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ForumsSemaglutide (Ozempic / Wegovy)Oral semaglutide 25mg vs 50mg — looking for input Page 6

Oral semaglutide 25mg vs 50mg — looking for input

pam_stl Thu, May 30, 2024 at 9:03 AM 55 replies 2,751 viewsPage 6 of 11
PharmD_Rodriguez
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Jun 8, 2024 at 8:30 AM#26

Adding the clinical framing, because it changes how the question reads. If two explanations both fit, the useful question is which one predicts something the other does not. That is answerable; arguing about which sounds more plausible is not.

17 15paul_denver, TinaHashiRN, robert_kc and 14 others
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kate.chem
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Jun 9, 2024 at 4:29 AM#27
PharmD_Rodriguez said:
If two explanations both fit, the useful question is which one predicts something the other does not.

This matches mine closely enough to be worth saying so out loud. The detail I would add is minor and it is already implied above.

Last edited: Jun 9, 2024 at 7:29 AM
18 16VanRx_Mike, steve_okc, dave_SLC and 15 others
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JessicaH_TX
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Jun 10, 2024 at 12:28 AM#28
PharmD_Rodriguez said:
If two explanations both fit, the useful question is which one predicts something the other does not.

There is a second half to this that has not been said yet. 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.

Ask again with the specifics and you will get a better answer than this one.

19 17kim_atl_prep, sarah_TO, wendy_avl and 16 others
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dave_SLC
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Jun 10, 2024 at 8:26 PM#29

One concrete data point for the thread. One practical note: write down what you did and when, before you need it. Reconstructing a timeline from memory three months later is how people end up unable to answer the one question that would have resolved it.

I would rather be corrected than agreed with, if it comes to it.

Last edited: Jun 11, 2024 at 12:26 AM
20 18FranDenver, Dr.BariatricHTX, LindaRN_retired and 17 others
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pam_stl
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Jun 11, 2024 at 4:24 PM#30

Reporting back.

Following this thread I went back and re-read the extension data properly. The point about trough rather than peak explains the pattern I was seeing on day six, which I had been blaming on the vial.

42 15RegAffairsDC, BiostatsBrad, PeptideSynthNJ and 39 others
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