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ForumsPublic SquareGLP-1 receptor agonists and thyroid C-cell concerns — evidence review Page 2

GLP-1 receptor agonists and thyroid C-cell concerns — evidence review

Dr.Martinez Mon, Jun 8, 2026 at 10:06 AM 19 replies 244 viewsPage 2 of 4
wendy_avl
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Jun 8, 2026 at 10:17 AM#6

The figures, for anyone assembling their own picture. 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 five days for tirzepatide, steady state at four to five half-lives, subcutaneous bioavailability high enough that site choice is irrelevant.

49 19SleepFixSam, PurityPaulOR, MaxMetOK and 46 others
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SleepDoc_PDX
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Jun 8, 2026 at 10:21 AM#7

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

Which effects tachyphylax and which persist, because the answer explains why tolerability improves while the appetite effect keeps working?

Last edited: Jun 8, 2026 at 1:21 PM
48 18hank_denver, carlos_SATX, sophie_paris and 45 others
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PeptideChemSF
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Jun 8, 2026 at 10:25 AM#8
wendy_avl 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 ask what evidence would change your mind before you look at any. If nothing would, the discussion is not about evidence, and it is better to say so early than to spend nine posts discovering it.

Last edited: Jun 8, 2026 at 2:25 PM
47 17FDA_TrackerJim, ricardo_MIA, BrianDallas92 and 44 others
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Dr.Martinez
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Jun 8, 2026 at 10:30 AM#9

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

Closing this out: the trough rather than the peak explains the pattern I was seeing on day six, which I had been blaming on the vial.

Last edited: Jun 8, 2026 at 3:30 PM
46 16Dr.SurgeonPGH, rachel_ABQ, traveltech_sara and 43 others
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KristenIndy
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Jun 8, 2026 at 10:50 AM#10
PeptideChemSF said:
It helps to ask what evidence would change your mind before you look at any.

True, with the qualification that this is a self-selected group. The people for whom it did not work post less, and that shapes everything we think we know.

Last edited: Jun 8, 2026 at 3:50 PM
50 0kate.chem, DataDave, Dr.GutHealth and 47 others
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