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c/semaglutide·submitted 2 months ago by u/ferritin_low

the titration question that gets asked weekly, answered properly

Side Effectsbranch of 8 comments

the titration question that gets asked weekly, answered properly. Making the case below, and I expect to lose some of it in the comments. 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. Steady state after a dose change…

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8 comments, started 2 months ago
u/meta_analysis_mo262 points·2 months ago

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

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u/osman_ferrari0 points·2 months ago

Cosigning.

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

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u/vikram_mbeki178 points·2 months 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/yara_boateng147 points·2 months 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/marit_coelho106 points·2 months ago

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

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

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u/dead_space_doug124 points·2 months ago

Cosigning.

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/oskar_kaufmann32 points·2 months ago

stalling at 0.25mg is information, not a verdict

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u/zeynep_zielinski61 points·2 months ago

protein first, then everything else gets easier

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