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ForumsCardiovascular OutcomesHeart failure hospitalization reduction on semaglutide — looking for input Page 2

Heart failure hospitalization reduction on semaglutide — looking for input

marcus_mpls Wed, Sep 10, 2025 at 6:31 PM 28 replies 1,408 viewsPage 2 of 6
FDA_TrackerJim
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Sep 10, 2025 at 11:20 PM#6

One concrete data point for the thread. Worth knowing that the injection site changes very little. Abdomen, thigh and upper arm are bioequivalent for semaglutide, so a site change is not a plausible explanation for a bad week.

Last edited: Sep 11, 2025 at 2:20 AM
48 1Dr.Martinez, mike_mod, SarahChen_PharmD and 45 others
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claudia_zurich
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Sep 11, 2025 at 1:13 AM#7

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

Whether anyone has held at a sub-maximal dose long term and kept the result, or whether the maintenance data only exists at 2.4mg?

Last edited: Sep 11, 2025 at 7:13 AM
49 2tammy_FL, Dr.LipidDallas, alex_tucson and 46 others
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Dr.BariatricHTX
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Sep 11, 2025 at 3:06 AM#8
FDA_TrackerJim said:
Worth knowing that the injection site changes very little.

There is a second half to this that has not been said yet. The dose-response is real but shallow at the top. Across STEP 1 and STEP 4 the gap between 1.7mg and 2.4mg is a couple of percentage points of body weight on average, and the average is carrying a wide spread — plenty of people at 1.7mg sit above the 2.4mg mean. If a dose is working and tolerable, "working" is the relevant variable, not "maximal".

Last edited: Sep 11, 2025 at 9:06 AM
50 3Dr.EM_Chicago, pete_RVA, CarlaRPh_TPA and 47 others
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marcus_mpls
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Sep 11, 2025 at 4:59 AM#9

Closing the loop on my own question.

Six weeks on from posting: I stopped reading the weekly number and started reading a four-week average, and the "stall" I opened this thread about was a 1.8kg loss I could not see.

1 4Dr.PathRoch
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Dr.SportsMedIN
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Sep 11, 2025 at 2:02 PM#10
Dr.BariatricHTX said:
The dose-response is real but shallow at the top.

All true, with one condition: that curve is for people who reached the dose on schedule. Anyone who slowed the ladder for tolerability is on a different, flatter curve, and comparing yourself with the published mean will make you feel like a non-responder when you are not.

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