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c/semaglutide·posted 4 months ago by u/camila_sandvik

why does nobody talk about weekly dosing

Discussion Clean Column ×6 Cold Box ×2 Well Actually ×2

Confession thread, sort of.

I went from 12.5mg to 5mg much faster than I should have because the scale had stalled and I got impatient. The stall broke about 8 weeks later, at which point I had no way of knowing whether the dose increase did anything or whether it would have broken anyway.

So now I have reflux I did not need and a data point I cannot interpret. Two lessons in one.

Posting it in the hope that somebody at week 9 reads it before doing the same thing.

3,062 up / 128 down96% upvoted33 commentsid b77cl519 Mar 2026

33 comments

25 in this archive, depth 5

best — the order this archive was captured in

u/titration_marshalMOD591 points·4 months ago

Removed a chain here. The rule is one line long and it is not negotiable.

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u/kavya_radich484 points·4 months ago

Removed a chain here.

Yes, exactly this, and it is the bit that took me 96 weeks to accept.

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u/adaeze_brandt445 points·4 months ago

stalled at 7.5mg, went up, and regretted it, the stall would have broken anyway

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u/quiet_moderatormod100 points·4 months ago

my ApoB moved before the scale did and i nearly missed it

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u/rafael_ostergaard83 points·4 months ago

Not convinced. The evidence does not support that reading.

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u/bilal_osei354 points·4 months ago
appreciate you saying you do not know
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u/boots_or_bust195 points·4 months ago·edited

Did you time the injection consistently each week or was it more ad hoc?

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u/marta_trevino150 points·4 months ago

Titration speed is a side-effect dial far more than an efficacy dial.

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u/bilal_osei194 points·4 months ago

Not to be pedantic but weekly dosing and Wegovy are being used interchangeably and they are not interchangeable in real life.

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u/marta_trevino75 points·4 months ago

nope, 0.25 counts, it is just not the dose most people stay on

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u/anya_salgado88 points·4 months ago·edited

How long were you at 2.4mg before you moved up?

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u/iman_castellanos26 points·4 months ago

Went up because the scale stalled, not because I needed to. Do not be me. The stall broke on its own at the higher dose.

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u/camila_sandvikOP15 points·4 months ago

Strongly agree. If it is not working at 10mg after 88 weeks, going up is not automatically the answer.

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u/arne_restrepo3 points·4 months ago

Strongly agree.

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

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u/zeynep_weiss2 points·4 months ago

pens are overpriced, research vials are research grade, same molecule different price

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u/prior_auth_painappeals2 points·4 months ago

nope, 0.25 counts, it is just not the dose most people stay on

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u/nausea_notesside effects5 points·4 months ago

Strongly agree.

Adding to this: weekly dosing is doing more work than the comment implies.

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u/ahmed_abubakar8 points·4 months ago

That is net peptide content, not purity. Different number, different meaning.

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u/customs_seizure_sid33 points·4 months ago

Ozempic versus Wegovy versus research grade is the wrong argument, they are literally the same molecule

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u/b12_baseline83 points·4 months ago

Yeah, 46 weeks on 5mg, same pattern, same timing.

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u/hassan_ostergaard30 points·4 months ago

titration speed is semaglutide plus side effects, period

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u/arne_restrepo60 points·4 months ago

Sceptical. If this were true we would see it reflected in the data and we do not.

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