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ForumsOral GLP-1 AgonistsOral semaglutide 50mg (Rybelsus HD) — 12 month update Page 7

Oral semaglutide 50mg (Rybelsus HD) — 12 month update

LibrarianMeg Thu, May 30, 2024 at 6:09 AM 44 replies 2,300 viewsPage 7 of 9
MASHdoc_SA
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Jul 9, 2024 at 9:50 PM#31
VanRx_Mike said:
The version of this that has an answer is narrower than the version being asked.

There is a second half to this that has not been said yet. Steady state is the thing most people miss. The terminal half-life is about a week, so every dose step takes four to five weeks to fully express itself. Judging a step at day ten is judging the ascent, not the plateau, and it is the single commonest reason people escalate before they needed to.

47 22TirzTom, TrialTracker_MD, JennaRN and 44 others
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Dr.NateNeph
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Jul 13, 2024 at 2:26 AM#32

Adding the numbers, since they settle part of this. If you are going to change something, change one thing and give it long enough to express itself. Four weeks is the usual minimum for anything pharmacological on this board, and two weeks of data has told you almost nothing.

46 21NauseaFreeNow, SteveThurs, B12Beth and 43 others
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sarah_TO
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Jul 16, 2024 at 7:04 AM#33

A narrower follow-up, since the general answer is now clear:

How long did you give it before you decided it was working?

45 20GraceAZ_72, carl_compliance, DanielChem_CHI and 42 others
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mona_PHX
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Jul 19, 2024 at 11:44 AM#34
Dr.NateNeph said:
If you are going to change something, change one thing and give it long enough to express itself.

Filing a mild objection. Mild because I might be wrong; an objection because nobody has addressed the case that does not fit. I would resist the confidence. Half of what this board was certain about two years ago has since been quietly dropped, and nobody went back to correct the threads.

Last edited: Jul 19, 2024 at 2:44 PM
44 19CryptoCarl, MariaRD, AussieAnna and 41 others
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rachel_ABQ
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Jul 22, 2024 at 4:26 PM#35
Dr.NateNeph said:
If you are going to change something, change one thing and give it long enough to express itself.

Agreed, and one caution: a single measurement is not a measurement. Anything that moves day to day needs a trend before it means anything at all.

43 18Dr.CardioMD, EndoResFellow, PharmacoVig_BOS and 40 others
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