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why does nobody talk about hazard ratio

Trial Data Receipts ×6 Long Haul ×1

Week 96 update. 22kg down from the start, muscle cramps basically gone since about week 41.

Things that worked: consistency, protein at breakfast, walking more than I want to. Things that did not: everything I bought on the internet to help with muscle cramps.

The part that surprised me is how much of this is admin. Ordering, storing, logging, remembering. Nobody mentions that the hard bit is not the drug, it is the routine.

Happy to answer anything. Please do not ask me what dose you should be on.

1,733 up / 297 down85% upvoted41 commentsid 10byhs22 Jun 2026

41 comments

27 in this archive, depth 5

best — the order this archive was captured in

u/aurel_mwangi123 points·1 months ago

Water content matters more than people think. If a vial is carrying residual moisture, your "10mg" is not 10mg of peptide.

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u/yusuf_ramos81 points·1 months ago

Half-life is about 168 hours, so steady state lands around week 23–5. Practical consequence: what you feel in week 1 is not what that dose does.

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u/careful_gradient_againOP35 points·1 months ago

dropout handling matters, especially on GI-heavy populations

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u/receipts_or_nothingvetting18 points·1 months ago

STEP, SURMOUNT, SURPASS, SELECT, FLOW, TRIUMPH — read the appendix

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u/line_demir23 points·1 months ago

Not convinced. The evidence does not support that reading.

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u/ewan_tulloch19 points·1 months ago

press release STEP posts must be flaired until a publication exists

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u/tomas_kimani6 points·1 months ago

dropout handling matters, especially on GI-heavy populations

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u/receipts_or_nothingvetting29 points·1 months ago

STEP, SURMOUNT, SURPASS, SELECT, FLOW, TRIUMPH — read the appendix

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u/gastric_emptying_g-35 points·1 months ago

This is correct. Discontinuation arms show the regain reality.

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u/eu_apotheke_a1 point·1 months ago

Yeah, absolute numbers matter more than the press release.

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u/foam_head_fred1 point·1 months ago

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/ahmed_iyer26 points·1 months ago

The practical rule people converge on is 28 days at fridge temperature after first puncture, and that comes from the preservative, not the peptide.

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u/nordic_pricing38 points·1 months ago

the 5 week readout is different from the 10 week readout

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u/ewan_tulloch10 points·1 months ago

Slight fix: the number was 99.1, not 93.7. Decimal point, but a fairly consequential one.

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u/britta_boateng25 points·1 months ago

SURMOUNT-4 discontinuation arm showed regain. That is the reality of a chronic disease treatment, not a failure.

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u/careful_gradient_againOP29 points·1 months ago

off-label use data is different from approved-indication data

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u/rohan_steiner10 points·1 months ago

phase 2 is not phase 3, smaller n and shorter trial

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u/nordic_pricing12 points·1 months ago

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

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u/rina_bergstrom5 points·1 months ago

the 23 week readout is different from the 24 week readout

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[removed]3 points·1 months ago

[removed by moderator]

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u/cloudy_vial_carol0 points·1 months ago

number-needed-to-treat is the house dialect

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u/ines_boateng20 points·1 months ago

the 23 week readout is different from the 40 week readout

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u/careful_gradient_againOP12 points·1 months ago

Small correction: the trial was 21 weeks, not 19. Does not change your point but people will quote it.

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u/nightowl_injector8 points·1 months ago

event rates are more informative than hazard ratios alone

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u/joaquin_trevino11 points·1 months 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/aurel_mwangi6 points·1 months ago

Strongly agree. Phase 2 is investigational, not conclusive.

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u/yara_mensah5 points·1 months ago

absolute risk reduction, not relative risk reduction, that is how you decide

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About c/trialwatch

Clinical trial reading group. New readouts, protocol amendments, endpoint definitions, dropout handling, and the difference between a press release and a publication. Absolute risk reduction and number-needed-to-treat are house dialect here.

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