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ForumsOral GLP-1 AgonistsIs oral sema actually as effective as the injection version? — looking for input Page 2

Is oral sema actually as effective as the injection version? — looking for input

BiostatsBrad Wed, Jun 26, 2024 at 3:35 AM 11 replies 1,970 viewsPage 2 of 3
lisa_labSD
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Jun 26, 2024 at 8:55 AM#6

Adding the numbers, since they settle part of this. Give anything pharmacological four weeks before you judge it, and give anything measured weekly a four-point rolling average before you call it a trend.

41 11stefan_berlin, Dr.EM_Chicago, pete_RVA and 38 others
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tane_welly
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Jun 26, 2024 at 11:00 AM#7

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

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

40 10carl_compliance, DanielChem_CHI, marco_milano and 37 others
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Dr.PeteFamMed
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Jun 26, 2024 at 1:05 PM#8
lisa_labSD said:
Give anything pharmacological four weeks before you judge it, and give anything measured weekly a four-point rolling average before you call it a…

There is a second half to this that has not been said yet. The honest answer is that the effect is real, the magnitude is contested, and the individual variation is larger than either. Those three things can all be true at once, and most arguments here are two people holding different parts of that.

39 9LindaRN_retired, tommy_boulder, hyun_seoul and 36 others
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BiostatsBrad
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Jun 26, 2024 at 3:10 PM#9

Reporting back.

Follow-up: moving the tablet to the moment I wake, before anything else, was the whole fix. The dose never changed.

38 8james_edin, FranDenver, Dr.BariatricHTX and 35 others
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cory_ATX
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Jun 27, 2024 at 1:11 AM#10
Dr.PeteFamMed said:
The honest answer is that the effect is real, the magnitude is contested, and the individual variation is larger than either.

No disagreement with Dr.PeteFamMed. One condition attached. The absorption variability is real, but it partly averages out over weeks — the steady-state trough is less erratic than any single day would suggest. Where it bites is in the first fortnight, when people conclude the tablet does nothing.

Last edited: Jun 27, 2024 at 3:11 AM
48 23tane_welly, Dr.PathRoch, mona_PHX and 45 others
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