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Evidence-based GLP-1 & peptide discussion since 2023
ForumsOral GLP-1 AgonistsIs oral sema actually as effective as the injection version? — my results so far Page 2

Is oral sema actually as effective as the injection version? — my results so far

NurseAsh_DET Tue, May 6, 2025 at 11:52 AM 14 replies 1,585 viewsPage 2 of 3
PeptideChemSF
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May 6, 2025 at 12:59 PM#6
Dr.LipidDallas 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.

Last edited: May 6, 2025 at 4:59 PM
7 2steve_okc, dave_SLC, FDA_TrackerJim and 4 others
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anders_CPH
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May 6, 2025 at 1:25 PM#7

The figures, for anyone assembling their own picture. Keep the original post as written when you update it, and add the correction underneath. An edited-away mistake is invisible to the next person who makes it.

Last edited: May 6, 2025 at 5:25 PM
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pat_auckland
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May 6, 2025 at 1:51 PM#8
PeptideChemSF said:
I do not accept that the fasting window is a minor inconvenience.

Adding the part of the answer the thread has not reached. The honest answer is that the effect is real, the magnitude is contested, and the individual variation is larger than either. Those three things can all be true at once, and most arguments here are two people holding different parts of that.

Last edited: May 6, 2025 at 5:51 PM
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LindaRN_retired
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May 6, 2025 at 2:17 PM#9

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

How much of the oral variability is the SNAC absorption window and how much is dose, because the two get conflated constantly?

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NurseAsh_DET
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May 6, 2025 at 4:24 PM#10

Reporting back.

Follow-up: moving the tablet to the moment I wake, before anything else, was the whole fix. The dose never changed.

Last edited: May 6, 2025 at 10:24 PM
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