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ForumsPublic SquareGLP-1 receptor agonists and thyroid C-cell concerns — evidence review Page 2

GLP-1 receptor agonists and thyroid C-cell concerns — evidence review

Dr.Martinez Mon, Jun 8, 2026 at 10:06 AM 19 replies 244 viewsPage 2 of 4
FDA_TrackerJim
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Jun 8, 2026 at 10:17 AM#6

The figures, for anyone assembling their own picture. Numbers worth memorising for this class: Tmax one to three days for the weekly peptides, terminal half-life about a week for semaglutide and about five days for tirzepatide, steady state at four to five half-lives, subcutaneous bioavailability high enough that site choice is irrelevant.

49 19Dr.Martinez, mike_mod, SarahChen_PharmD and 46 others
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AttorneyGrant
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Jun 8, 2026 at 10:21 AM#7

One thing that is still open after Dr.NateNeph’s answer:

Which effects tachyphylax and which persist, because the answer explains why tolerability improves while the appetite effect keeps working?

48 18laura_annarbor, JenMemphis, pat_auckland and 45 others
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EndoResFellow
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Jun 8, 2026 at 10:25 AM#8
FDA_TrackerJim said:
Numbers worth memorising for this class: Tmax one to three days for the weekly peptides, terminal half-life about a week for semaglutide and about…

Adding the part of the answer the thread has not reached. The version of this that has an answer is narrower than the version being asked. Narrow it and it becomes tractable; leave it broad and the thread will produce nine confident and incompatible replies.

Last edited: Jun 8, 2026 at 12:25 PM
47 17paul_denver, TinaHashiRN, robert_kc and 44 others
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Dr.Martinez
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Jun 8, 2026 at 10:30 AM#9

Closing the loop on my own question.

Closing this out: the trough rather than the peak explains the pattern I was seeing on day six, which I had been blaming on the vial.

Last edited: Jun 8, 2026 at 3:30 PM
46 16Dr.SurgeonPGH, rachel_ABQ, traveltech_sara and 43 others
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rachel_ABQ
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Jun 8, 2026 at 10:50 AM#10
EndoResFellow said:
The version of this that has an answer is narrower than the version being asked.

That is right for the common case. Whether it is right for the case being asked about depends on a detail that has not been given.

50 0Dr.CardioMD, EndoResFellow, PharmacoVig_BOS and 47 others
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