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c/semaglutide·posted 7 months ago by u/hamza_weiss

the semaglutide question that gets asked weekly, answered properly

Side Effects Clean Column ×1 Slow Clap ×3

Long-ish post, sorry. tl;dr at the bottom.

I have been tracking 2.4mg against ApoB for 5 weeks because I could not find anyone who had. The correlation is weaker than I expected, which is itself mildly interesting given how confidently people link the two in here.

Caveats up front: one person, one lab, one assay, no control, and I changed my training in the middle of it, which was stupid.

tl;dr: probably real, definitely smaller than the threads imply, and not worth reorganising your week around.

1,337 up / 427 down76% upvoted63 commentsid g6x1ko15 Dec 2025

63 comments

26 in this archive, depth 5

best — the order this archive was captured in

u/alcohol_aversion186 points·7 months ago

Half-life is about 168 hours, so steady state lands around week 7–5. Practical consequence: what you feel in week 1 is not what that dose does.

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u/elodie_grimaldi124 points·7 months ago

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

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u/hamza_weissOP79 points·7 months ago

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

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

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[removed]54 points·7 months ago

[removed by moderator]

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u/two_mil_or_one0 points·7 months ago

Right, and the corollary is that stopping escalation does not reset your tolerance, it just pauses the clock.

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u/rina_bergstrom53 points·7 months ago

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

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u/endpoint_creep95 points·7 months ago

Yeah, 80 weeks on 2.5mg, same pattern, same timing.

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u/joaquin_stanescu61 points·7 months ago

Strongly agree. If it is not working at 12.5mg after 31 weeks, going up is not automatically the answer.

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u/nausea_notesside effects47 points·7 months ago

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

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u/nadia_bakker73 points·7 months ago

Right, and the corollary is that stopping escalation does not reset your tolerance, it just pauses the clock.

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u/wanjiru_varga49 points·7 months ago

Respectfully this is a sample of one presented as a finding.

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u/endpoint_creep27 points·7 months ago

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

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u/prior_auth_painappeals10 points·7 months ago

okay but what dose of sema are you on

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u/viktor_nkemelu0 points·7 months ago

week 16 and i am still not at maintenance, do not rush the ladder

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u/anya_salgado1 point·7 months ago

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

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u/hamza_weissOP1 point·7 months ago

Maintenance for 2 months now. Weight moves within about 3kg and the dose is a quarter of what it peaked at.

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u/zeynep_weiss1 point·7 months ago

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

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u/greta_lokken-12 points·7 months ago

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

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

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u/two_mil_or_one0 points·7 months ago

okay but what dose of sema are you on

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u/dead_space_doug1 point·7 months ago

Small correction: the trial was 17 weeks, not 27. Does not change your point but people will quote it.

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u/micro_bump_mick-18 points·7 months ago

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

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u/ferritin_low33 points·7 months ago

Hard agree. Week 82 me needed this. Week 33 me is nodding smugly.

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u/dose_creep_dan18 points·7 months ago

Right, and the corollary is that stopping escalation does not reset your tolerance, it just pauses the clock.

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u/slow_logbook_notes6 points·7 months ago

What colour is the pen? Wegovy and Ozempic use different formulations.

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u/coa_janitormod · c/coa4 points·7 months ago

week 90 on the pen, 14kg down, this is the answer

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