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ForumsOral GLP-1 AgonistsOral semaglutide bioavailability optimization — 12 month update Page 6

Oral semaglutide bioavailability optimization — 12 month update

jim_asheville Wed, Feb 7, 2024 at 4:58 PM 58 replies 3,516 viewsPage 6 of 12
LipidDoc_ATL
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Feb 27, 2024 at 8:24 PM#26
lucas_SP_BR 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…

That reframing is the part I needed. Sending this to two other people who asked me the same thing last week.

39 14rachel_ABQ, traveltech_sara, AttorneyGrant and 36 others
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rachel_ABQ
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Mar 1, 2024 at 7:45 AM#27

From the other side of the consultation, briefly. Worth answering the question that was asked rather than the one behind it. The narrow version usually has an answer; the broad version usually does not, and answering the broad one is how a thread stops being useful.

38 13DadBodDave, AmyNC_wife, SkepticalSean and 35 others
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wendy_avl
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Mar 3, 2024 at 7:07 PM#28
rachel_ABQ said:
Worth answering the question that was asked rather than the one behind it.

Adding a me-too, because a thread of one person's experience is not much use.

37 12TomTeleRx, DoseLogDan, SleepFixSam and 34 others
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DanielChem_CHI
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Mar 6, 2024 at 6:31 AM#29
rachel_ABQ said:
Worth answering the question that was asked rather than the one behind it.

Adding the part of the answer the thread has not reached. The mechanism that matters here is not stomach emptying, it is central. GLP-1 receptor agonism in the arcuate nucleus stimulates POMC neurons and suppresses AgRP/NPY signalling, which is why the effect is appetite and food salience rather than physical fullness. Delayed gastric emptying largely tachyphylaxes over the first months; the appetite effect does not.

36 11ben_calgary, patPC_UT, Dr.DermMIA and 33 others
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jim_asheville
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Mar 8, 2024 at 5:56 PM#30

Reporting back.

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.

14 14LarryQC_SD, wanda_boise, NurseAsh_DET and 11 others
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