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ForumsOral GLP-1 AgonistsOral GLP-1 for elderly patients — anyone have experience? Page 2

Oral GLP-1 for elderly patients — anyone have experience?

EndoResFellow Sat, Jul 12, 2025 at 4:27 AM 45 replies 2,071 viewsPage 2 of 9
BethLabQueen
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Jul 12, 2025 at 8:42 PM#6
TrialNerd_Beth 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.

48 18maya_sedona, stefan_berlin, Dr.EM_Chicago and 45 others
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DataDave
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Jul 13, 2025 at 3:09 AM#7

One concrete data point for the thread. One practical note: write down what you did and when, before you need it. Reconstructing a timeline from memory three months later is how people end up unable to answer the one question that would have resolved it.

47 17mike_nyc, VendorMark, COA_Karl and 44 others
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Dr.NateNeph
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Jul 13, 2025 at 9:36 AM#8
BethLabQueen said:
I do not accept that the fasting window is a minor inconvenience.

There is a second half to this that has not been said yet. 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.

Last edited: Jul 13, 2025 at 11:36 AM
46 16SteveThurs, B12Beth, RickReta_CO and 43 others
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amy_econ_NJ
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Jul 13, 2025 at 4:03 PM#9

One thing that is still open after tommy_boulder’s answer:

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

Last edited: Jul 13, 2025 at 7:03 PM
45 15gary_naperville, sean_dublin, hannah_MT and 42 others
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EndoResFellow
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Jul 14, 2025 at 10:58 PM#10

Closing the loop on my own question.

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: Jul 15, 2025 at 12:58 AM
33 6Dr.ObesityLA, NurseKim_ATL, paul_denver and 30 others
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