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c/semaglutide·posted 2 months ago by u/archived_thread_a

[Vendor] CPC vs MKM on the same compound, same month — both cleared 97.5%

Discussion Long Haul ×6

Filing this under things worth writing down: CPC vs MKM on the same compound, same month — both cleared 97.5%.

To save the first four comments: 97.5%.

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

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

Corrections welcome, especially the pedantic ones. Pedantry is how this board earns its reputation.

627 up / 226 down73% upvoted19 commentsid 1cnsuq6 May 2026
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19 comments

18 in this archive, depth 3

best — the order this archive was captured in

u/rina_bergstrom79 points·2 months ago

The escalation schedule in the trials existed to keep people on the drug. It is a tolerability ramp, and it is why the label reads the way it does.

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[removed]29 points·2 months ago

[removed by moderator]

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u/yara_boateng18 points·2 months ago·edited

STEP-1 ran 68 weeks and landed just under 15% mean body weight change on 2.4mg. It is an average of a wide distribution, not a target you have missed.

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u/zeynep_zielinski5 points·2 months ago·edited

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/plain_titration39 points·2 months ago

protein first, then everything else gets easier

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u/careful_gradient_again31 points·2 months ago·edited

Cosigning. The appetite change and the scale change ran about three weeks apart for me too.

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u/niels_lindqvist19 points·2 months ago

Yes. Week 45 is when almost everybody writes the "is it still working" post, and almost everybody is fine.

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u/titration_marshalmod · c/semaglutide15 points·2 months ago

nausea that arrives on day two and fades by day four is the standard shape

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u/camila_sandvik13 points·2 months ago

stalling at 2.4mg is information, not a verdict

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u/source_or_silence13 points·2 months 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/nausea_notesMOD6 points·2 months ago

Retitled to match the body. The original promised a comparison the post does not make.

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u/ismael_chukwu10 points·2 months ago

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/slow_logbook_notes15 points·2 months ago

Weight change and appetite change are different endpoints on different timescales. Conflating them is where most of the confusion on this board starts.

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u/adnan_karlsen7 points·2 months ago

The weekly interval comes out of the half-life — roughly a week — so you are on a smooth curve rather than a series of spikes. That is also why moving your day slightly does very little.

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u/wanjiru_varga-36 points·2 months ago

do not chase somebody else’s titration schedule, they are not you

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u/zeynep_weiss3 points·2 months 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/salma_vasquez5 points·2 months ago

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

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u/elodie_grimaldi0 points·2 months ago

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

Right, and the timescale is the bit that keeps getting lost. Judge a step at a month, not at a weekend.

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