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ForumsSide Effects & ManagementFatigue on semaglutide — caloric deficit vs direct drug effect Page 3

Fatigue on semaglutide — caloric deficit vs direct drug effect

SleepFixSam Sat, Jun 6, 2026 at 12:32 PM 25 replies 383 viewsPage 3 of 5
Dr.SurgeonPGH
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Jun 6, 2026 at 5:13 PM#11
sean_dublin said:
Mostly the deficit, and the useful part of that answer is that it is testable.

Agreed, though "tolerable" needs defining. A dose you tolerate by eating almost nothing is not tolerated, it is being paid for somewhere else — usually in lean mass, sometimes in adherence three months later.

Last edited: Jun 6, 2026 at 8:13 PM
43 16DoseLogDan, SleepFixSam, PurityPaulOR and 40 others
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wei_SG
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Jun 6, 2026 at 7:15 PM#12
dan_philly said:
The dose-response is real but shallow at the top.

Saving this. It is the first explanation that did not require me to already understand it. I will report back once I have actually tried it.

Last edited: Jun 6, 2026 at 8:15 PM
44 17SaraMom3, Dr.MetabolicMD, RetaRick_CA and 41 others
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kim_atl_prep
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Jun 6, 2026 at 9:17 PM#13
sean_dublin said:
Mostly the deficit, and the useful part of that answer is that it is testable.

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: Jun 7, 2026 at 3:17 AM
45 18RegAffairsDC, BiostatsBrad, PeptideSynthNJ and 42 others
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labquiet_amy
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Jun 6, 2026 at 11:20 PM#14

The figures, for anyone assembling their own picture. Worth checking before concluding it is the drug: ferritin, B12, TSH, and total intake for three honest days. Two of those four explain most cases.

46 19bri_stats, pete_manc_UK, anna.melb_AU and 43 others
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mike_mod
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Jun 7, 2026 at 1:22 AM#15

Moderator note: two posts asking for a source have been merged into one. Please search the thread before asking again. Report rather than reply if it drifts again.

47 20PurityPaulOR, MaxMetOK, MounjBrad and 44 others
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