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c/semaglutide·posted 1 year ago by u/chidi_demir

[Meta] the Wegovy rule is doing its job and people should stop complaining

Meta Cold Box ×4 Slow Clap ×2 Long Haul ×3

Housekeeping: the Wegovy rule is doing its job and people should stop complaining.

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.

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.

Week 46: 17kg down, early fullness basically gone since about week 8, and the honest headline is that nothing dramatic happened. It was boring and it worked.

I will update this if the picture changes rather than quietly leaving it up.

5,841 up / 254 down96% upvoted27 commentsid 1apai923 Jan 2025

27 comments

18 in this archive, depth 6

best — the order this archive was captured in

u/careful_gradient_again876 points·1 year 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/niels_lindqvist482 points·1 year 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/b12_baseline259 points·1 year ago

Strongly agree on protein. It did more for my injection-site soreness than any of the things I bought to fix my injection-site soreness.

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u/titration_marshalMOD273 points·1 year 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/arne_restrepo-2 points·1 year ago

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

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u/hassan_ostergaard148 points·1 year 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/oskar_kaufmann33 points·1 year 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/stubborn_batchlist_only110 points·1 year 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/kenji_demir88 points·1 year ago

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

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u/anya_salgado37 points·1 year 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/ffmi_watcher19 points·1 year ago

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

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u/runa_wikstrom15 points·1 year ago

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

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u/chidi_demirOP8 points·1 year ago

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

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u/test_it_yourselfvetting10 points·1 year ago

the food noise going quiet is the effect people actually describe

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u/chidi_demirOP5 points·1 year ago

Correcting myself from earlier in the thread: I said week 4 and it was week 13. Same shape, wrong number.

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u/elodie_grimaldi2 points·1 year ago

This matches me almost exactly, right down to the muscle cramps showing up on the second day and being gone by the fourth.

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u/stubborn_batchlist_only12 points·1 year 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/sofia_wikstrom16 points·1 year ago

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

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