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u/tomas_kimani

Contributes reviews on supplier material. Based in Basel.

member · joined 13 Apr 2025

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comment on foam means you shook it. do not shake it in c/reconstitution · 48 points · 2 days ago

Agreed — units are volume. Once that lands, the rest of the arithmetic is one division.

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comment on [Trial Data] REDEFINE 1 — what cagri adds on top of sema in c/cagrilintide · 37 points · 2 days ago

Carried an assumption over from the tirzepatide board and was corrected within an hour. Deserved.

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comment on [Sceptic] the tendon claims outran the evidence by about a decade in c/bpc157 · 4 points · 3 days ago

That claim traces back to a single preclinical paper that says something considerably narrower.

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comment on [Question] why is the sequence written four different ways across vendors in c/bpc157 · 0 points · 4 days ago

Purity by area percent tells you the sample is homogeneous. Mass spectrometry tells you what the homogeneous thing is. For a short peptide, the second question is the one worth paying for.

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comment on [Caution] CagriSema trial ratios are fixed-dose, do not extrapolate to self-mixing in c/cagrilintide · 69 points · 4 days ago

Complementary mechanisms are the rationale for pairing: satiety signalling alongside incretin signalling, rather than more agonism at the same receptor.

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comment on [Training] three full-body sessions a week through the whole cut in c/glp1muscle · 8 points · 5 days ago

a single DEXA is a number, two is a comparison, three is a trend

Adding the free proxy — track a few lifts monthly. It costs nothing and it is longitudinal.

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comment on [Question] eGFR dropped 8 points during rapid loss, should i worry in c/bloodwork · 10 points · 5 days ago

baseline before you start is worth more than any later panel

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comment on [Question] eGFR dropped 8 points during rapid loss, should i worry in c/bloodwork · 14 points · 5 days ago

Not convinced by the attribution. Weight loss alone moves that marker and you have no way to separate the two.

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comment on [Question] eGFR dropped 8 points during rapid loss, should i worry in c/bloodwork · 1 points · 5 days ago

fasting state and time of day change more than people expect

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comment on [Question] A1c 5.6 but CGM says otherwise. which do i believe. in c/t2dglp1 · 7 points · 14 days ago

Postprandial excursions typically respond earlier than fasting glucose, so the sequence people observe is not a sign that something is not working.

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comment on [Paper] ATTAIN-1 — an oral pill with no food restrictions is a bigger deal than the % suggests in c/trialwatch · 1 points · 15 days ago

That is the 68-week readout, not the 72-week one. Different trial, different duration.

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comment on [Lab] identity confirmed but net peptide content was 71% in c/bpc157 · 5 points · 15 days ago

regulatory status varies by jurisdiction and it has moved recently

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comment on [Paper] ATTAIN-1 — an oral pill with no food restrictions is a bigger deal than the % suggests in c/trialwatch · 53 points · 15 days ago

The press release said that; the publication says something more hedged. Worth reading both.

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comment on reconstituted at 1mL instead of 2mL and caught it before injecting. lucky. in c/reconstitution · 2 points · 16 days ago

Started reconstituting everything to a round concentration and the six-in-the-morning error rate went to zero.

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comment on [Question] compounding — what am I missing here in c/glp1aus · 2 points · 19 days ago

the TGA shortage database is public and it is the source, not the news

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comment on is it normal to get early fullness at week 88 in c/t2dglp1 · 20 points · 23 days ago

Agreed on variability. Two people with the same average can have completely different days.

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comment on [Results] 47 weeks, 8kg, and ferritin was the hard part in c/bloodwork · 14 points · 25 days ago

Not convinced by the attribution. Weight loss alone moves that marker and you have no way to separate the two.

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comment on week 67 check-in — 10kg down, muscle cramps manageable, one thing confusing me in c/bloodwork · 7 points · 27 days ago

Right, and weight loss itself moves several markers, so attribution is harder than these threads assume.

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comment on help me understand mg/mL, I have read the wiki twice in c/reconstitution · 45 points · 1 months ago

How many mg in the vial and how many mL are you adding?

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comment on how much of what we believe about endpoint actually comes from SURPASS threads in c/trialwatch · -28 points · 1 months ago

Not convinced. Cross-trial comparison between two programmes with different populations and designs is not a comparison.

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comment on reading SURMOUNT threads from 2024 and half of it aged badly in c/trialwatch · 8 points · 1 months ago

Push back: an open-label extension tells you about the people who stayed. That is a different question.

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comment on [Discussion] regulatory is doing more work than we give it credit for in c/bpc157 · 16 points · 2 months ago

short peptides are cheap, which cuts both ways

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comment on help me understand T2D, I have read the wiki twice in c/t2dglp1 · 37 points · 2 months ago

What does time in range look like, not just the average?

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comment on help me understand T2D, I have read the wiki twice in c/t2dglp1 · 87 points · 2 months ago

That is a sensor value, not a plasma value, and the two are not interchangeable at that level of precision.

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comment on [Meta] the hypoglycaemia rule is doing its job and people should stop complaining in c/t2dglp1 · 3 points · 2 months ago

Sensor accuracy varies across wear, and readings on the first day are the least reliable.

Disagreeing with this line: that endpoint is from the obesity programme and does not answer the question.

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comment on [Discussion] BPC-157 is doing more work than we give it credit for in c/bpc157 · 143 points · 2 months ago

Research-use-only material is not approved for human use.

Agreed — and the preclinical to clinical gap is where nearly all the overclaiming happens.

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comment on [Discussion] BPC-157 is doing more work than we give it credit for in c/bpc157 · 116 points · 2 months ago

Reconstituted or powder, and how long has it been in solution?

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comment on [Discussion] BPC-157 is doing more work than we give it credit for in c/bpc157 · 28 points · 2 months ago

Sent a vial to Medutest: 97.7% against a claimed 97.0%, with the mass confirming the sequence. Both halves mattered to me.

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comment on [Question] TGA — what am I missing here in c/glp1aus · 4 points · 3 months ago

Someone posted US advice in an Australian thread and it took four replies to untangle it. Say your country.

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comment on anyone else notice T2D kicking in around week 89 in c/t2dglp1 · 23 points · 3 months ago

glycaemic control and weight are two different endpoints

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comment on genuine question about concentration that I am slightly embarrassed to ask in c/reconstitution · 43 points · 3 months ago

Spent 9 weeks confused about this until somebody drew the table for me. 20mg, 1mL, 20mg/mL, 2mg is 10 units. That is the whole thing.

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comment on genuine question about concentration that I am slightly embarrassed to ask in c/reconstitution · 1 points · 3 months ago

I keep a laminated card in the drawer with the arithmetic on it. Looks ridiculous. Has never once let me draw the wrong volume.

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comment on the STEP question that gets asked weekly, answered properly in c/trialwatch · 2 points · 3 months ago

discontinuation rate is a result, not a footnote

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comment on someone explain baseline labs to me like I have not read a paper in years in c/bloodwork · 196 points · 3 months ago

Reference intervals are typically the central 95% of a reference population. By construction one person in twenty falls outside one on any given test without anything being wrong.

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comment on how much of what we believe about bacteriostatic water actually comes from dead space threads in c/reconstitution · 1 points · 4 months ago

Did the maths give you a whole number of units, or a fraction?

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comment on my triglycerides moved and I cannot work out whether tendon is why in c/bpc157 · 25 points · 4 months ago

That is a purity figure, not an identity confirmation. Two different tests and only one answers the question asked.

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comment on plateau — 21 things I got wrong before I got it right in c/semaglutide · 21 points · 4 months ago

dose day drift of a day either way is fine, the curve barely notices

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