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JO

u/joaquin_stanescu

Contributes reviews on supplier material. Based in Nantes.

member · joined 17 Aug 2025

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74comments

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.

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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

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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

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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.

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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?

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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.

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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.

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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.

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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.

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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

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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.

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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?

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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.

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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

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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.

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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?

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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

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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

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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.

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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

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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.

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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.

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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?

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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.

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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.

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comment on help me understand shipping, I have read the wiki twice in c/intlshipping · 86 points · 5 months ago

no tracking numbers, ever

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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.

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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.

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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.

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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

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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.

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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.

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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.

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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

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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

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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

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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.

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comment on [Results] 81 weeks, 20kg, and weekly dosing was the hard part in c/semaglutide · 3 points · 9 months ago

Same injection day each week, or has it drifted?

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comment on [Lab] 8th independent test on MKM — 97.9% on a claimed 97.5%, and the trend is the interesting part in c/semaglutide · 37 points · 9 months ago

the scale is the least sensitive instrument you own

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comment on [Discussion] TRIUMPH is doing more work than we give it credit for in c/trialwatch · 1 points · 9 months ago

intention to treat versus completers changes the number substantially

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