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ForumsSemaglutide (Ozempic / Wegovy)STEP 1-5 trials comprehensive summary — what worked for you? Page 3

STEP 1-5 trials comprehensive summary — what worked for you?

kevin_tulsa Mon, Feb 23, 2026 at 12:57 PM 32 replies 1,355 viewsPage 3 of 7
Dr.ObesityLA
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Feb 24, 2026 at 9:23 AM#11
james_edin said:
Relative and absolute effects need reading together.

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.

Last edited: Feb 24, 2026 at 10:23 AM
43 16zoe_NC, Dr.ObesityLA, NurseKim_ATL and 40 others
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pam_columbus
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Feb 25, 2026 at 1:28 AM#12
nick_newbie said:
Steady state is the thing most people miss.

Thank you for spelling out the reasoning rather than just the conclusion.

44 17alex_tucson, kevin_tulsa, Dr.PainCLE and 41 others
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AttorneyGrant
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Feb 25, 2026 at 5:33 PM#13
james_edin said:
Relative and absolute effects need reading together.

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.

45 18JenMemphis, pat_auckland, Dr.GastroMayo and 42 others
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DanielChem_CHI
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Feb 26, 2026 at 9:37 AM#14

One concrete data point for the thread. A quick sanity check on any figure quoted here: is it mean or median, is it intention-to-treat or completers, and what was the comparator. Three questions, and they resolve most disagreements in these threads.

Last edited: Feb 26, 2026 at 11:37 AM
46 19ben_calgary, patPC_UT, Dr.DermMIA and 43 others
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mike_mod
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Feb 27, 2026 at 1:41 AM#15

Moderator note: reminder that nothing in this thread is medical advice, and that clinical claims need a source. No action needed from anybody.

47 20PurityPaulOR, MaxMetOK, MounjBrad and 44 others
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