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ForumsOral GLP-1 AgonistsHas anyone dealt with oral semaglutide 50mg (rybelsus hd)? Page 6

Has anyone dealt with oral semaglutide 50mg (rybelsus hd)?

Dr.SleepRoch Wed, Apr 16, 2025 at 7:41 AM 33 replies 1,762 viewsPage 6 of 7
mike.trainer_LA
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Apr 21, 2025 at 2:49 AM#26
wendy_avl 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…

Pushing back on wendy_avl here. I think the framing smuggles in the conclusion. Ask it the other way round and the obvious answer reverses, which usually means the question is doing the work.

29 2Dr.AddMedPHL, newstart_MO, mia_MS2 and 26 others
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tampaLisa73
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Apr 21, 2025 at 9:08 AM#27
wendy_avl 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…

Agreed, and one caution: a single measurement is not a measurement. Anything that moves day to day needs a trend before it means anything at all.

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Dr.LeslieOBGYN
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Apr 21, 2025 at 3:27 PM#28
wendy_avl 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. Adding it to my notes with a link back to this thread.

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BariatricNurseD
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Apr 21, 2025 at 9:46 PM#29

From the other side of the consultation, briefly. 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.

Worth separating that from semaglutide, which this thread keeps folding into the same question. They behave differently and the advice does not transfer.

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Dr.SleepRoch
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Apr 22, 2025 at 4:05 AM#30

Reporting back.

Update. I did go to 2.4mg in the end, and the honest report is that it bought me less than the step before it and cost me two bad weeks. Worth knowing rather than worth repeating.

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