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ForumsCardiovascular OutcomesSOUL trial preliminary data — semaglutide in T2DM cardiovascular outcomes Page 2

SOUL trial preliminary data — semaglutide in T2DM cardiovascular outcomes

Dr.CardioMD Tue, Jun 2, 2026 at 1:06 AM 20 replies 546 viewsPage 2 of 4
SleepDoc_PDX
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Jun 2, 2026 at 2:06 AM#6

Adding the numbers, since they settle part of this. Worth knowing that the injection site changes very little. Abdomen, thigh and upper arm are bioequivalent for semaglutide, so a site change is not a plausible explanation for a bad week.

46 16pete_nash, hank_denver, carlos_SATX and 43 others
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KetoKyle
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Jun 2, 2026 at 2:30 AM#7

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

Whether anyone has held at a sub-maximal dose long term and kept the result, or whether the maintenance data only exists at 2.4mg?

45 15JenMemphis, pat_auckland, Dr.GastroMayo and 42 others
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Dr.ReproEndo
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Jun 2, 2026 at 2:53 AM#8
SleepDoc_PDX said:
Worth knowing that the injection site changes very little.

Adding the part of the answer the thread has not reached. Albumin binding above 99% is the whole reason weekly dosing works, and it is also why the trough matters more than the peak. People who dose late are not losing a peak, they are letting the trough fall, and the appetite effect tracks the trough.

44 14Dr.EndoEP, GraceAZ_72, carl_compliance and 41 others
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Dr.CardioMD
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Jun 2, 2026 at 3:16 AM#9

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

Six weeks on from posting: I stopped reading the weekly number and started reading a four-week average, and the "stall" I opened this thread about was a 1.8kg loss I could not see.

Last edited: Jun 2, 2026 at 9:16 AM
43 13roxy_nash, tony_orlando, Dr.NephBHM_UK and 40 others
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Dr.PainCLE
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Jun 2, 2026 at 5:07 AM#10
Dr.ReproEndo said:
Albumin binding above 99% is the whole reason weekly dosing works, and it is also why the trough matters more than the peak.

All true, with one condition: that curve is for people who reached the dose on schedule. Anyone who slowed the ladder for tolerability is on a different, flatter curve, and comparing yourself with the published mean will make you feel like a non-responder when you are not.

Last edited: Jun 2, 2026 at 8:07 AM
3 3amy_econ_NJ, bbq_ray_KC, oliver_london
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