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ForumsSemaglutide (Ozempic / Wegovy)STEP 1-5 trials comprehensive summary — what worked for you? Page 4

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 4 of 7
Dr.NutriCornell
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Feb 27, 2026 at 5:45 PM#16

Adding the clinical framing, because it changes how the question reads. The version of this that has an answer is narrower than the version being asked. Narrow it and it becomes tractable; leave it broad and the thread will produce nine confident and incompatible replies.

48 21emily_PDX, Dr.SleepRoch, laura_annarbor and 45 others
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LabKate
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Feb 28, 2026 at 9:48 AM#17
Dr.NutriCornell said:
The version of this that has an answer is narrower than the version being asked.

This is where I part company with the consensus forming above. I would add the less popular caveat: these trial populations under-represented several groups, older adults and the highest BMI categories among them. The results probably generalise, and "probably" should be stated as an assumption rather than dropped.

49 22laura_annarbor, JenMemphis, pat_auckland and 46 others
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maria_elpaso
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Mar 1, 2026 at 1:51 AM#18
Dr.NutriCornell said:
The version of this that has an answer is narrower than the version being asked.

Agreeing with Dr.NutriCornell, and the qualification matters more than the agreement. Albumin binding above 99% is the whole reason weekly dosing works, and it is also why the trough matters more than the peak. People who dose late are not losing a peak, they are letting the trough fall, and the appetite effect tracks the trough.

50 23TrialNerd_Beth, HPLC_Greg, LibrarianMeg and 47 others
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SaraMom3
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Mar 1, 2026 at 5:53 PM#19
Dr.NutriCornell said:
The version of this that has an answer is narrower than the version being asked.

Thank you — that is the clearest version of this I have read, and I have read a lot of them. Printing the relevant bit and taking it with me.

1 24CanadaChris
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Admin
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Mar 2, 2026 at 9:55 AM#20

Moderator note: leaving this open. It is being argued well and the disagreement is the useful part. Report rather than reply if it drifts again.

23 21PeptideSynthNJ, Dr.KarenChen, Dr.NateNeph and 20 others
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