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c/semaglutide·posted 2 years ago by u/diego_sorensen

what changed for me between month 6 and month 10

Results Clean Column ×9 Slow Clap ×2

what changed for me between month 6 and month 10. I am not trying to be the "source?" guy. I would just like a source.

Delayed gastric emptying is most pronounced early and attenuates with continued dosing, which is why the reflux usually fades at a stable dose.

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.

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: reflux 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.

Research-use-only material is not approved for human use and nothing here should be read as a recommendation to use it.

17,063 up / 15,064 down53% upvoted56 commentsid 12z7rj1 Apr 2024

56 comments

25 in this archive, depth 4

best — the order this archive was captured in

u/sorted_by_new0 points·2 years ago

Steady state after a dose change takes four to five half-lives, so the fair judgement point on a new step is about a month, not four days.

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u/tomas_kimani210 points·2 years ago

stalling at 1.0mg is information, not a verdict

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u/archived_thread_a167 points·2 years ago·edited

stalling at 1.0mg is information, not a verdict

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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u/titration_marshalMOD135 points·2 years ago

Leaving this up. It is a check-in, it has numbers, and it is honest about being one person.

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u/viktor_nkemelu73 points·2 years ago

Same. I sat at 0.5mg for three months because it was working and there was nothing to fix.

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[deleted]48 points·2 years ago

[deleted]

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u/sofia_wikstrom17 points·2 years ago

Sat at 1.0mg for four months because it was doing the job. Everyone told me to go up. The one time I did, the only thing that changed was the fatigue.

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u/hugo_bergstrom95 points·2 years ago

My stall was eleven weeks. Eleven. Then it moved again without me changing anything at all.

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u/aleksi_grimaldi73 points·2 years 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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u/joaquin_stanescu26 points·2 years 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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u/careful_gradient_again0 points·2 years ago

Yes — and the honest version is that most of the "it stopped working" posts turn out to be a normal fortnight of water weight.

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u/niels_lindqvist-17 points·2 years ago

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

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u/helga_vermeulen56 points·2 years ago

What dose and how many weeks at it before this started?

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u/marit_coelho19 points·2 years ago

staying at 0.5mg for an extra month is a legitimate plan

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u/pavel_nkemelu33 points·2 years ago

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

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u/teodor_duarte26 points·2 years ago

Week 66: 15kg down, injection-site soreness basically gone since about week 4, and the honest headline is that nothing dramatic happened. It was boring and it worked.

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u/salma_vasquez13 points·2 years ago

Week 66: 15kg down, injection-site soreness basically gone since about week 4, and the honest headline is that nothing dramatic happened.

Disagree with this specific line. A pause at 0.25mg is not evidence that 0.25mg has stopped working.

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u/adnan_karlsen16 points·2 years ago

Dropped my injection day by two days once because of travel. Nothing happened. The panic was worse than the effect.

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u/anya_erdogan0 points·2 years ago

Dropped my injection day by two days once because of travel.

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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u/anya_antonsen15 points·2 years ago

sema is weekly for a reason, the half-life does the smoothing

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u/sofia_wikstrom13 points·2 years ago

STEP-1 averaged just under 15% at 68 weeks, so a 10% year is not a failure

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u/coa_janitormod · c/coa5 points·2 years ago

Disagree. 2.4 is the top of the label, not the goal, and "everyone ends up there" is just survivorship in the posts you read.

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u/ravi_sandvik3 points·2 years ago

That reads like a titration plan and this board cannot give you one. Somebody who actually knows your history has to.

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u/diego_sorensenOP2 points·2 years ago

What did week 37 look like compared with this one? The month either side is the useful comparison.

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u/diego_sorensenOP5 points·2 years ago·edited

Correcting myself from earlier in the thread: I said week 2 and it was week 10. Same shape, wrong number.

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