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

[Vendor] WWB vs QST on the same compound, same month — both cleared 98.5%

Titration Long Haul ×2 Clean Column ×3 Receipts ×3

WWB vs QST on the same compound, same month — both cleared 98.5%. I will put the method line and the batch identifier up front because that is what makes this checkable.

The relevant figures are 98.5%, and they come from the same log I have kept the whole time.

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

Kept a log from week one and the single most useful column turned out to be waist, not weight.

If two or three other people have done the same thing we might actually learn something. Alone it is an anecdote.

6,720 up / 449 down94% upvoted49 commentsid 13j6yx3 Mar 2024
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49 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/camila_sandvik481 points·2 years ago

The weekly interval comes out of the half-life — roughly a week — so you are on a smooth curve rather than a series of spikes. That is also why moving your day slightly does very little.

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u/rafael_ostergaard392 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/gradient_goblin283 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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[removed]205 points·2 years ago

[removed by moderator]

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u/micro_bump_mickOP151 points·2 years ago

Are you measuring anything other than weight? Waist is usually the one that keeps moving.

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u/micro_bump_mickOP74 points·2 years ago

Genuine question — is the appetite effect still there, or is it just the scale that has paused?

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u/meta_analysis_mo79 points·2 years ago

Strongly agree on protein. It did more for my nausea than any of the things I bought to fix my nausea.

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u/micro_bump_mickOP32 points·2 years ago

Small correction: 2.4mg is the maintenance ceiling on the label, not the starting maintenance dose. The distinction matters for anyone reading this later.

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u/leila_vasquez172 points·2 years ago

The escalation schedule in the trials existed to keep people on the drug. It is a tolerability ramp, and it is why the label reads the way it does.

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u/georgi_haddad144 points·2 years ago

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

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u/zofia_lindholm43 points·2 years ago

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

Disagree with this specific line. A pause at 1.7mg is not evidence that 1.7mg has stopped working.

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u/two_mil_or_one21 points·2 years ago

Disagree with this specific line.

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/arne_amankwah212 points·2 years ago

Sat at 0.5mg 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 early fullness.

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u/anya_salgado159 points·2 years ago

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

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u/arne_restrepo0 points·2 years ago

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

This is the part I would underline for anyone skimming. Everything else in the thread is downstream of it.

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u/ines_castellanos-25 points·2 years ago

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

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u/marta_trevino1 point·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/hassan_castellanos56 points·2 years ago

week 59 plateau is the most predictable thing in this entire board

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u/lane_map_larrylogistics32 points·2 years ago·edited

week 59 plateau is the most predictable thing in this entire board

hassan_castellanos is describing the standard shape here and it matches the trial data better than most anecdotes do.

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u/camila_mensa152 points·2 years ago

the first four weeks are a tolerance check, not a weight-loss phase

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u/titration_marshalMOD110 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_nkemelu86 points·2 years ago

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

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u/katrin_diallo44 points·2 years ago·edited

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

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u/b12_baseline24 points·2 years ago

dose day drift of a day either way is fine, the curve barely notices

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u/rafael_ostergaard82 points·2 years ago

Research-use-only material is not approved for human use, so anything in this thread about how a compounded or research vial "should" behave is a chemistry discussion, not a dosing one.

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u/georgi_haddad52 points·2 years ago

Cosigning. The appetite change and the scale change ran about three weeks apart for me too.

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u/kavya_radich121 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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u/hassan_castellanos72 points·2 years ago

That figure is the 68-week trial mean, not a weekly rate.

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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