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ForumsLab Results & BiomarkersKidney function on semaglutide — my results so far Page 3

Kidney function on semaglutide — my results so far

CanadaChris Tue, Nov 18, 2025 at 2:35 AM 34 replies 1,630 viewsPage 3 of 7
InsuranceTom
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Nov 21, 2025 at 5:20 PM#11
Dr.PulmRoch said:
FLOW is the relevant trial and it reported a meaningful reduction in kidney-disease progression and related death in people with type 2 diabetes and…

That holds for the injectable. The oral formulation has different absorption behaviour and the dose numbers are not interchangeable, which is worth saying out loud because people quote them as if they were.

10 8lisa_labSD, adam_van, Dr.SurgeonPGH and 7 others
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claudia_zurich
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Nov 24, 2025 at 5:31 AM#12
KristenIndy said:
Steady state is the thing most people miss.

Bookmarking. The distinction being drawn above is the one nobody else makes.

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TomFromTexas
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Nov 26, 2025 at 5:41 PM#13
Dr.PulmRoch said:
FLOW is the relevant trial and it reported a meaningful reduction in kidney-disease progression and related death in people with type 2 diabetes and…

I will push back on the "any working dose is fine" framing. The maintenance evidence sits overwhelmingly at the top studied dose, and the extension data shows regain tracking dose reduction rather than tracking stopping. Holding low is reasonable; pretending it is evidentially equivalent is not.

Last edited: Nov 26, 2025 at 7:41 PM
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VendorMark
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Nov 29, 2025 at 5:49 AM#14

Adding the numbers, since they settle part of this. Worth knowing that eGFR estimates depend on creatinine, and creatinine depends on muscle mass. Losing muscle raises eGFR artificially, which flatters the number while the kidney is unchanged.

That is the short version; the long version is somebody else's post.

13 11Dr.PeteFamMed, claudia_zurich, nancy_portland and 10 others
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mike_mod
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Dec 1, 2025 at 5:56 PM#15

Moderator note: a couple of off-topic posts removed.

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