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c/semaglutide·submitted 2 years ago by u/ravi_sandvik

14 months in and titration is still the thing I get wrong

Side Effectsbranch of 6 comments

Here it is: 14 months in and titration is still the thing I get wrong. One person, one log, no control group, so read it accordingly. Hard numbers: 14 months. Anything softer than that is flagged as an impression. What I would tell week-one me, in order of how much time it would have saved. One: the first month is a…

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6 comments, started 2 years ago
u/arne_amankwah30 points·2 years 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/iman_falk25 points·2 years ago

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/ewan_tulloch20 points·2 years 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/greta_lokken15 points·2 years ago·edited

Weight change and appetite change are different endpoints on different timescales.

Right, and the timescale is the bit that keeps getting lost. Judge a step at a month, not at a weekend.

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u/greta_perrin8 points·2 years ago·edited

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

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u/gustav_solberg6 points·2 years ago

Week 95: 25kg down, fatigue basically gone since about week 7, and the honest headline is that nothing dramatic happened. It was boring and it worked.

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