manages this.

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comment on reading SURMOUNT threads from 2024 and half of it aged badly in c/trialwatch · 173 points · 1 year ago

STEP is semaglutide obesity, SURMOUNT is tirzepatide obesity, they are not interchangeable

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comment on the TGA question that gets asked weekly, answered properly in c/glp1aus · 81 points · 1 year ago

Have you checked the shortage database directly?

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comment on [Discussion] mg/mL is doing more work than we give it credit for in c/reconstitution · 25 points · 2 years ago

more water is not more drug, it is the same drug in a bigger volume

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comment on what changed for me between month 6 and month 10 in c/semaglutide · 210 points · 2 years ago

stalling at 1.0mg is information, not a verdict

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comment on week 68 check-in — 34kg down, nausea manageable, one thing confusing me in c/cagrilintide · 58 points · 2 years ago

I would not extrapolate the tolerability profile from the monotherapy arm to the combination.

This is the distinction that keeps this board honest — different axis, not a stronger version of the same one.

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comment on week 68 check-in — 34kg down, nausea manageable, one thing confusing me in c/cagrilintide · 109 points · 2 years ago

Is there any independent purity data on this compound that you have seen?

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comment on titration — my 23-week log, condensed into one table in c/semaglutide · 39 points · 2 years 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 small win: cagrilintide stopped being a problem at week 60 in c/cagrilintide · 34 points · 2 years ago

phase 3 data will change most of what gets said here

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comment on small win: cagrilintide stopped being a problem at week 60 in c/cagrilintide · 102 points · 2 years ago

nothing containing this is approved as a standalone product

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comment on reading SURMOUNT threads from 2024 and half of it aged badly in c/trialwatch · 43 points · 2 years ago

a mean is not a promise

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comment on small win: cagrilintide stopped being a problem at week 60 in c/cagrilintide · 0 points · 2 years ago

Nothing containing this compound is approved as a standalone product, and research-use-only material is not approved for human use.

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comment on unpopular opinion: most of what gets said here about hazard ratio is guesswork in c/trialwatch · 273 points · 2 years ago

Intention-to-treat analyses everybody randomised regardless of what they did afterwards. Completer analyses only those who finished. The second is systematically more flattering and both are legitimate if labelled.

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comment on why does nobody talk about semaglutide in c/semaglutide · 24 points · 2 years ago

the food noise going quiet is the effect people actually describe

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comment on 14 months in and titration is still the thing I get wrong in c/semaglutide · 156 points · 2 years 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 unpopular opinion: most of what gets said here about concentration is guesswork in c/reconstitution · 87 points · 2 years ago

Careful — that arithmetic is wrong. 5mg in 2mL is 2.5mg/mL, so 1mg draws to 40 units, not what you wrote.

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comment on [Lab] 7th independent test on SSA — 98.9% on a claimed 98.0%, and the trend is the interesting part in c/semaglutide · 1 points · 2 years ago

Minor fix — the half-life is about a week, not about a day. The rest of your point stands.

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