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

unpopular opinion: most of what gets said here about 2.4mg is guesswork

Results Slow Clap ×3

unpopular opinion: most of what gets said here about 2.4mg is guesswork. Change my mind, genuinely — I have no stake in being right about this.

The numbers the title promised, since a headline without them is worthless: 2.4mg. Everything below is context for those.

Sat at 1.7mg 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 muscle cramps.

The mental model that finally made this click for me: there are two curves, and people watch the wrong one.

The first is exposure, which is set by the dose and smoothed by a week-long half-life. It changes when you change the dose and then settles over about a month. The second is body weight, which is exposure filtered through appetite, food, water, sleep, training and the scale itself, and which moves in steps rather than a line.

Almost every "it stopped working" post is somebody watching curve two over a fortnight and drawing conclusions about curve one. If the appetite effect is still there, exposure is fine. Wait the month.

Please do not ask me what dose you should be on. I genuinely do not know and neither does anyone else here.

0 up / 0 down48% upvoted8 commentsid 7280a021 Dec 2023

8 comments

8 in this archive, depth 4

best — the order this archive was captured in

u/vikram_ferreira3 points·2 years 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/teodor_duarte2 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/marit_coelhoOP2 points·2 years ago

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/freya_baptista2 points·2 years ago

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

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u/rohan_steiner1 point·2 years 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/freya_baptista1 point·2 years ago

the appetite signal and the scale move on different clocks

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u/ines_castellanos1 point·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/vikram_ferreira1 point·2 years ago

stalling at 0.5mg is information, not a verdict

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