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ForumsOral GLP-1 AgonistsOral GLP-1 adherence — 12 month update Page 2

Oral GLP-1 adherence — 12 month update

patPC_UT Tue, Dec 17, 2024 at 11:10 AM 46 replies 2,424 viewsPage 2 of 10
Dr.PainCLE
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Dec 18, 2024 at 3:41 PM#6
Dr.ReproEndo 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.

Last edited: Dec 18, 2024 at 6:41 PM
2 22Dr.PathRoch, mona_PHX
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josh_phd_bmore
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Dec 19, 2024 at 3:04 AM#7

Adding the numbers, since they settle part of this. Practical: whatever you change, write down the date and the reason. In three months the reason is what you will have forgotten, and the reason is what makes the record worth having.

1 21Dr.ObesityLA
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BariatricNurseD
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Dec 19, 2024 at 2:28 PM#8
Dr.PainCLE said:
I do not accept that the fasting window is a minor inconvenience.

Coming at Dr.PainCLE’s question from a different direction. The distinction that resolves most of these threads is between what is true on average and what is true for one person. Both are real; they answer different questions and get quoted as if they were the same one.

Last edited: Dec 19, 2024 at 7:28 PM
50 20josh_phd_bmore, roxy_nash, tony_orlando and 47 others
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steph_laguna
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Dec 20, 2024 at 1:52 AM#9

A narrower follow-up, since the general answer is now clear:

Whether the fasting requirement is as strict in practice as the label implies, and what people actually see when they get it wrong?

Last edited: Dec 20, 2024 at 7:52 AM
49 19DanielChem_CHI, marco_milano, pam_columbus and 46 others
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patPC_UT
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Park City, UT
Dec 22, 2024 at 8:36 AM#10

Closing the loop on my own question.

I moved the tablet to the moment I wake up rather than trying to fit it around breakfast, and the difference in the following weeks was obvious. It was a timing problem, not a dose problem.

9 7julia.endo, JessicaM_2024, TomFromTexas and 6 others
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