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c/trialwatch·posted 6 months ago by u/camila_vasquez

genuine question about SELECT that I am slightly embarrassed to ask

Paper

Week 45 update. 16kg down from the start, reflux basically gone since about week 85.

Things that worked: consistency, protein at breakfast, walking more than I want to. Things that did not: everything I bought on the internet to help with reflux.

The part that surprised me is how much of this is admin. Ordering, storing, logging, remembering. Nobody mentions that the hard bit is not the drug, it is the routine.

Happy to answer anything. Please do not ask me what dose you should be on.

189 up / 6 down97% upvoted23 commentsid 3au0qj2 Jan 2026

23 comments

17 in this archive, depth 4

best — the order this archive was captured in

u/tove_ogunleye17 points·6 months ago
i changed my mind reading this, which never happens
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u/valeria_karlsen5 points·6 months ago

the discontinuation arms are the interesting part, not the SURPASS endpoints

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u/rulebook_rachaelmod · c/meta13 points·6 months ago

the relative risk reduction in headlines is not the whole story

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u/enzo_ferrari3 points·6 months ago

Strongly agree. Phase 2 is investigational, not conclusive.

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u/hazard_ratio_halMOD10 points·6 months ago

Removed a chain here. The rule is one line long and it is not negotiable.

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u/ms_fragmenter8 points·6 months ago

I am going to push back on this slightly.

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u/foam_head_fred5 points·6 months ago

The confident tone is doing a lot of work that the evidence is not.

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u/milan_mensah4 points·6 months ago

STEP, SURMOUNT, SURPASS, SELECT, FLOW, TRIUMPH — read the appendix

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u/joaquin_trevino2 points·6 months ago

dropout handling matters, especially on GI-heavy populations

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u/anders_karlsen3 points·6 months ago

event rates are more informative than hazard ratios alone

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u/yara_bakken2 points·6 months ago

Rodent data is rodent data. Dose scaling is not linear and the models tell you what to investigate, not what to expect.

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u/hub_opssite staff2 points·6 months ago·edited

the discontinuation arms are the interesting part, not the STEP endpoints

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u/receptor_bias_rick1 point·6 months ago

off-label use data is different from approved-indication data

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u/gastric_emptying_g1 point·6 months ago

off-label use data is different from approved-indication data

Yes, exactly this, and it is the bit that took me 95 weeks to accept.

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u/cold_chromatogram311 point·6 months ago

This is the "correlation is mechanism" thing again. You changed three variables at once.

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u/anders_karlsen1 point·6 months ago

the 22 week readout is different from the 24 week readout

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u/camila_vasquezOP-33 points·6 months ago

STEP 1 readout: 99.2% mean weight loss, absolute numbers matter. Spread around that mean is enormous.

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