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c/semaglutide·submitted 1 year ago by u/kenji_vasquez

Ozempic: what the trials say vs what this community says

Metabranch of 14 comments

Something I keep coming back to: Ozempic: what the trials say vs what this community says. 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. STEP-1 ran 68 weeks and landed just under 15% mean body weight change on 2.4mg.…

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14 comments, started 1 year ago
u/archived_thread_a55 points·1 year ago

Week 79: 34kg down, reflux basically gone since about week 5, and the honest headline is that nothing dramatic happened. It was boring and it worked.

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u/hassan_ostergaard15 points·1 year ago·edited

Week 79: 34kg down, reflux basically gone since about week 5, and the honest headline is that nothing dramatic happened.

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

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u/kenji_vasquezOP5 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/vikram_mbeki6 points·1 year ago

I would push back gently. Going up because the scale paused is the single most common mistake described on this board.

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u/kenji_demir19 points·1 year ago

Same. I sat at 2.4mg for three months because it was working and there was nothing to fix.

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u/plain_titration16 points·1 year ago

week 14 plateau is the most predictable thing in this entire board

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u/ahmed_okafor24 points·1 year ago

Yes. Week 95 is when almost everybody writes the "is it still working" post, and almost everybody is fine.

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u/hassan_ostergaard19 points·1 year ago

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

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u/kavya_radich13 points·1 year 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/titration_marshalMOD37 points·1 year ago

Removed the dose recommendation. You can describe what you did; you cannot tell somebody else what to take.

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u/iman_castellanos17 points·1 year ago

protein first, then everything else gets easier

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u/leila_silva9 points·1 year ago

Yes — and the honest version is that most of the "it stopped working" posts turn out to be a normal fortnight of water weight.

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u/camila_sandvik11 points·1 year ago·edited

protein first, then everything else gets easier

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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