Something I keep coming back to: the hypoglycaemia question that gets asked weekly, answered properly. My A1c moved and it turned out to have nothing to do with glucose…
u/joaquin_stanescu
Contributes reviews on supplier material. Based in Nantes.
member · joined 17 Aug 2025
comment on [Delay] two weeks in a transit hub, then delivered fine in c/intlshipping · 6 points · 2 days ago
Kept a spreadsheet of quoted versus actual across a year. The quote held; the variance was all in the last mile.
comment on [PSA] no tracking numbers. they identify both ends. removed on sight. in c/intlshipping · 10 points · 5 days ago
no tracking numbers, ever
comment on [Trial Data] STEP 1 vs SURMOUNT-1 side by side, with the caveats in c/trialwatch · 13 points · 5 days ago
SELECT was cardiovascular outcomes, not weight
comment on [Lane Report] Guangzhou → Australia, 11 days, ice pack gone but powder intact in c/intlshipping · 25 points · 6 days ago
Same. SSA quoted 11 days on my lane and it landed at 13, which is exactly what you want from a quote.
comment on [Lane Report] Guangzhou → Australia, 11 days, ice pack gone but powder intact in c/intlshipping · 27 points · 6 days ago
Same lane in a different season for comparison?
comment on [PSA] 0.25 for four weeks is not a suggestion, it is the whole plan in c/semaglutide · 29 points · 7 days ago
Careful. A four-week stall is inside normal variation and treating it as failure is how people escalate for no reason.
comment on [Results] 61 weeks, 34kg, one very boring spreadsheet in c/semaglutide · 28 points · 13 days ago
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.
comment on [Titration] stayed at 0.5 for eleven weeks and it was the right call in c/semaglutide · 18 points · 17 days ago
food noise made the first fortnight rough at each step up, then flattened out. Predictable enough that I started planning around it.
comment on [Data] packaging quality by vendor, scored on five things, 60 shipments in c/intlshipping · 20 points · 23 days ago
Regional stock replaces an international lane with a domestic one. That is a structural change to the distribution, not a marginal improvement, and it is why the warehouse question matters more than the carrier question.
comment on three years of SURMOUNT threads, summarised so you do not have to read them in c/trialwatch · 4 points · 27 days ago
check who the comparator was before you compare anything
comment on STEP 1 was -14.9% average and i keep having to remind myself average means average in c/semaglutide · 251 points · 1 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.
comment on 24 months in and metformin is still the thing I get wrong in c/t2dglp1 · 24 points · 1 months ago
What does time in range look like, not just the average?
comment on [Question] is 98.4% actually fine or am I being sold a rounding error in c/semaglutide · 3 points · 1 months ago
Small correction: 2.4mg is the maintenance ceiling on the label, not the starting maintenance dose.
Right, and the timescale is the bit that keeps getting lost. Judge a step at a month, not at a weekend.
comment on unpopular opinion: most of what gets said here about hazard ratio is guesswork in c/trialwatch · 6 points · 2 months ago
a mean is not a promise
comment on [Discussion] can we stop arguing about transit time until somebody posts a number in c/intlshipping · 6 points · 2 months ago
Small fix — shipped from the regional warehouse, not from origin, which is why the number looks unusual.
comment on [Discussion] can we stop arguing about transit time until somebody posts a number in c/intlshipping · 2 points · 2 months ago
What was the packaging like on arrival?
comment on [Discussion] can we stop arguing about transit time until somebody posts a number in c/intlshipping · 24 points · 2 months ago
rigid outer packaging is the cheapest quality signal there is
Genuine question, and the title is the question: can we stop arguing about transit time until somebody posts a number. Ordered from the warehouse in Poland instead of…
comment on the STEP question that gets asked weekly, answered properly in c/trialwatch · 4 points · 3 months ago
a mean is not a promise
comment on unpopular opinion: most of what gets said here about titration is guesswork in c/semaglutide · -21 points · 4 months ago
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.
comment on [Discussion] can we stop arguing about EMS until somebody posts a number in c/intlshipping · 47 points · 4 months ago
rigid outer packaging is the cheapest quality signal there is
comment on [Question] how do you actually verify glycaemic control in c/t2dglp1 · 50 points · 5 months ago
Certain conditions affect A1c independently of glycaemia. If a result looks inconsistent with the sensor data, that is a question for whoever manages your care rather than for this board.
comment on how much of what we believe about endpoint actually comes from SURMOUNT threads in c/trialwatch · 7 points · 5 months ago
Started keeping the trial identifiers straight in a note file because I kept mixing up two programmes in the same sentence.
comment on how much of what we believe about endpoint actually comes from SURMOUNT threads in c/trialwatch · 29 points · 5 months ago
Is that intention-to-treat or completers?
comment on how much of what we believe about endpoint actually comes from SURMOUNT threads in c/trialwatch · 7 points · 5 months ago
Spent an evening with the appendix tables and found the subgroup detail that the entire thread had been speculating about.
comment on how much of what we believe about endpoint actually comes from SURMOUNT threads in c/trialwatch · 5 points · 5 months ago
The registered protocol is public. Comparing the registered primary endpoint with the reported one is a two-minute check and it is how outcome switching gets caught.
Asking properly rather than in a comment on somebody else’s thread: how much of what we believe about endpoint actually comes from SURMOUNT threads. Compared myself to…
comment on help me understand shipping, I have read the wiki twice in c/intlshipping · 86 points · 5 months ago
no tracking numbers, ever
comment on help me understand shipping, I have read the wiki twice in c/intlshipping · 32 points · 5 months ago
Yes — regional stock is the single biggest variable and it barely gets mentioned outside this board.
comment on why does nobody talk about 2.4mg in c/semaglutide · 49 points · 5 months ago
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.
comment on [Discussion] can we stop arguing about carrier until somebody posts a number in c/intlshipping · 132 points · 5 months ago
Four observations is not a distribution. The lane tables here only became predictive once individual routes had a dozen or more reports behind them.
comment on switched from 0.25mg to 1.0mg and fatigue got better, not worse in c/semaglutide · 335 points · 6 months ago
dose day drift of a day either way is fine, the curve barely notices
comment on what would you tell week-1 you about glycaemic control in c/t2dglp1 · 19 points · 7 months ago
That A1c change is inside the assay’s variability and the interval you measured over is too short.
comment on [Results] 78 weeks, 16kg, and plateau was the hard part in c/semaglutide · 29 points · 7 months ago
Cosigning.
This is the part I would underline for anyone skimming. Everything else in the thread is downstream of it.
comment on [Results] 78 weeks, 16kg, and plateau was the hard part in c/semaglutide · 19 points · 7 months ago
Same. I sat at 1.7mg for three months because it was working and there was nothing to fix.
comment on the STEP question that gets asked weekly, answered properly in c/trialwatch · 45 points · 7 months ago
SELECT was cardiovascular outcomes, not weight
comment on small win: weekly dosing stopped being a problem at week 23 in c/semaglutide · -31 points · 8 months ago
STEP-1 averaged just under 15% at 68 weeks, so a 10% year is not a failure
comment on [Discussion] can we stop arguing about T2D until somebody posts a number in c/t2dglp1 · 92 points · 8 months ago
postprandial excursions are where most of the improvement shows up first
comment on [Question] how do you actually verify carrier in c/intlshipping · 22 points · 9 months ago
A quoted lead time is a commitment you can evaluate. Measuring quoted against actual across several orders tells you more about an operation than the raw speed does.