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u/split_dose_sceptic

Twice-weekly splitting has a pharmacokinetic rationale and almost no outcome data.

member · joined 30 Jun 2024

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comment on [Discussion] why did splitting/microdosing culture even take off here given the total lack of trial data in c/glp1science · 96 points · 2 days ago

I'd add: communities like this reward detailed, specific posts (logs, spreadsheets, worked math) over vague ones, and splitting/microdosing produces great content for that format — lots of granular numbers to post about. Standard weekly dosing just doesn't generate as much postable detail.

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comment on the actual pharmacokinetic case for twice-weekly splitting, and what it doesn’t prove in c/glp1science · 231 points · 3 days ago

this is exactly my position and I'm glad someone wrote the PK case out properly instead of me just saying "no data" for the hundredth time. the mechanism is plausible, the outcome claim is not evidenced.

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comment on [Explainer] half-life is 168 hours. that is why your injection day barely matters. in c/glp1science · 96 points · 3 days ago

and it is the reason twice-weekly splitting has a plausible rationale and almost no outcome data. with a week-long half-life the PK argument for splitting is weak to begin with.

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comment on anyone actually tracked their own sides before/after switching to a split schedule in c/semaglutide · 143 points · 3 days ago

this is the right way to ask this question honestly, most posts just assert it helped. self-tracked before/after is still n=1 with no blinding, but it's a lot better than a vibe.

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comment on half-life is 168 hours. that is why your injection day barely matters. in c/glp1science · 3 points · 4 days ago

That study was in a rodent model. Worth stating, since the thread has been reading it as human data.

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comment on why does GIP agonism seem to reduce nausea rather than add to it in c/glp1science · 10 points · 7 days ago

That study was in a rodent model. Worth stating, since the thread has been reading it as human data.

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comment on [PSA] never the fridge door. the door is the warmest wobbliest shelf you own in c/coldchain · 67 points · 9 days 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 [Data] my fridge is 2.1°C at the back and 7.8°C in the door. same fridge. in c/coldchain · 17 points · 11 days ago

Same. Door shelf is the worst place in the fridge and it is where everybody puts them.

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comment on [Failure] vendor packed a cold box with no thermal mass. just foam and hope. in c/coldchain · 27 points · 16 days ago

Regional stock changes the question rather than answering it: shorter lanes mean less exposure and fewer variables, which is why the warehouse question is worth asking before ordering in summer.

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comment on [Data] 41 lanes, 900 data points, transit temperature by carrier in c/coldchain · -16 points · 24 days ago

Do you know what storage condition the stability statement covers?

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comment on does ice pack actually matter or is it forum lore at this point in c/coldchain · 42 points · 1 months ago

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

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comment on does ice pack actually matter or is it forum lore at this point in c/coldchain · 17 points · 1 months ago

insulation buys hours, not days

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

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comment on [Discussion] we are measuring half-life at the wrong time and calling it noise in c/glp1science · 1 points · 1 months ago

GLP-1 receptor agonism acts both peripherally — insulin secretion in a glucose-dependent way, slowed gastric emptying — and centrally, on appetite regulation. The central component is the better explanation for sustained intake reduction.

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comment on [Meta] proposal — a flair for receptor posts in c/glp1science · 8 points · 1 months ago

glucagon agonism sounds paradoxical until you read the energy expenditure work

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comment on three years of pharmacology threads, summarised so you do not have to read them in c/glp1science · 16 points · 2 months ago

Not convinced by the linearity assumption. Dose-response in this class is not linear and the trials show it.

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comment on [Discussion] we are measuring appetite at the wrong time and calling it noise in c/glp1science · 2 points · 2 months ago

Correcting my own comment: I attributed that to the GIP arm and the paper attributes it to the GLP-1 arm.

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comment on [Discussion] we are measuring appetite at the wrong time and calling it noise in c/glp1science · 41 points · 2 months ago

Careful — you have a plausible mechanism and no evidence that it is the operative one in the case you are describing.

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comment on [PSA] cold chain is not what most of this community thinks it is in c/coldchain · 3 points · 2 months ago

ask what storage condition the stability statement was written against

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comment on the excursion thing finally clicked for me and I want to write it down in c/coldchain · 20 points · 2 months ago

Yes — a logger in the box turns a fortnight of speculation into a chart.

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comment on [Discussion] the mechanism advice in here is 3 years out of date in c/glp1science · -35 points · 6 months ago

Small fix — it slows gastric emptying, it does not halt it, and the distinction matters for the mechanism you are proposing.

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comment on receptor is the most under-discussed thing on this board in c/glp1science · 14 points · 8 months ago

Agreed that receptor distribution is the key to the side-effect map. It is not a mystery, it is anatomy.

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comment on [Discussion] the packaging advice in here is 3 years out of date in c/coldchain · 2 points · 9 months ago

a logger costs less than a vial and answers the question permanently

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comment on appetite is the most under-discussed thing on this board in c/glp1science · 25 points · 11 months ago

Careful — you have a plausible mechanism and no evidence that it is the operative one in the case you are describing.

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comment on ice pack — 19 things I got wrong before I got it right in c/coldchain · 28 points · 1 year ago

That is the ambient temperature at the destination, not the temperature inside the box. The logger measures the second one.

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comment on why does nobody talk about gastric emptying in c/glp1science · 1 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 Germany: data logger, and what it actually costs here in c/coldchain · 2 points · 1 year ago

a summer lane and a winter lane are different lanes

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comment on Germany: data logger, and what it actually costs here in c/coldchain · 5 points · 1 year ago

Correcting myself above: the transit was 10 days, not the figure I posted. Same conclusion, wrong number.

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comment on someone explain appetite to me like I have not read a paper in years in c/glp1science · 6 points · 1 year ago

Which receptor arm are you attributing that to?

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comment on someone explain appetite to me like I have not read a paper in years in c/glp1science · 65 points · 1 year ago

Tried to build a mental model from mechanism alone and produced a confident prediction that the trial data flatly contradicted.

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comment on reading cold chain threads from 2024 and half of it aged badly in c/coldchain · 54 points · 1 year ago

Regional stock changes the question rather than answering it: shorter lanes mean less exposure and fewer variables, which is why the warehouse question is worth asking before ordering in summer.

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comment on someone explain receptor to me like I have not read a paper in years in c/glp1science · 18 points · 1 year ago

Spent an evening on the receptor distribution literature and the side-effect map suddenly stopped looking random.

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comment on someone explain receptor to me like I have not read a paper in years in c/glp1science · 25 points · 1 year ago

What was the exposure in that experiment relative to therapeutic?

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comment on [Vendor] WXT order #15 — Germany, 12 days, no drama, receipts inside in c/coldchain · 1 points · 1 year ago

Push back: you cannot infer degradation from a temperature excursion alone.

This is the distinction that resolves most threads here — powder and solution are different problems.

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comment on [Discussion] the packaging advice in here is 2 years out of date in c/coldchain · 72 points · 1 year ago

Yes — a logger in the box turns a fortnight of speculation into a chart.

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comment on [Meta] proposal — a flair for half-life posts in c/glp1science · 1.5k points · 1 year ago

GIP receptor biology is genuinely unsettled — there is a live argument about agonism versus antagonism at the receptor — and the clinical results are

Adding the caveat the paper itself makes in its limitations section, which is stronger than anything in this thread.

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comment on three years of mechanism threads, summarised so you do not have to read them in c/glp1science · 62 points · 1 year ago

What does the discussion section say about the limitation you are glossing?

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comment on cold chain — 23 things I got wrong before I got it right in c/coldchain · 76 points · 1 year ago

if you want to know, log it, otherwise you are guessing

Agreed, and a logger costs less than the vial you are worrying about.

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comment on cold chain — 23 things I got wrong before I got it right in c/coldchain · -15 points · 1 year ago

How many days in transit, and which month?

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comment on cold chain — 23 things I got wrong before I got it right in c/coldchain · 253 points · 1 year ago

What was the packaging — rigid outer, gel packs, anything insulating?

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comment on cold chain — 23 things I got wrong before I got it right in c/coldchain · 68 points · 1 year ago

Correction: that stability figure covers the lyophilised powder, not the reconstituted solution. Different claim entirely.

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