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ForumsSide Effects & ManagementMuscle cramps on semaglutide — 6 month update Page 4

Muscle cramps on semaglutide — 6 month update

FDA_TrackerJim Tue, Jan 23, 2024 at 8:04 PM 17 replies 2,187 viewsPage 4 of 4
traveltech_sara
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Jan 29, 2024 at 11:42 PM#16

Clinical perspective, offered as context rather than as advice. It is worth asking what the claim would look like if it were false. If nothing would look different, it is not a claim about the world and no amount of discussion will settle it.

Last edited: Jan 30, 2024 at 2:42 AM
49 22MeganSA_TX, LarryQC_SD, wanda_boise and 46 others
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TomTeleRx
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Jan 30, 2024 at 10:28 PM#17

One thing that is still open after MikeNYC_runner’s answer:

Whether anyone has held at a sub-maximal dose long term and kept the result, or whether the maintenance data only exists at 2.4mg?

Last edited: Jan 30, 2024 at 11:28 PM
50 23bri_stats, pete_manc_UK, anna.melb_AU and 47 others
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BenResearch_OR
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Jan 31, 2024 at 9:13 PM#18
traveltech_sara said:
It is worth asking what the claim would look like if it were false.

This is where I part company with the consensus forming above. The mechanism that matters here is not stomach emptying, it is central. GLP-1 receptor agonism in the arcuate nucleus stimulates POMC neurons and suppresses AgRP/NPY signalling, which is why the effect is appetite and food salience rather than physical fullness. Delayed gastric emptying largely tachyphylaxes over the first months; the appetite effect does not.

Last edited: Jan 31, 2024 at 10:13 PM
1 24Dr.NateNeph
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Dr.PeteFamMed
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Feb 1, 2024 at 7:58 PM#19
traveltech_sara said:
It is worth asking what the claim would look like if it were false.

Right, and protein targets should be set on a reference weight rather than current weight. Setting 1.6 g/kg on a starting weight of 130kg produces a target nobody hits on a suppressed appetite.

Last edited: Feb 1, 2024 at 8:58 PM
2 0Dr.BariatricHTX, LindaRN_retired
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Admin
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Feb 2, 2024 at 6:43 PM#20

Moderator note: two posts asking for a source have been merged into one. Please search the thread before asking again. No action needed from anybody.

24 22PeptideSynthNJ, Dr.KarenChen, Dr.NateNeph and 21 others
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