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ForumsDosing & ProtocolsSemaglutide titration: 0.25→0.5→1.0→1.7→2.4mg optimal schedule Page 5

Semaglutide titration: 0.25→0.5→1.0→1.7→2.4mg optimal schedule

Dr.Martinez Mon, Feb 26, 2024 at 4:00 PM 332 replies 13,278 viewsPage 5 of 20
LibrarianMeg
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Feb 29, 2024 at 7:03 AM#21
VendorMark said:
For anyone assembling their own picture: Tmax is one to three days, terminal half-life about 165 to 170 hours, steady state at four to five weeks, and…

I disagree that the ladder is purely tolerability. The maintenance and regain data cluster at the top doses, so a ladder abandoned halfway leaves you outside the evidence base for the part that matters most — keeping it off.

39 14Dr.NateNeph, PharmD_Rodriguez, julia.endo and 36 others
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TinaHashiRN
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Raleigh, NC
Feb 29, 2024 at 7:52 PM#22
VendorMark said:
For anyone assembling their own picture: Tmax is one to three days, terminal half-life about 165 to 170 hours, steady state at four to five weeks, and…

That is right for the weekly injectables. For the daily agents the interval logic is different and the four-week convention does not transfer.

Last edited: Mar 1, 2024 at 1:52 AM
38 13mike_mod, SarahChen_PharmD, sarah.morrison and 35 others
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lori_vegas
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Las Vegas, NV
Mar 1, 2024 at 8:41 AM#23
VendorMark said:
For anyone assembling their own picture: Tmax is one to three days, terminal half-life about 165 to 170 hours, steady state at four to five weeks, and…

Bookmarking. The distinction being drawn above is the one nobody else makes. I will report back once I have actually tried it.

37 12oliver_london, tane_welly, Dr.PathRoch and 34 others
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hyun_seoul
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Mar 1, 2024 at 9:30 PM#24

Adding the clinical framing, because it changes how the question reads. It is worth asking what the claim would look like if it were false. If nothing would look different, it is not a claim about the world and no amount of discussion will settle it.

Last edited: Mar 2, 2024 at 1:30 AM
36 11BariatricNurseD, MASHdoc_SA, GenomicsKate and 33 others
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ben_calgary
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Mar 2, 2024 at 10:19 AM#25
hyun_seoul said:
It is worth asking what the claim would look like if it were false.

Mine went the same way, slower. Nothing to add that would improve it.

35 10NauseaFreeNow, SteveThurs, B12Beth and 32 others
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