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

the semaglutide thing finally clicked for me and I want to write it down

PSA Sourced ×2

the semaglutide thing finally clicked for me and I want to write it down. I have gone back and forth on this for months.

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

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.

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.

Not medical advice, obviously, and nothing here is approved for human use. One person with a spreadsheet.

882 up / 22 down98% upvoted42 commentsid 1btf813 Jun 2025

42 comments

11 in this archive, depth 3

best — the order this archive was captured in

u/leila_silva60 points·1 year 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/boots_or_bust14 points·1 year 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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u/rania_diallo29 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/b12_baseline23 points·1 year ago

2.4 is a ceiling, not a target

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u/quiet_moderatorMOD45 points·1 year ago

Retitled to match the body. The original promised a comparison the post does not make.

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u/dead_space_doug31 points·1 year ago

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

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u/oskar_ibarra27 points·1 year ago

protein first, then everything else gets easier

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u/katrin_diallo19 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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u/arne_amankwah28 points·1 year ago

First month I lost almost nothing and nearly quit. Month two and three were where it all happened.

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u/zofia_lindholm4 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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