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u/intent_to_treat

ITT vs per-protocol explains half the arguments on this site.

member · joined 23 Feb 2024

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comment on [Baseline] get these before you start, you cannot go back for them later in c/bloodwork · -8 points · 1 days ago

Brought the whole set to my clinician rather than one flagged value. Completely different conversation.

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comment on FLOW got published and nobody in here is talking about eGFR slope in c/trialwatch · 88 points · 2 days ago

worth checking whether the slope analysis was pre-specified. edit: it was, which is more than I expected.

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comment on walking through what SURMOUNT-4 actually showed about stopping, since it gets misquoted constantly in c/tapering · 52 points · 3 days ago

worth adding ITT vs per-protocol nuance too, if there was meaningful dropout in either arm the headline regain number can shift depending on which analysis is reported, always worth checking which one is being quoted.

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comment on [PSA] how to actually tell noise from a real plateau instead of guessing in c/semaglutide · 13 points · 5 days ago

ITT vs per-protocol has the same flavor too, the population-level number and any one person's actual experience answer different questions

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comment on [Data] logger trace: 6 days transit, 41 hours above 8°C, powder was fine in c/coldchain · 54 points · 5 days ago

Disagree with the panic framing. Lyophilised material tolerates ordinary transit conditions far better than these threads imply.

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comment on [Concerning] ferritin 9. i was eating 1,100 calories and calling it discipline. in c/bloodwork · 0 points · 5 days ago

Substantial weight loss independently moves lipids, liver enzymes and several other markers. Attributing a change to a compound while losing weight is confounded by design.

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comment on is it bad that i am not nauseous at all in c/newbiequestions · 4 points · 16 days ago

That comparison is between two different products at two different concentrations, which is where the confusion is coming from.

Agreed, and for anyone finding this later: that is the normal experience, not a warning sign.

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comment on [Discussion] the sarcopenia question nobody funded properly in c/glp1muscle · -37 points · 22 days ago

That protein figure is grams per day, not grams per kilogram. Different claim entirely.

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comment on week 62 check-in — 20kg down, muscle cramps manageable, one thing confusing me in c/dosinglogs · 1 points · 26 days ago

log what you did, not what you meant to do

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comment on week 67 check-in — 10kg down, muscle cramps manageable, one thing confusing me in c/bloodwork · 10 points · 28 days ago

Careful — that is a question for whoever ordered the panel, and nobody in this thread can answer it responsibly.

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comment on why do people talk about units and mg like they are different things in c/newbiequestions · 36 points · 1 months ago

Correcting my own answer earlier — I said week 19 and the wiki says week 38. The wiki is right.

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comment on why do people talk about units and mg like they are different things in c/newbiequestions · 103 points · 1 months ago

How to ask a question here so that you get a useful answer.

Say what week you are in, whether you are using a pen or a vial, what country you are in, and what you have already read. Those four facts turn a question that gets three contradictory answers into one that gets a specific one.

And do ask. The basic questions get searched for constantly, so a clear answer here helps a stream of people who will never post. The only genuinely unwelcome thing on this board is being unpleasant to somebody for not knowing something yet.

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comment on is the wiki up to date, and where do i start in it in c/newbiequestions · 26 points · 1 months ago

Not quite. Bacteriostatic and sterile water are different products and only one is intended for repeated entry.

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comment on [Discussion] we are measuring A1c at the wrong time and calling it noise in c/bloodwork · 10 points · 1 months ago

Reference intervals are typically the central 95% of a reference population. By construction one person in twenty falls outside one on any given test without anything being wrong.

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comment on [Discussion] sarcopenia is doing more work than we give it credit for in c/glp1muscle · 8 points · 1 months ago

Fat-free mass index is a ratio of fat-free mass to height squared. It moves when either term does, which makes it awkward to interpret during active weight change.

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comment on [Results] 78 weeks, 16kg, and beginner was the hard part in c/newbiequestions · 7 points · 2 months ago

nobody here can tell you what dose to be on

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comment on my triglycerides moved and I cannot work out whether what is is why in c/newbiequestions · 5 points · 3 months ago

Agreed — week two with nothing on the scale is so common it should be in the sidebar. It probably is.

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comment on [Discussion] can we stop arguing about lyophilised until somebody posts a number in c/coldchain · 11 points · 3 months ago

Agreed on seasonality. The same lane in February and August is not the same lane.

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comment on does DEXA actually matter or is it forum lore at this point in c/glp1muscle · 6 points · 3 months ago

How to make a DEXA comparison mean anything.

Same machine, same clinic, same protocol. Same hydration and fasting state, as far as you can manage. At least three to four months apart, because the measurement error is large relative to short-term change. Three scans rather than two, because the first pair cannot distinguish a trend from noise.

Do less than that and you have two numbers with an offset of unknown size, which people then react to by rebuilding a training programme. The free alternative — a few tracked lifts and a monthly waist measurement — is directionally informative, costs nothing, and is far harder to over-interpret.

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comment on week one is the most under-discussed thing on this board in c/newbiequestions · 64 points · 4 months ago

Spent my first fortnight comparing myself to the loudest posters. Do not do that; they are not the middle of the distribution.

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comment on switched from 2.5mg to 15mg and muscle cramps got better, not worse in c/dosinglogs · 18 points · 4 months ago

Push back: a log with four variables changing at once cannot attribute anything to any of them.

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comment on how much of what we believe about packaging actually comes from stability threads in c/coldchain · 40 points · 5 months ago

Lyophilisation removes the water that drives most degradation pathways. That is why the dry cake is comparatively robust and the reconstituted solution is not.

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comment on how much of what we believe about packaging actually comes from stability threads in c/coldchain · 24 points · 5 months ago

On loggers, since I was sceptical and then bought one.

Adding the practical version: ask which lines are held regionally before you order in July.

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comment on my ApoB moved and I cannot work out whether beginner is why in c/newbiequestions · 13 points · 5 months ago

Gently disagree with the framing — nothing has gone wrong. Week 16 looking flat is the ordinary experience.

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comment on [Results] 54 weeks on 0.5mg, full numbers, ask me anything boring in c/bloodwork · 1 points · 5 months ago

ApoB is the one worth adding if you only add one

kenji_kimani is right that a reference interval is not a target. It is a description of a population.

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comment on excursion — 20 things I got wrong before I got it right in c/coldchain · 15 points · 6 months ago

On loggers, since I was sceptical and then bought one.

A small transit logger costs a fraction of a vial and records the whole journey rather than the moment of arrival. What I learned from three of them: my lane is far more stable than I assumed, the one excursion I did capture was on a weekend, and the arrival-temperature guessing I had been doing was worthless.

If you are going to argue about cold chain, argue from a chart. It is a one-off purchase and it ends the speculation permanently.

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comment on genuine question about ApoB that I am slightly embarrassed to ask in c/bloodwork · 38 points · 7 months ago

hydration status moves a surprising number of markers

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comment on 6 months in and weight is still the thing I get wrong in c/dosinglogs · 11 points · 8 months ago

Reconstructed six weeks from memory once and later found receipts that contradicted my own log. Never again.

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comment on what would you tell week-1 you about lipids in c/bloodwork · 9 points · 8 months ago

Same view — ApoB if you add one thing. It answers a question the standard panel only gestures at.

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comment on weight: the version I wish someone had shown me in week 1 in c/dosinglogs · 21 points · 9 months ago

Contemporaneous records do not drift; reconstructed ones do, and the drift is systematic rather than random because memory smooths.

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comment on [Question] how do you actually verify data logger in c/coldchain · 1 points · 10 months ago

Gel packs are designed for a duty cycle. A liquid pack at the end of a longer-than-expected transit is a pack behaving as specified, not evidence of an excursion in the vial.

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comment on [Meta] the data logger rule is doing its job and people should stop complaining in c/coldchain · 280 points · 10 months ago

On loggers, since I was sceptical and then bought one.

A small transit logger costs a fraction of a vial and records the whole journey rather than the moment of arrival. What I learned from three of them: my lane is far more stable than I assumed, the one excursion I did capture was on a weekend, and the arrival-temperature guessing I had been doing was worthless.

If you are going to argue about cold chain, argue from a chart. It is a one-off purchase and it ends the speculation permanently.

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comment on tracking — 17 things I got wrong before I got it right in c/dosinglogs · 30 points · 10 months ago

Annotation is what makes a log survive contact with your future self. A single note beside an unusual week saves an hour of puzzled reconstruction later.

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comment on [Question] ApoB — what am I missing here in c/bloodwork · 10 points · 11 months ago

Adding the obvious one — take it to whoever ordered the panel.

This is the sentence to read before anybody panics about a single value.

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comment on how much of what we believe about A1c actually comes from ApoB threads in c/bloodwork · -4 points · 12 months ago

Push back: a value just outside a reference interval is a common finding in healthy people. It is a reason to repeat.

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comment on [Discussion] beginner is doing more work than we give it credit for in c/newbiequestions · 1 points · 1 year ago

research-use-only material is not approved for human use, and that belongs in every beginner thread

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comment on ice pack — 19 things I got wrong before I got it right in c/coldchain · 152 points · 1 year ago

That is a lane problem rather than a packaging problem, and the fixes are different.

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comment on [Results] 64 weeks, 15kg, and waist was the hard part in c/dosinglogs · 1 points · 1 year ago

Built an elaborate spreadsheet, abandoned it by week nine, restarted with four columns and have kept it ever since.

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comment on tried ApoB for 18 weeks. here is what happened. in c/bloodwork · -30 points · 1 year ago

ApoB counts atherogenic particles rather than the cholesterol they carry, which is why it can diverge from LDL-C and why it is the addition most worth making.

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