u/marit_coelho

the 3 province variation is real

Not convinced. The evidence does not support that reading.

Dead space in the needle hub holds a small but non-trivial volume. On low-volume draws that can be several units.

week 67 and i am still not at maintenance, do not rush the ladder

Titration speed is a side-effect dial far more than an efficacy dial.

The practical rule people converge on is 28 days at fridge temperature after first puncture, and that comes from the preservative, not the peptide.

Australia here. Waited 11 months on a list, gave up, went private, and the total cost was roughly what I expected.

the 2.4mg dose is not the target, it is just what the pen goes up to

Canada here. Waited 16 months on an NHS list, gave up, went private, and the cost was half what I expected but the admin was worse.

provincial formularies differ sharply

This is correct. Private and NHS pathways are different.

Disagree. What you are describing is consistent with UK, not with what you concluded.

titration speed is titration plus side effects, period

oral non-peptide agonist is ACHIEVE, no food restrictions

Adding to this: oral GLP-1 is doing more work than the comment implies.

the Scottish pathway is different from the English one

private plans vary by employer

EMA and national agency claims need citation

the the Netherlands answer is not the the Netherlands answer

the early fullness profile is speculative at this stage