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ForumsSemaglutide (Ozempic / Wegovy)Semaglutide and exercise performance — VO2max and endurance data Page 2

Semaglutide and exercise performance — VO2max and endurance data

RunnerRach Sun, Apr 5, 2026 at 11:50 AM 23 replies 717 viewsPage 2 of 5
Dr.SurgeonPGH
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Apr 5, 2026 at 1:32 PM#6
labquiet_amy said:
The mechanism that matters here is not stomach emptying, it is central.

I will push back on the "any working dose is fine" framing. The maintenance evidence sits overwhelmingly at the top studied dose, and the extension data shows regain tracking dose reduction rather than tracking stopping. Holding low is reasonable; pretending it is evidentially equivalent is not.

11 6DoseLogDan, SleepFixSam, PurityPaulOR and 8 others
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BiostatsBrad
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Apr 5, 2026 at 2:11 PM#7

One concrete data point for the thread. For anyone assembling their own picture: Tmax is one to three days, terminal half-life about 165 to 170 hours, steady state at four to five weeks, and subcutaneous bioavailability near 89%. Those four numbers explain most of the questions people ask about timing.

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Dr.Martinez
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Apr 5, 2026 at 2:50 PM#8
Dr.SurgeonPGH said:
I will push back on the "any working dose is fine" framing.

There is a second half to this that has not been said yet. The dose-response is real but shallow at the top. Across STEP 1 and STEP 4 the gap between 1.7mg and 2.4mg is a couple of percentage points of body weight on average, and the average is carrying a wide spread — plenty of people at 1.7mg sit above the 2.4mg mean. If a dose is working and tolerable, "working" is the relevant variable, not "maximal".

Last edited: Apr 5, 2026 at 7:50 PM
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VanRx_Mike
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Apr 5, 2026 at 3:29 PM#9

Following on from Dr.NateNeph — and this may be the naive question:

What the dose-response curve actually looks like above 1.7mg, because the trial means hide how few people account for the extra loss?

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RunnerRach
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Apr 5, 2026 at 6:37 PM#10

OP back with an update, since a thread like this is useless without one.

Six weeks on from posting: I stopped reading the weekly number and started reading a four-week average, and the "stall" I opened this thread about was a 1.8kg loss I could not see.

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