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ForumsDosing & ProtocolsSemaglutide 1.0mg for maintenance — 12 month update Page 3

Semaglutide 1.0mg for maintenance — 12 month update

Dr.Martinez Wed, Jun 4, 2025 at 11:53 AM 37 replies 1,986 viewsPage 3 of 8
FDA_TrackerJim
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Jun 5, 2025 at 9:02 PM#11
CarlaRPh_TPA said:
The dose-response is real but shallow at the top.

All true, with one condition: that curve is for people who reached the dose on schedule. Anyone who slowed the ladder for tolerability is on a different, flatter curve, and comparing yourself with the published mean will make you feel like a non-responder when you are not.

3 1Dr.Martinez, mike_mod, SarahChen_PharmD
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hans_munich
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Jun 6, 2025 at 1:24 AM#12
mel_PDX said:
Agreed, though "tolerable" needs defining.

This is exactly what I could not find anywhere else. Taking it to my next appointment.

Last edited: Jun 6, 2025 at 7:24 AM
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Dr.ReproEndo
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Jun 6, 2025 at 5:46 AM#13
CarlaRPh_TPA said:
The dose-response is real but shallow at the top.

Pushing back on CarlaRPh_TPA here. The trial means are being read too generously in this thread. STEP populations were selected, supported, and titrated by protocol, and the real-world curves are consistently a few points worse. That difference is not noise, it is what happens when you remove the study infrastructure.

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Dr.PathRoch
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Jun 6, 2025 at 10:08 AM#14
Dr.Martinez said:
Planning the end of this rather than the middle of it, which nobody around me seems to want to talk about while it is still going well.

Pregnancy after maintenance dosing weight loss: stopped GLP-1 medication 3 months before TTC as recommended. Was terrified of regaining weight during pregnancy.

Worked closely with my OB and MFM. Gained 23 lbs during pregnancy (within recommended range). Baby is healthy. The metabolic improvements from pre-pregnancy weight loss gave both of us a healthier pregnancy.

If you're planning pregnancy, discuss the medication discontinuation timeline with your OB. GLP-1 agonists are NOT safe during pregnancy.

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mike_mod
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Jun 6, 2025 at 2:30 PM#15

Moderator note: good thread. Keeping it here rather than moving it, because the question is general enough to be useful. Report rather than reply if it drifts again.

Last edited: Jun 6, 2025 at 4:30 PM
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