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ForumsSemaglutide (Ozempic / Wegovy)Month 2 and I have lost NOTHING - normal?? — looking for input Page 4

Month 2 and I have lost NOTHING - normal?? — looking for input

roxy_nash Wed, Feb 7, 2024 at 7:52 PM 37 replies 2,431 viewsPage 4 of 8
VanRx_Mike
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Feb 12, 2024 at 2:36 PM#16

Adding the clinical framing, because it changes how the question reads. It helps to ask what evidence would change your mind before you look at any. If nothing would, the discussion is not about evidence, and it is better to say so early than to spend nine posts discovering it.

Last edited: Feb 12, 2024 at 5:36 PM
49 22Dr.LeslieOBGYN, MikeNYC_runner and 46 others
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LibrarianMeg
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Feb 12, 2024 at 5:26 PM#17

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

What the dose-response curve actually looks like above 1.7mg, because the trial means hide how few people account for the extra loss?

50 23PharmD_Rodriguez, julia.endo, JessicaM_2024 and 47 others
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CanadaChris
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Feb 12, 2024 at 8:16 PM#18
VanRx_Mike said:
It helps to ask what evidence would change your mind before you look at any.

This is where I part company with the consensus forming above. 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.

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

1 24maya_sedona
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cory_ATX
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Feb 12, 2024 at 11:06 PM#19
VanRx_Mike said:
It helps to ask what evidence would change your mind before you look at any.

Agreed, and one caution: a single measurement is not a measurement. Anything that moves day to day needs a trend before it means anything at all.

Last edited: Feb 13, 2024 at 1:06 AM
2 0Dr.PathRoch, mona_PHX
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mike_mod
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Feb 13, 2024 at 1:56 AM#20

Moderator note: good thread. Keeping it here rather than moving it, because the question is general enough to be useful. Tagging this one for the weekly digest.

24 22PurityPaulOR, MaxMetOK, MounjBrad and 21 others
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