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c/orforglipron·posted 1 year ago by u/sofia_petrescu

[Discussion] the ACHIEVE advice in here is 11 years out of date

Discussion Slow Clap ×1

Posting this because I searched for it and got nothing useful.

Setup: 15mg, week 60, constipation present but not ruining anything. I changed exactly one variable — ATTAIN — and tracked it for 14 weeks.

Result: a difference, but a small one, and well inside what I would call noise if someone else posted it. So I am putting it here rather than presenting it as a finding. If two or three other people have done the same thing we might actually learn something.

Not medical advice, obviously. This is one person with a spreadsheet.

2,844 up / 2,484 down53% upvoted26 commentsid 212vvi8 Apr 2025

26 comments

20 in this archive, depth 4

best — the order this archive was captured in

u/marit_coelho45 points·1 year ago

Yeah, small molecule changes the whole game.

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u/zeynep_ndiaye12 points·1 year ago

Came off after 89 weeks for financial reasons. Regained about a third over the following year. Back on now at a much lower dose.

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u/batch_number_bertievetting5 points·1 year ago

This is the "correlation is mechanism" thing again. You changed three variables at once.

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u/laila_delgado38 points·1 year ago

Yeah, small molecule changes the whole game.

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u/blank_injection17 points·1 year ago

Stalled for 24 weeks, changed nothing, and it started moving again on week 86.

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u/emil_agyeman13 points·1 year ago

Disagree. What you are describing is consistent with ACHIEVE, not with what you concluded.

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u/blank_injection4 points·1 year ago

Disagree.

Adding to this: non-peptide is doing more work than the comment implies.

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u/trialwatch_theotrial nerd3 points·1 year ago

small molecule purity is different testing than peptides

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u/aksel_kjaer-15 points·1 year ago

the small molecule is whether this actually works long-term

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u/hsa_math18 points·1 year ago

My version of this: I was so worried about the injection that I put it off for eleven days. The injection is the easiest part.

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u/phase_two_peteMOD14 points·1 year ago

Retitled to remove editorialising. Put the evidence in the body.

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u/jonas_cardoso8 points·1 year ago

The confident tone is doing a lot of work that the evidence is not.

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u/rasmus_petrescu0 points·1 year ago

the nausea profile is speculative at this stage

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u/piotr_bruun1 point·1 year ago

Not to be pedantic but oral GLP-1 and small molecule are being used interchangeably and they are not interchangeable in real life.

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u/sofia_petrescuOP1 point·1 year ago

Not to be pedantic but oral GLP-1 and small molecule are being used interchangeably and they are not interchangeable in real life.

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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u/sofia_petrescuOP1 point·1 year ago

the reflux profile is speculative at this stage

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u/sofia_petrescuOP1 point·1 year ago

the absorption problem is solved by non-peptide structure

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u/ewan_hovland10 points·1 year ago

Three years on this site and the questions have not changed at all. Which is depressing or reassuring depending on the day.

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u/yara_boateng5 points·1 year ago

No. This is the kind of confident post that gets copied into a screenshot and repeated for years. Where is the evidence.

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u/freya_marchand3 points·1 year ago

oral non-peptide agonist is ACHIEVE, no food restrictions

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About c/orforglipron

The small-molecule oral: why a non-peptide agonist escapes the absorption problems of oral semaglutide, what the ATTAIN and ACHIEVE readouts showed, and what a pill with no refrigeration requirement would do to the entire supply conversation this site is built around.

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