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Evidence-based GLP-1 & peptide discussion since 2023
ForumsOral GLP-1 AgonistsOral GLP-1 for elderly patients — anyone have experience? Page 2

Oral GLP-1 for elderly patients — anyone have experience?

EndoResFellow Sat, Jul 12, 2025 at 4:27 AM 45 replies 2,071 viewsPage 2 of 9
Dr.KarenChen
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Jul 12, 2025 at 8:42 PM#6
mike.trainer_LA said:
Orforglipron is the more interesting oral story because it is not a peptide at all.

I do not accept that the fasting window is a minor inconvenience. Adherence data on daily orals with timing requirements is consistently worse than weekly injections, and a drug you take imperfectly is a lower dose than the one on the box.

That is the short version; the long version is somebody else's post.

48 18julia.endo, JessicaM_2024, TomFromTexas and 45 others
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PharmacoVig_BOS
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Jul 13, 2025 at 3:09 AM#7

Adding the numbers, since they settle part of this. The boring version of this is the one that works, and the boring version is: measure a baseline, change one variable, wait, measure again under the same conditions. Nobody wants that answer and it is still the answer.

Last edited: Jul 13, 2025 at 6:09 AM
47 17Dr.GutHealth, amsterdam_pete, LondonLisa and 44 others
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VanRx_Mike
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Jul 13, 2025 at 9:36 AM#8
Dr.KarenChen said:
I do not accept that the fasting window is a minor inconvenience.

Adding the part of the answer the thread has not reached. There is a difference between no evidence and evidence of no effect, and this subject is one where the two get swapped freely in both directions.

I would rather be corrected than agreed with, if it comes to it.

46 16Admin, Dr.Martinez, mike_mod and 43 others
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bri_stats
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Jul 13, 2025 at 4:03 PM#9

Following on from MikeNYC_runner — and this may be the naive question:

Whether the fasting requirement is as strict in practice as the label implies, and what people actually see when they get it wrong?

45 15JessicaM_2024, TomFromTexas, mike.trainer_LA and 42 others
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EndoResFellow
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Jul 14, 2025 at 10:58 PM#10

OP back with an update, since a thread like this is useless without one.

Update — I went back to the injectable. Not because the tablet did not work, but because the fasting window and my mornings were never going to agree.

Last edited: Jul 15, 2025 at 12:58 AM
33 6Dr.ObesityLA, NurseKim_ATL, paul_denver and 30 others
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