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Evidence-based GLP-1 & peptide discussion since 2023
ForumsSemaglutide (Ozempic / Wegovy)My doctor wants to keep me on 0.5 but I want to go up Page 2

My doctor wants to keep me on 0.5 but I want to go up

jason_sac26 Thu, Mar 5, 2026 at 12:16 PM 6 replies 812 viewsPage 2 of 2
NeuroNate
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Mar 6, 2026 at 4:03 AM#6
Dr.AddMedPHL said:
Steady state is the thing most people miss.

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.

Last edited: Mar 6, 2026 at 10:03 AM
11 6jason_paloalto, Dr.LeslieOBGYN, MikeNYC_runner and 8 others
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DataDave
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Mar 6, 2026 at 10:19 AM#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.SportsMedIN
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Mar 6, 2026 at 4:35 PM#8
NeuroNate said:
I will push back on the "any working dose is fine" framing.

Adding the part of the answer the thread has not reached. Start from the measurement rather than the conclusion. Almost every disagreement here turns out to be two people measuring different things and comparing the numbers anyway.

Happy to go further on any of that.

Last edited: Mar 6, 2026 at 9:35 PM
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KarenAZ_mom
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Mar 6, 2026 at 10:51 PM#9

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

What did you change at the same time, and can you separate the two now?

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jason_sac26
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Mar 8, 2026 at 4:58 AM#10

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

Update. I did go to 2.4mg in the end, and the honest report is that it bought me less than the step before it and cost me two bad weeks. Worth knowing rather than worth repeating.

4 2Dr.PulmRoch, maya_sedona, stefan_berlin and 1 other
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