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ForumsSide Effects & ManagementDay 3 on sema and I feel like death warmed over — need advice Page 2

Day 3 on sema and I feel like death warmed over — need advice

roxy_nash Sat, Aug 16, 2025 at 7:33 AM 50 replies 2,150 viewsPage 2 of 10
DanielChem_CHI
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Aug 16, 2025 at 9:10 AM#6
JessicaH_TX said:
The practical protocol is dull and it works: smaller meals, stop eating at the first sign of fullness rather than at the end of the plate, drop the…

I dislike how confidently this board tells people to push through. Incidence figures around 20 to 25% at the higher doses are class-typical, but the trials also had a discontinuation column, and "manageable with protocols" is not the same as manageable for everyone.

10 5fiona_VT, denise_HTX, raj_cambridge and 7 others
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hank_denver
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Aug 16, 2025 at 9:48 AM#7

One concrete data point for the thread. If you are comparing against somebody else’s result, check that you are comparing the same measurement taken the same way. Most of the apparent contradictions in these threads dissolve at that step.

Last edited: Aug 16, 2025 at 1:48 PM
9 4raj_cambridge, ingrid_STO, pete_nash and 6 others
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Dr.NutriCornell
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Aug 16, 2025 at 10:26 AM#8
DanielChem_CHI said:
I dislike how confidently this board tells people to push through.

Coming at DanielChem_CHI’s question from a different direction. 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.

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alex_tucson
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Aug 16, 2025 at 11:04 AM#9

Following on from Dr.RenalNash — and this may be the naive question:

Whether holding at a lower dose for longer actually reduces total side-effect burden or just spreads it out?

Last edited: Aug 16, 2025 at 1:04 PM
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roxy_nash
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Nashville, TN
Aug 16, 2025 at 2:06 PM#10

Reporting back.

Follow-up: smaller meals, less fat in the two days after dosing, and not lying down afterwards. Unglamorous, and it worked within a fortnight.

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