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[Results] 7 weeks, 26kg, and mechanism was the hard part

Question Clean Column ×2 Slow Clap ×1 Receipts ×3

Trying to settle this properly because the thread from last year went in circles.

The claim: receptor matters. The counter-claim: it is measurement error. Both sides have been asserting it confidently for about 4 months without either producing anything.

What would actually settle it is 3 people measuring the same thing the same way. I have started; my numbers are below. They lean one way but not strongly enough for me to declare victory.

If you have data, post the data. If you have an opinion, flair it as an opinion.

4,117 up / 85 down98% upvoted49 commentsid 1yk2rg28 Nov 2024

49 comments

30 in this archive, depth 6

best — the order this archive was captured in

u/greta_lokken507 points·1 year ago

gastric emptying is real and explains most early fatigue

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u/yannick_barros178 points·1 year ago

amylin is not GLP-1, posts conflating them get corrected

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u/priya_guerrero401 points·1 year ago

Inter-lab variance on this kind of assay is routinely 1–2 points. Different column, different gradient, different integration.

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u/ismael_eriksen-36 points·1 year ago

receptor distribution matters, GLP-1 is not everywhere

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u/nadia_bakker1 point·1 year ago

do not extrapolate rodent data to human dosing without saying so

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[deleted]1 point·1 year ago

[deleted]

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u/annika_fonseca1 point·1 year ago

The confident tone is doing a lot of work that the evidence is not.

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u/nhs_waitlist_nUK1 point·1 year ago

the 15-day half-life means week 15 is still ramp-up pharmacokinetically

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u/rasmus_kimani1 point·1 year ago

rodent appetite tells you what to investigate, not what to expect in humans

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u/fatima_kowalski1 point·1 year ago

mechanistic speculation is welcome if flaired as speculation

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u/incretin_ivyMOD266 points·1 year ago

Removed a chain here. The rule is one line long and it is not negotiable.

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u/aleksi_lehtinen170 points·1 year ago

receptor distribution matters, GLP-1 is not everywhere

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u/hassan_ostergaard137 points·1 year ago

Slight fix: the number was 99.0, not 98.9. Decimal point, but a fairly consequential one.

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u/osman_eriksen38 points·1 year ago

Sceptical. If this were true we would see it reflected in the data and we do not.

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u/emeka_chowdhury27 points·1 year ago

incretin physiology is half-life, the mechanism layer

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u/second_week_sceptic300 points·1 year ago·edited

Yeah, the incretin mechanism is doing the work here.

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u/neha_krastev144 points·1 year ago

Rodent, human, or in vitro?

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u/devils_advocate_d72 points·1 year ago

cite the paper: journal, year, first author, links optional

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u/analog_alphabet60 points·1 year ago

This is correct. Rodent data is investigational, not predictive.

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u/gradient_goblin219 points·1 year ago

amylin is not GLP-1, posts conflating them get corrected

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u/aa_analysis_andy60 points·1 year ago

amylin is not GLP-1, posts conflating them get corrected

Adding to this: receptor is doing more work than the comment implies.

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u/priya_guerrero18 points·1 year ago·edited

incretin physiology is receptor, the mechanism layer

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u/vikram_mbeki51 points·1 year ago

Not to be pedantic but pharmacology and incretin are being used interchangeably and they are not interchangeable in real life.

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u/incretin_ivypharmacology245 points·1 year ago·edited

The practical rule people converge on is 28 days at fridge temperature after first puncture, and that comes from the preservative, not the peptide.

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u/camila_kowalski209 points·1 year ago

Mechanistically the bit that matters is pharmacology. It explains most of the early profile and a decent chunk of the outcome.

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u/emeka_chowdhury54 points·1 year ago

Small correction: the trial was 7 weeks, not 35. Does not change your point but people will quote it.

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u/rina_bergstrom117 points·1 year ago

Dead space in the needle hub holds a small but non-trivial volume. On low-volume draws that can be several units.

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u/nadia_fonseca49 points·1 year ago

mechanistic speculation is welcome if flaired as speculation

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The mechanism layer: incretin physiology, receptor distribution, gastric emptying, central appetite signalling, glucagon-receptor contribution, amylin co-agonism, and the pharmacokinetics that make weekly dosing possible. Papers get cited by journal and year or they get a [needs source] reply.

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