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c/semaglutide·posted 2 years ago by u/sofia_wikstrom

[Meta] proposal — a flair for weekly dosing posts

Meta Well Actually ×7 Clean Column ×2 Long Haul ×2

proposal — a flair for weekly dosing posts. Short post, long comment section, probably.

Research-use-only material is not approved for human use, so anything in this thread about how a compounded or research vial "should" behave is a chemistry discussion, not a dosing one.

My stall was eleven weeks. Eleven. Then it moved again without me changing anything at all.

Sat at 0.25mg for four months because it was doing the job. Everyone told me to go up. The one time I did, the only thing that changed was the sulphur burps.

Screenshot none of this. Read the whole thread, including the parts where I am told I am wrong.

31,052 up / 23,621 down57% upvoted48 commentsid 14d5s018 Feb 2024

48 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/source_or_silence1.3k points·2 years ago

What I would tell week-one me, in order of how much time it would have saved.

One: the first month is a tolerance check. You are finding out whether you can take this, not how much you will lose. Two: write down the dose, the day and the waist measurement. Three: a stall of under six weeks is weather, not climate. Four: early fullness that arrives the day after the shot and fades by day four is the ordinary pattern and it usually settles at a stable dose.

None of that is advice about what you should do. It is the shape of the thing, which nobody explained to me and which the wiki explains better than I just did.

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u/dead_space_doug621 points·2 years ago

I would push back gently. Going up because the scale paused is the single most common mistake described on this board.

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u/diego_sorensen474 points·2 years ago

the food noise going quiet is the effect people actually describe

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[removed]314 points·2 years ago

[removed by moderator]

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u/ahmed_okafor105 points·2 years ago

Same. I sat at 1.0mg for three months because it was working and there was nothing to fix.

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u/coa_janitormod · c/coa869 points·2 years ago

Yes. Week 82 is when almost everybody writes the "is it still working" post, and almost everybody is fine.

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u/kavya_radich231 points·2 years ago·edited

First month I lost almost nothing and nearly quit. Month two and three were where it all happened.

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u/ravi_bergstrom83 points·2 years ago

Careful. A four-week stall is inside normal variation and treating it as failure is how people escalate for no reason.

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u/marta_trevino598 points·2 years ago·edited

Steady state after a dose change takes four to five half-lives, so the fair judgement point on a new step is about a month, not four days.

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u/sofia_wikstromOP305 points·2 years ago·edited

That figure is the 68-week trial mean, not a weekly rate. Dividing it by the weeks gives you a number that does not mean anything.

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u/helga_vermeulen352 points·2 years ago

Correct, and worth adding: the trial average is an average. Half the people in it did worse than 15% and were still on the drug.

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u/micro_bump_mick212 points·2 years ago

Correct, and worth adding: the trial average is an average.

Disagree with this specific line. A pause at 0.5mg is not evidence that 0.5mg has stopped working.

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u/vikram_ferreira308 points·2 years ago·edited

Dropped my injection day by two days once because of travel. Nothing happened. The panic was worse than the effect.

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u/micro_bump_mick-11 points·2 years ago

STEP-1 averaged just under 15% at 68 weeks, so a 10% year is not a failure

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u/sofia_wikstromOP1 point·2 years ago

STEP-1 averaged just under 15% at 68 weeks, so a 10% year is not a failure

micro_bump_mick is describing the standard shape here and it matches the trial data better than most anecdotes do.

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u/ahmed_abubakar254 points·2 years ago

the ladder exists because the gut needs the time, not because the pharmacy likes paperwork

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u/careful_gradient_again97 points·2 years ago

week 7 plateau is the most predictable thing in this entire board

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u/kenji_vasquez59 points·2 years ago

What did week 32 look like compared with this one? The month either side is the useful comparison.

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u/test_it_yourselfvetting14 points·2 years ago

The appetite thing was the surprise. I expected to feel full. What I got was simply not thinking about food between meals.

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u/sofia_wikstromOP6 points·2 years ago

Are you measuring anything other than weight? Waist is usually the one that keeps moving.

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u/units_not_mgsyringe math85 points·2 years ago·edited

constipation made the first fortnight rough at each step up, then flattened out. Predictable enough that I started planning around it.

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u/noor_hovland61 points·2 years ago

Genuine question — is the appetite effect still there, or is it just the scale that has paused?

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u/zeynep_zielinski177 points·2 years ago·edited

Disagree. 2.4 is the top of the label, not the goal, and "everyone ends up there" is just survivorship in the posts you read.

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u/adaeze_brandt106 points·2 years ago

Not convinced. You changed the dose and the week at the same time, so you cannot attribute the change to either.

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u/camila_sandvik81 points·2 years ago

Delayed gastric emptying is most pronounced early and attenuates with continued dosing, which is why the sulphur burps usually fades at a stable dose.

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u/teodor_duarte62 points·2 years ago

Week 46: 13kg down, sulphur burps basically gone since about week 6, and the honest headline is that nothing dramatic happened. It was boring and it worked.

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u/zofia_lindholm49 points·2 years ago

This matches me almost exactly, right down to the sulphur burps showing up on the second day and being gone by the fourth.

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u/kavya_radich104 points·2 years ago

Kept a log from week one and the single most useful column turned out to be waist, not weight.

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u/zeynep_weiss53 points·2 years ago

That reads like a titration plan and this board cannot give you one. Somebody who actually knows your history has to.

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u/archived_thread_a64 points·2 years ago

Did protein intake change in the same window?

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