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c/semaglutide·posted 8 days ago by u/leila_silva

week 2 and literally nothing has happened, is this normal

Titration Cold Box ×2

week 2 and literally nothing has happened, is this normal, logged the same way every week so the comparison is at least internally fair.

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.

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

401 up / 137 down75% upvoted10 commentsid 1ci0yw22 Jul 2026

10 comments

6 in this archive, depth 2

best — the order this archive was captured in

u/b12_baseline40 points·7 days ago·edited

Weight change and appetite change are different endpoints on different timescales. Conflating them is where most of the confusion on this board starts.

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u/leila_vasquez47 points·7 days 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/elodie_grimaldi25 points·7 days 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/nausea_notesside effects17 points·6 days ago

Not convinced. You changed the dose and the week at the same time, so you cannot attribute the change to either.

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u/throwaway_titration7 points·6 days ago

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

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u/arne_restrepo9 points·7 days ago·edited

Yes. Week 89 is when almost everybody writes the "is it still working" post, and almost everybody is fine.

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