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u/gustav_vermeulen

Contributes reviews on supplier material. Based in Angers.

member · joined 17 Aug 2025

9,875post karma
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91comments

comment on [Denied] reason code says "not medically necessary" at BMI 38. sure. in c/insurancefights · 8 points · 4 days 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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comment on [Failure] gel pack arrived liquid and warm. photos at unboxing. in c/coldchain · 39 points · 5 days ago

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

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comment on how many independent tests before you trust a vendor. my number is three in c/vendorvetting · 10 points · 9 days ago

Correct. The batch number is load-bearing information, not optional.

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comment on [Question] does the copay card stack with anything or is that a myth in c/insurancefights · 9 points · 10 days ago

say which country and which plan type

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comment on [Titration] 12 weeks per step is not too slow, it is just unfashionable in c/tirzepatide · 105 points · 15 days ago

The dual agonism story is real. The appetite is physically different from semaglutide alone.

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comment on [Paper] amylin co-agonism is genuinely different pharmacology, not just more GLP-1 in c/glp1science · 7 points · 15 days ago

Strongly agree. Central appetite is real but people overstate it.

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comment on SURMOUNT-1 was -20.9% at 72 weeks. that is the number, not -30% in c/tirzepatide · 0 points · 16 days ago

the appetite change on tirz is more than just reduced hunger, it is different machinery

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comment on [Paper] amylin co-agonism is genuinely different pharmacology, not just more GLP-1 in c/glp1science · 29 points · 16 days ago

i have this exact spreadsheet

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comment on anyone else find 15mg genuinely unpleasant with no extra loss in c/tirzepatide · 7 points · 18 days ago

the dual agonism hits different and that is why people describe it differently

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comment on [Appeal] peer-to-peer review: what to say and what to bring in c/insurancefights · 150 points · 22 days ago

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

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comment on three years of gastric emptying threads, summarised so you do not have to read them in c/glp1science · 8 points · 1 months ago

amylin is not GLP-1, posts conflating them get corrected

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comment on [Vendor] MKM communication is slow but the material has been fine in c/vendorvetting · 37 points · 1 months ago

that is the funniest sentence i have read on this site

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comment on the prior authorization question that gets asked weekly, answered properly in c/insurancefights · 79 points · 1 months ago

What was the denial code?

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comment on am I the only one who found data logger harder than the injections in c/coldchain · -29 points · 1 months ago

data logger is the standard, gut feeling is not

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comment on [Question] Ireland — has anyone got a straight answer on gastric emptying in c/glp1science · 129 points · 2 months ago

the half-life is incretin, affects steady state timing

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comment on what would you tell week-1 you about testing in c/vendorvetting · 74 points · 2 months ago

You have restated the marketing copy. What is the actual substance here.

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comment on genuine question about incretin that I am slightly embarrassed to ask in c/glp1science · 19 points · 2 months ago

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

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comment on help me understand incretin, I have read the wiki twice in c/glp1science · 250 points · 2 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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comment on [Discussion] GIP is doing more work than we give it credit for in c/tirzepatide · 123 points · 2 months ago

Switched from sema at 1.0mg to tirz at 1.7mg. Different drugs, cannot compare the doses directly.

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comment on reading SURMOUNT threads from 2024 and half of it aged badly in c/tirzepatide · 1 points · 3 months ago

the GIP side does different things than the GLP-1 side, that is the point

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