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ForumsOral GLP-1 AgonistsOral GLP-1 for elderly patients — need advice Page 2

Oral GLP-1 for elderly patients — need advice

COA_Karl Tue, Sep 24, 2024 at 8:32 AM 11 replies 1,864 viewsPage 2 of 3
Dr.ReproEndo
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Sep 24, 2024 at 1:19 PM#6
NurseKim_ATL 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.

43 13mona_PHX, andrew_nyc, Dr.EndoEP and 40 others
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hank_denver
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Sep 24, 2024 at 3:11 PM#7

One concrete data point for the thread. Say what you would expect to see if you were wrong, before you look. It is a small discipline and it changes what you notice.

42 12raj_cambridge, ingrid_STO, pete_nash and 39 others
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julia.endo
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Sep 24, 2024 at 5:03 PM#8
Dr.ReproEndo said:
I do not accept that the fasting window is a minor inconvenience.

Coming at Dr.ReproEndo’s question from a different direction. It is worth asking what the claim would look like if it were false. If nothing would look different, it is not a claim about the world and no amount of discussion will settle it.

Last edited: Sep 24, 2024 at 11:03 PM
41 11hans_munich, jason_sac26, chris_chi24 and 38 others
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ricardo_MIA
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Sep 24, 2024 at 6:55 PM#9

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

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

40 10KetoKyle, CanadaChris, ZaraB_AL and 37 others
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COA_Karl
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Sep 25, 2024 at 3:51 AM#10

Reporting back.

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: Sep 25, 2024 at 4:51 AM
38 11LindaRN_retired, tommy_boulder, hyun_seoul and 35 others
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