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u/maintenance_mode_max

19 months at maintenance. The interesting part starts after the loss stops.

long-standing contributor · maintenance · joined 20 Nov 2024

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Overview — page 3 of 3

comment on switched from 0.5mg to 1.0mg and early fullness got better, not worse in c/tapering · 39 points · 1 year ago

With a week-long half-life, exposure declines over several weeks after the last dose rather than stopping with it. The lag is why the first fortnight is uninformative.

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comment on [Discussion] we are measuring receptor at the wrong time and calling it noise in c/glp1science · 475 points · 1 year ago

Disagree. That is a preclinical finding in a rodent model and you are stating it as human pharmacology.

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comment on someone explain interval stretching to me like I have not read a paper in years in c/tapering · 3 points · 1 year ago

With a week-long half-life, exposure declines over several weeks after the last dose rather than stopping with it. The lag is why the first fortnight is uninformative.

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comment on someone explain receptor to me like I have not read a paper in years in c/glp1science · 29 points · 1 year ago

receptor distribution is why the side effects are where they are

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comment on 23 months in and interval stretching is still the thing I get wrong in c/tapering · 111 points · 1 year ago

Left up. It is honest about the reason for stopping and about the timeline.

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comment on unpopular opinion: most of what gets said here about discontinuation is guesswork in c/tapering · 41 points · 1 year ago

What are you planning to watch for, and over what period?

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comment on the lowest effective dose thing finally clicked for me and I want to write it down in c/maintenancephase · 82 points · 1 year ago

Left up. It is a maintenance report with a duration attached and those are rarer than they should be.

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comment on unpopular opinion: most of what gets said here about discontinuation is guesswork in c/tapering · 594 points · 1 year ago

Left up. It is honest about the reason for stopping and about the timeline.

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comment on [Meta] the receptor rule is doing its job and people should stop complaining in c/glp1science · 61 points · 1 year ago

Agreed — the incretin effect is the load-bearing concept and everything downstream reads differently once you have it.

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comment on three years of appetite return threads, summarised so you do not have to read them in c/tapering · 0 points · 1 year ago

What is prompting the decision — cost, supply, side effects, or something else?

Adding the one process step — write down where you are before you change anything.

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comment on three years of appetite return threads, summarised so you do not have to read them in c/tapering · 27 points · 1 year ago

Edited a comment framing regain as a moral failure. The documented outcome is not a character verdict.

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comment on [Discussion] discontinuation is doing more work than we give it credit for in c/tapering · 129 points · 1 year ago

Left up. It is honest about the reason for stopping and about the timeline.

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comment on [Question] how do you actually verify weekly update in c/dosinglogs · 6 points · 2 years ago

retrospective logs drift, contemporaneous ones do not

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comment on [Meta] proposal — a flair for gastric emptying posts in c/glp1science · 169 points · 2 years ago

Receptor expression in a tissue is necessary but not sufficient for an effect. You also need the agonist to reach it at relevant exposure, and that is where a lot of confident mechanism talk falls down.

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comment on [Results] 27 weeks on 7.5mg, full numbers, ask me anything boring in c/glp1muscle · 44 points · 2 years ago

lean mass loss during weight loss is expected, the question is how much

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comment on three years of receptor threads, summarised so you do not have to read them in c/glp1science · 11 points · 2 years ago

Push back: a receptor being expressed in a tissue does not tell you the agonist reaches it at therapeutic exposure.

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comment on three years of receptor threads, summarised so you do not have to read them in c/glp1science · 14 points · 2 years ago

The half-life explanation was the thing that made weekly dosing intuitive for me rather than arbitrary.

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comment on three years of receptor threads, summarised so you do not have to read them in c/glp1science · 28 points · 2 years ago

Does the effect persist with continued dosing or does tolerance develop?

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comment on [Discussion] goal weight is doing more work than we give it credit for in c/maintenancephase · 47 points · 2 years ago

do not chase the last two kilos with a dose increase

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