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ForumsOral GLP-1 AgonistsDanuglipron dose optimization — 12 month update Page 2

Danuglipron dose optimization — 12 month update

Dr.MetabolicMD Sat, Mar 14, 2026 at 8:45 PM 34 replies 1,534 viewsPage 2 of 7
TirzTom
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Mar 14, 2026 at 9:22 PM#6
PeptideChemSF said:
Orforglipron is the more interesting oral story because it is not a peptide at all.

I do not accept that the fasting window is a minor inconvenience. Adherence data on daily orals with timing requirements is consistently worse than weekly injections, and a drug you take imperfectly is a lower dose than the one on the box.

If somebody has the primary source to hand I would rather cite it than paraphrase it.

23 18josh_phd_bmore, roxy_nash, tony_orlando and 20 others
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lisa_labSD
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Mar 14, 2026 at 9:37 PM#7

One concrete data point for the thread. Practical: whatever you change, write down the date and the reason. In three months the reason is what you will have forgotten, and the reason is what makes the record worth having.

Last edited: Mar 15, 2026 at 12:37 AM
22 17maya_sedona, stefan_berlin, Dr.EM_Chicago and 19 others
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Dr.RenalNash
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Mar 14, 2026 at 9:51 PM#8
TirzTom said:
I do not accept that the fasting window is a minor inconvenience.

There is a second half to this that has not been said yet. Most of what circulates confidently in this community traces back to one summary of one study, and the qualifier was dropped somewhere in the third retelling.

21 16Dr.NutriCornell, pam_stl, wei_SG and 18 others
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DadBodDave
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Mar 14, 2026 at 10:05 PM#9

One thing that is still open after MikeKY_noInsulin’s answer:

How much of the oral variability is the SNAC absorption window and how much is dose, because the two get conflated constantly?

20 15Dr.GastroMayo, JakeBK_lifts, DerekSJ_a1c and 17 others
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Dr.MetabolicMD
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Mar 14, 2026 at 11:15 PM#10

Reporting back.

I moved the tablet to the moment I wake up rather than trying to fit it around breakfast, and the difference in the following weeks was obvious. It was a timing problem, not a dose problem.

44 19GenomicsKate, Dr.ObesityMed, HealthEcon_DC and 41 others
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