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c/survodutide·posted 5 months ago by u/old_account_2023

anyone else notice survodutide kicking in around week 9

Discussion Sourced ×6 The Quiet One ×2

dual agonist. That is the whole post, but I will justify it.

Everything else people worry about in c/meta is downstream of it. Titration speed, reflux, the endless dose arguments — most of it resolves if you sort dual agonist out first, and almost nobody does.

I say this having got it wrong for 19 months. My fasting insulin was the thing that eventually made me pay attention, which is a stupid way to learn a lesson that was in the sidebar the whole time.

1,113 up / 155 down88% upvoted40 commentsid 1vjx1r12 Feb 2026

40 comments

27 in this archive, depth 4

best — the order this archive was captured in

u/hana_pereira0 points·5 months ago
i changed my mind reading this, which never happens
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u/julia_mensa1 point·5 months ago

do not generalise from tirzepatide

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u/nora_oyelaran1 point·5 months ago·edited

Edit to your parent would help — the concentration you quoted assumes one scenario and you have written another above it.

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u/preservative_free_p64 points·5 months ago

Every time this gets posted it hits the front page and every time someone has to re-explain it.

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u/old_account_2023OP48 points·5 months 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/old_account_2023OP-27 points·5 months ago

The thing nobody prepared me for was the quiet. Not the appetite, the quiet. The constant negotiation in my head about food just stopped.

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u/sena_teixeira40 points·5 months ago

the heart rate signal is real in the data

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u/old_account_2023OP30 points·5 months ago

The thing nobody prepared me for was the quiet. Not the appetite, the quiet. The constant negotiation in my head about food just stopped.

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u/britt_abubakar38 points·5 months ago

Week 49 for me and the honest summary is: 17kg down, nausea manageable, and I have thought about food maybe four times today.

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u/crosspost_bot_no10 points·5 months ago

glucagon injection is a different vector than GLP-1

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u/tired_ledger_ftw30 points·5 months ago·edited

I am going to push back on this slightly.

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u/britt_okwuosa14 points·5 months ago

Phase 10 or 25?

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u/nadia_kjaer25 points·5 months ago

not approved, descriptive posts only

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u/camila_marchand29 points·5 months ago

rodent dual agonist is investigation only

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u/trialwatch_theotrial nerd17 points·5 months ago

Mechanistically the bit that matters is MASH. It explains most of the early profile and a decent chunk of the outcome.

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u/nora_oyelaran24 points·5 months ago

the GLP-1/glucagon dual is hepatic fat, different from GIP/GLP-1

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u/trialwatch_theoMOD18 points·5 months ago

This is an urgent-care question wearing a forum question's clothes. Please contact a clinician rather than waiting for replies.

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u/meera_sandvik21 points·5 months ago

Which trial arm?

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u/slow_logbook_notes3013 points·5 months ago

rodent dual agonist is investigation only

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u/patient_labslip_log3 points·5 months ago

Hepatic fat or MASH or what?

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u/whois_wanda2 points·5 months ago

the heart rate signal is real in the data

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u/renzo_yildiz7 points·5 months ago

hepatic fat and survodutide are the story

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u/cato_girard0 points·5 months ago

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

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u/hub_opssite staff1 point·5 months ago

do not generalise from tirzepatide

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u/vikram_mbeki1 point·5 months ago

Strongly agree. The safety story is separate.

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u/nora_oyelaran1 point·5 months ago

rodent survodutide is investigation only

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About c/survodutide

Survodutide-specific discussion: glucagon-receptor co-agonism, the hepatic fat and MASH resolution data, and how the side-effect profile compares with GIP-based dual agonism. Small community, high signal.

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