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c/semaglutide·submitted 26 days ago by u/coa_janitor

[Discussion] we talk about dose like it is a score and it is not

Discussionbranch of 15 comments

Posting this as a discussion rather than a claim: we talk about dose like it is a score and it is not. Weight change and appetite change are different endpoints on different timescales. Conflating them is where most of the confusion on this board starts. Delayed gastric emptying is most pronounced early and…

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15 comments, started 25 days ago
u/rasmus_kimani49 points·25 days ago

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

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u/ahmed_okafor58 points·25 days 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/coa_janitorOPmod · c/coa33 points·25 days ago

Correcting myself from earlier in the thread: I said week 5 and it was week 13. Same shape, wrong number.

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u/oskar_kaufmann12 points·25 days ago

Correcting myself from earlier in the thread: I said week 5 and it was week 13.

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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u/ferritin_low4 points·25 days ago

Strongly agree on protein. It did more for my constipation than any of the things I bought to fix my constipation.

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u/viktor_nkemelu3 points·25 days ago

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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[removed]22 points·25 days ago

[removed by moderator]

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u/niels_lindqvist6 points·25 days ago

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.

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u/units_not_mgsyringe math33 points·25 days ago

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

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u/leila_silva-19 points·25 days ago

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

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u/ffmi_watcher1 point·25 days ago·edited

My stall was eleven weeks.

This is the part I would underline for anyone skimming. Everything else in the thread is downstream of it.

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u/ravi_bergstrom14 points·25 days ago

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

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u/viktor_nkemelu9 points·25 days 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/ferritin_low5 points·25 days ago

staying at 2.4mg for an extra month is a legitimate plan

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u/greta_perrin6 points·24 days 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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