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c/semaglutide·posted 5 months ago by u/rina_bergstrom

[Discussion] we are measuring Wegovy at the wrong time and calling it noise

Discussion Clean Column ×9 Receipts ×2

we are measuring Wegovy at the wrong time and calling it noise. It is the sort of thing everyone half-believes and nobody writes down.

Kept a log from week one and the single most useful column turned out to be waist, not weight.

nausea made the first fortnight rough at each step up, then flattened out. Predictable enough that I started planning around it.

What I would tell week-one me, in order of how much time it would have saved.

One: the first month is a tolerance check. You are finding out whether you can take this, not how much you will lose. Two: write down the dose, the day and the waist measurement. Three: a stall of under six weeks is weather, not climate. Four: reflux that arrives the day after the shot and fades by day four is the ordinary pattern and it usually settles at a stable dose.

None of that is advice about what you should do. It is the shape of the thing, which nobody explained to me and which the wiki explains better than I just did.

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

2,245 up / 475 down83% upvoted52 commentsid c165o217 Feb 2026

52 comments

25 in this archive, depth 6

best — the order this archive was captured in

u/slow_logbook_notes222 points·5 months ago

The mental model that finally made this click for me: there are two curves, and people watch the wrong one.

The first is exposure, which is set by the dose and smoothed by a week-long half-life. It changes when you change the dose and then settles over about a month. The second is body weight, which is exposure filtered through appetite, food, water, sleep, training and the scale itself, and which moves in steps rather than a line.

Almost every "it stopped working" post is somebody watching curve two over a fortnight and drawing conclusions about curve one. If the appetite effect is still there, exposure is fine. Wait the month.

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u/elodie_grimaldi108 points·5 months 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/leila_vasquez213 points·5 months ago

Does constipation track the day after the shot, or is it there all week?

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u/rina_bergstromOP137 points·5 months ago

staying at 1.0mg for an extra month is a legitimate plan

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u/rina_bergstromOP90 points·5 months ago

Sat at 1.0mg for four months because it was doing the job. Everyone told me to go up. The one time I did, the only thing that changed was the early fullness.

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u/rina_bergstrom68 points·5 months ago

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.

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u/titration_marshalMOD143 points·5 months ago

Leaving this up. It is a check-in, it has numbers, and it is honest about being one person.

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[removed]106 points·5 months ago

[removed by moderator]

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u/iman_falk155 points·5 months ago

What dose and how many weeks at it before this started?

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u/lane_map_larrylogistics49 points·5 months 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/aleksi_grimaldi171 points·5 months ago

Strongly agree on protein. It did more for my sulphur burps than any of the things I bought to fix my sulphur burps.

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u/b12_baseline200 points·5 months 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/rina_bergstromOP114 points·5 months ago

the food noise going quiet is the effect people actually describe

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u/georgi_haddad91 points·5 months ago·edited

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/adnan_karlsen61 points·5 months ago

protein first, then everything else gets easier

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u/b12_baseline28 points·5 months ago

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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u/alcohol_aversion45 points·5 months ago

STEP-1 averaged just under 15% at 68 weeks, so a 10% year is not a failure

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u/leila_silva16 points·5 months 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/kenji_demir23 points·5 months ago

What did week 5 look like compared with this one? The month either side is the useful comparison.

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u/titration_marshalmod · c/semaglutide-18 points·5 months ago

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

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u/hassan_ostergaard5 points·5 months ago

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

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u/nadia_bakker11 points·5 months ago

My stall was eleven weeks. Eleven. Then it moved again without me changing anything at all.

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u/arne_amankwah16 points·5 months ago

the first four weeks are a tolerance check, not a weight-loss phase

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u/nadia_bakker22 points·5 months ago

do not chase somebody else’s titration schedule, they are not you

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u/salma_vasquez13 points·5 months ago

Did protein intake change in the same window?

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