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c/orforglipron·posted 1 year ago by u/sofia_petrescu

[Discussion] the ACHIEVE advice in here is 3 years out of date

Discussion Slow Clap ×1

Thinking out loud about this: the ACHIEVE advice in here is 3 years out of date.

3 years — those are the numbers, and they are the ones I am willing to defend.

Nothing containing this compound is approved by any regulator, and research-use-only material is not approved for human use.

Assumed the peptide purity conversations transferred and they do not. Different analytical problem entirely.

Sceptical readings welcome. The confident ones are the ones I distrust.

2,844 up / 2,484 down53% upvoted25 commentsid 212vvi8 Apr 2025

25 comments

19 in this archive, depth 6

best — the order this archive was captured in

u/marit_coelho45 points·1 year ago

Because it is not a peptide, it is not subject to the same degradation pathways, does not require the absorption enhancers used for oral peptides, and can be formulated as a conventional tablet.

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u/laila_delgado38 points·1 year ago

Read both programme names carefully after mixing them up in a comment and being politely corrected.

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u/blank_injection17 points·1 year ago

Read both programme names carefully after mixing them up in a comment and being politely corrected.

Agreed, and it is why the oral peptide comparison keeps misleading people.

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u/hsa_math18 points·1 year ago

The analytical point, which this board keeps getting wrong by importing habits from the peptide side.

For a peptide, purity is typically reported as area percent by HPLC with identity by mass spectrometry, and the impurity classes are things like deletion and oxidation products. For a small molecule the relevant impurities are synthetic intermediates, degradants and residual solvents, and identity is established differently.

So the certificate you would want looks different, the questions to ask are different, and a "purity" figure quoted here is not comparable to one quoted on the peptide boards. Anybody posting a result should say what method produced it, which is good practice everywhere and essential here.

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u/dilara_weiss15 points·1 year ago

the boards keep comparing it to injectables at matched doses, which is meaningless

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u/mateusz_mensah9 points·1 year ago

Milligram-for-milligram comparison with an injectable peptide is not meaningful and I should not have made it.

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u/phase_two_peteMOD14 points·1 year ago

Corrected a cross-class dose comparison in the title. The body is untouched.

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u/jonas_cardoso8 points·1 year ago

Small fix — the two programme names got swapped upthread and it changes which population the figure came from.

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u/ayesha_erdogan3 points·1 year ago

do not assume reconstitution intuitions apply, there is nothing to reconstitute

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u/hana_lehtinen0 points·1 year ago

Small fix — the two programme names got swapped upthread and it changes which population the figure came from.

Disagreeing with this bit: daily dosing is a different adherence problem, not a better one.

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u/sofia_petrescuOP1 point·1 year ago

Is that from the publication or the press release?

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u/piotr_bruun10 points·1 year ago

Small fix — the two programme names got swapped upthread and it changes which population the figure came from.

jonas_cardoso is right that milligram comparisons across classes tell you nothing.

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u/taper_off_tabitha5 points·1 year ago

jonas_cardoso is right that milligram comparisons across classes tell you nothing.

Adding the standing caveat — unapproved, and research material is not for human use.

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u/yara_boateng1 point·1 year ago

Cosigning on daily dosing. It changes the exposure profile and it changes adherence, in both directions.

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u/enzo_ferrari1 point·1 year ago

oral semaglutide is a peptide with an absorption enhancer, this is not that

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u/rasmus_petrescu-6 points·1 year ago

phase 3 is where the comparison becomes fair

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u/piotr_bruun1 point·1 year ago

phase 3 is where the comparison becomes fair

This is the fact the whole board hangs on. Small molecule, not peptide.

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u/sofia_petrescuOP1 point·1 year ago

small molecule, not a peptide, and that changes everything about it

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u/ewan_hovland10 points·1 year ago

Compared milligram figures across two completely different molecule classes in a comment. Deserved the correction.

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About c/orforglipron

The small-molecule oral: why a non-peptide agonist escapes the absorption problems of oral semaglutide, what the ATTAIN and ACHIEVE readouts showed, and what a pill with no refrigeration requirement would do to the entire supply conversation this site is built around.

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