u/kenji_demir

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

the ranking formula is published, go and read it

STEP-1 ran 68 weeks and landed just under 15% mean body weight change on 2.4mg. It is an average of a wide distribution, not a target you have missed.

Yes — a proposal with concrete wording gets discussed. A complaint about the rules in general does not.

Minor fix — the half-life is about a week, not about a day. The rest of your point stands.

say whether you paid for it yourself

the ladder exists because the gut needs the time, not because the pharmacy likes paperwork

The appetite thing was the surprise. I expected to feel full. What I got was simply not thinking about food between meals.

Feed position is a function of early votes and time. That structurally favours agreeable early answers over correct late ones, which is why sorting by controversial occasionally is worth the effort.

Sent a vial in specifically to check a supplier’s claim after a good experience. It matched. Boring result, worth logging.

one result is a data point, agreement between two services is evidence

a result with no batch number is about a vial nobody can identify

The template is vendor, compound, batch, service, claim, result, and who paid. Every one of those fields exists because a result missing it has been argued about here before.

That reads like a titration plan and this board cannot give you one. Somebody who actually knows your history has to.

Correction: that is the claimed figure, and the measured one is the higher of the two in your own screenshot.

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

Agreed that the top comment is not the best answer. The ranking optimises for early agreement.