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ForumsSemaglutide (Ozempic / Wegovy)Ozempic face is real and I am only month 3 someone reassure me — what worked for you? Page 2

Ozempic face is real and I am only month 3 someone reassure me — what worked for you?

Dr.EndoEP Sat, Apr 26, 2025 at 2:10 PM 41 replies 2,211 viewsPage 2 of 9
Dr.CardioMD
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Apr 26, 2025 at 11:55 PM#6
Dr.NutriCornell said:
Albumin binding above 99% is the whole reason weekly dosing works, and it is also why the trough matters more than the peak.

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.

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

9 4kim_atl_prep, sarah_TO, wendy_avl and 6 others
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wendy_avl
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Apr 27, 2025 at 3:46 AM#7

One concrete data point for the thread. For anyone assembling their own picture: Tmax is one to three days, terminal half-life about 165 to 170 hours, steady state at four to five weeks, and subcutaneous bioavailability near 89%. Those four numbers explain most of the questions people ask about timing.

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Dr.AddMedPHL
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Apr 27, 2025 at 7:37 AM#8
Dr.CardioMD said:
I will push back on the "any working dose is fine" framing.

There is a second half to this that has not been said yet. It helps to say which part of this you are uncertain about. A precise question gets a precise answer; a general one gets everybody’s favourite anecdote.

7 2mike.trainer_LA, sarah_nash92, FitDadDave and 4 others
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mia_MS2
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Apr 27, 2025 at 11:29 AM#9

A narrower follow-up, since the general answer is now clear:

Was that from a primary source or from a summary of one?

Last edited: Apr 27, 2025 at 2:29 PM
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Dr.EndoEP
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Apr 28, 2025 at 6:01 AM#10

OP back with an update, since a thread like this is useless without one.

Update since I posted: I held at 1.7mg for a further twelve weeks and lost another 4kg slowly, which settles it for me. I was escalating because the number was available, not because I had stopped responding.

20 18LindaRN_retired, tommy_boulder, hyun_seoul and 17 others
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