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Evidence-based GLP-1 & peptide discussion since 2023
ForumsOral GLP-1 AgonistsHow far away are we really from an oral option — 12 month update Page 2

How far away are we really from an oral option — 12 month update

HPLC_Greg Wed, Jun 4, 2025 at 7:45 PM 47 replies 2,552 viewsPage 2 of 10
julia.endo
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Jun 4, 2025 at 9:29 PM#6
Dr.PainCLE 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.

Last edited: Jun 5, 2025 at 3:29 AM
50 20anna.melb_AU, mark_tokyo, hans_munich and 47 others
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labquiet_amy
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Jun 4, 2025 at 10:09 PM#7

The figures, for anyone assembling their own picture. Worth stating the units and the reference range whenever you post a number here. A large fraction of the apparent disagreement in these threads is two people using different units and both being right.

I would rather be corrected than agreed with, if it comes to it.

Last edited: Jun 5, 2025 at 12:09 AM
49 19HPLC_Greg, LibrarianMeg, bri_stats and 46 others
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Dr.PeteFamMed
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Jun 4, 2025 at 10:49 PM#8
julia.endo 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. Order of operations matters more than any single choice here: establish a baseline, change one thing, wait long enough for it to express itself, then measure again under the same conditions.

48 18LindaRN_retired, tommy_boulder, hyun_seoul and 45 others
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JakeSmashed95
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Jun 4, 2025 at 11:29 PM#9

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

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

Last edited: Jun 5, 2025 at 4:29 AM
47 17Dr.LipidDallas, alex_tucson, kevin_tulsa and 44 others
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HPLC_Greg
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Jun 5, 2025 at 2:43 AM#10

Reporting back.

Follow-up: moving the tablet to the moment I wake, before anything else, was the whole fix. The dose never changed.

21 19SaraMom3, Dr.MetabolicMD, RetaRick_CA and 18 others
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