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ForumsOral GLP-1 AgonistsOral sema empty stomach requirement — anyone have experience? Page 2

Oral sema empty stomach requirement — anyone have experience?

Dr.LeslieOBGYN Thu, Oct 31, 2024 at 3:35 AM 57 replies 3,155 viewsPage 2 of 12
DataDave
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Oct 31, 2024 at 5:34 AM#6
Dr.PeteFamMed said:
The OASIS programme put 50mg oral in the same territory as 2.4mg injectable — around 15% mean weight loss — but it needed a dose 20 times larger to…

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.

14 9VendorMark, COA_Karl, MikeFit_NJ and 11 others
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DoseLogDan
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Oct 31, 2024 at 6:20 AM#7

One concrete data point for the thread. If you are comparing against somebody else’s result, check that you are comparing the same measurement taken the same way. Most of the apparent contradictions in these threads dissolve at that step.

13 8Dr.AddMedPHL, newstart_MO, mia_MS2 and 10 others
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Dr.RenalNash
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Oct 31, 2024 at 7:06 AM#8
DataDave 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. The version of this that has an answer is narrower than the version being asked. Narrow it and it becomes tractable; leave it broad and the thread will produce nine confident and incompatible replies.

12 7Dr.NutriCornell, pam_stl, wei_SG and 9 others
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PedsEndoPhilly
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Oct 31, 2024 at 7:52 AM#9

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

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

11 6Dr.LeslieOBGYN, MikeNYC_runner and 8 others
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Dr.LeslieOBGYN
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Oct 31, 2024 at 11:34 AM#10

Reporting back.

Update — I went back to the injectable. Not because the tablet did not work, but because the fasting window and my mornings were never going to agree.

37 10mike_mealprep, NicoleRaleigh, james_edin and 34 others
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