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ForumsSemaglutide (Ozempic / Wegovy)Oral semaglutide 25mg vs 50mg — looking for input Page 3

Oral semaglutide 25mg vs 50mg — looking for input

pam_stl Thu, May 30, 2024 at 9:03 AM 55 replies 2,751 viewsPage 3 of 11
SarahChen_PharmD
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Jun 1, 2024 at 5:28 PM#11
LibrarianMeg said:
The dose-response is real but shallow at the top.

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.

31 4Dr.ObesityLA, NurseKim_ATL, paul_denver and 28 others
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tommy_boulder
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Jun 1, 2024 at 11:23 PM#12
COA_Karl said:
Worth adding that the tablet is taken daily, so a missed dose costs far less than a missed weekly injection.

This answered a question I did not know how to ask. Printing the relevant bit and taking it with me.

32 5TinaHashiRN, robert_kc, dan_philly and 29 others
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Dr.SportsMedIN
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Jun 2, 2024 at 5:18 AM#13
LibrarianMeg said:
The dose-response is real but shallow at the top.

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.

33 6adam_van, Dr.SurgeonPGH, rachel_ABQ and 30 others
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TrialTracker_MD
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Jun 2, 2024 at 11:13 AM#14

One concrete data point for the thread. The boring version of this is the one that works, and the boring version is: measure a baseline, change one variable, wait, measure again under the same conditions. Nobody wants that answer and it is still the answer.

34 7Dr.PulmRoch, maya_sedona, stefan_berlin and 31 others
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mike_mod
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Jun 2, 2024 at 5:07 PM#15

Moderator note: a couple of off-topic posts removed. Report rather than reply if it drifts again.

35 8PurityPaulOR, MaxMetOK, MounjBrad and 32 others
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