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Evidence-based GLP-1 & peptide discussion since 2023
ForumsSemaglutide (Ozempic / Wegovy)Okay who else cannot stop burping — anyone have experience? Page 2

Okay who else cannot stop burping — anyone have experience?

adam_van Mon, Jun 23, 2025 at 8:58 PM 10 replies 1,440 viewsPage 2 of 2
wendy_avl
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Jun 24, 2025 at 4:37 AM#6

The figures, for anyone assembling their own picture. 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.

47 17SleepFixSam, PurityPaulOR, MaxMetOK and 44 others
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nick_SD_fit
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Sep 2024
San Diego, CA
Jun 24, 2025 at 7:37 AM#7

Following on from james_edin — 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?

46 16Dr.CardioMD, EndoResFellow, PharmacoVig_BOS and 43 others
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lisa_labSD
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San Diego, CA
Jun 24, 2025 at 10:37 AM#8
wendy_avl said:
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…

Coming at wendy_avl’s question from a different direction. The mechanism that matters here is not stomach emptying, it is central. GLP-1 receptor agonism in the arcuate nucleus stimulates POMC neurons and suppresses AgRP/NPY signalling, which is why the effect is appetite and food salience rather than physical fullness. Delayed gastric emptying largely tachyphylaxes over the first months; the appetite effect does not.

Correct me if the detail matters more than I have assumed.

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adam_van
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Jun 24, 2025 at 1:37 PM#9

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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maria_elpaso
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Jun 25, 2025 at 4:00 AM#10
lisa_labSD said:
The mechanism that matters here is not stomach emptying, it is central.

No disagreement with lisa_labSD. One condition attached. Albumin binding above 99% is the whole reason weekly dosing works, and it is also why the trough matters more than the peak. People who dose late are not losing a peak, they are letting the trough fall, and the appetite effect tracks the trough.

42 15LibrarianMeg, bri_stats, pete_manc_UK and 39 others
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