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ForumsSemaglutide (Ozempic / Wegovy)Semaglutide mechanism of action: hypothalamic GLP-1R binding and satiety — what worked for you? Page 4

Semaglutide mechanism of action: hypothalamic GLP-1R binding and satiety — what worked for you?

VendorMark Fri, Jan 31, 2025 at 9:53 PM 54 replies 2,401 viewsPage 4 of 11
GenomicsKate
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Feb 10, 2025 at 1:33 PM#16

Adding the clinical framing, because it changes how the question reads. The mechanism and the magnitude are separate questions. Agreeing that something happens says nothing about whether it happens enough to act on.

48 21DebRD_ATL, KristenIndy, MarkLI_maint and 45 others
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NurseLeah_Nash
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Feb 11, 2025 at 6:33 PM#17
Dr.RaviCardio said:
Numbers worth memorising for this class: Tmax one to three days for the weekly peptides, terminal half-life about a week for semaglutide and about…

Adding the part of the answer the thread has not reached. It helps to say which part of this you are uncertain about. A precise question gets a precise answer; a general one gets everybody’s favourite anecdote.

49 22BiostatsBrad, PeptideSynthNJ, Dr.KarenChen and 46 others
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kate.chem
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Feb 12, 2025 at 11:32 PM#18

Adding the numbers, since they settle part of this. 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".

Worth separating that from the pharmacology, which this thread keeps folding into the same question. They behave differently and the advice does not transfer.

50 23tyler_CSCS, VanRx_Mike, steve_okc and 47 others
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tony_orlando
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Feb 14, 2025 at 4:31 AM#19

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

Whether anyone has held at a sub-maximal dose long term and kept the result, or whether the maintenance data only exists at 2.4mg?

1 24CanadaChris
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mike_mod
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Feb 15, 2025 at 9:29 AM#20

Moderator note: the sourcing question belongs in the vendor section and has been split out.

23 21PurityPaulOR, MaxMetOK, MounjBrad and 20 others
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