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ForumsOral GLP-1 AgonistsIs oral sema actually as effective as the injection version? — 12 month update Page 2

Is oral sema actually as effective as the injection version? — 12 month update

tommy_boulder Tue, Dec 16, 2025 at 3:17 AM 35 replies 1,548 viewsPage 2 of 7
Dr.GastroMayo
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Dec 16, 2025 at 7:42 AM#6
LarryQC_SD said:
Orforglipron is the more interesting oral story because it is not a peptide at all.

I do not accept that the fasting window is a minor inconvenience. Adherence data on daily orals with timing requirements is consistently worse than weekly injections, and a drug you take imperfectly is a lower dose than the one on the box.

14 9mike_nyc, VendorMark, COA_Karl and 11 others
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Dr.GutHealth
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Dec 16, 2025 at 9:26 AM#7

One concrete data point for the thread. Worth stating the units and the reference range whenever you post a number here. A large fraction of the apparent disagreement in these threads is two people using different units and both being right.

13 8tyler_CSCS, VanRx_Mike, steve_okc and 10 others
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anna.melb_AU
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Dec 16, 2025 at 11:10 AM#8
Dr.GastroMayo said:
I do not accept that the fasting window is a minor inconvenience.

Coming at Dr.GastroMayo’s question from a different direction. 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.

12 7emma_london, tammy_FL, Dr.LipidDallas and 9 others
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MaxMetOK
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Dec 16, 2025 at 12:54 PM#9

Following on from VanRx_Mike — and this may be the naive question:

How much of the oral variability is the SNAC absorption window and how much is dose, because the two get conflated constantly?

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tommy_boulder
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Dec 16, 2025 at 9:11 PM#10

OP back with an update, since a thread like this is useless without one.

Update — I went back to the injectable. Not because the tablet did not work, but because the fasting window and my mornings were never going to agree.

Last edited: Dec 16, 2025 at 10:11 PM
15 15MeganSA_TX, LarryQC_SD, wanda_boise and 12 others
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