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ForumsCardiovascular OutcomesSemaglutide cardiovascular benefit independent of weight loss — looking for input Page 2

Semaglutide cardiovascular benefit independent of weight loss — looking for input

Dr.PeteFamMed Mon, Apr 27, 2026 at 1:38 AM 21 replies 664 viewsPage 2 of 5
TrialTracker_MD
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Apr 27, 2026 at 6:29 AM#6

One concrete data point for the thread. 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 subcutaneous bioavailability near 89%. Those four numbers explain most of the questions people ask about timing.

18 13Dr.EM_Chicago, pete_RVA, CarlaRPh_TPA and 15 others
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mel_PDX
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Apr 27, 2026 at 8:23 AM#7

One thing that is still open after Dr.RaviCardio’s answer:

What the dose-response curve actually looks like above 1.7mg, because the trial means hide how few people account for the extra loss?

Last edited: Apr 27, 2026 at 2:23 PM
17 12Dr.KarenChen, Dr.NateNeph, PharmD_Rodriguez and 14 others
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lisa_labSD
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Apr 27, 2026 at 10:17 AM#8
TrialTracker_MD 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…

Coming at TrialTracker_MD’s question from a different direction. Steady state is the thing most people miss. The terminal half-life is about a week, so every dose step takes four to five weeks to fully express itself. Judging a step at day ten is judging the ascent, not the plateau, and it is the single commonest reason people escalate before they needed to.

16 11Dr.PulmRoch, maya_sedona, stefan_berlin and 13 others
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Dr.PeteFamMed
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Apr 27, 2026 at 12:11 PM#9

Closing the loop on my own question.

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.

Last edited: Apr 27, 2026 at 1:11 PM
15 10Dr.BariatricHTX, LindaRN_retired, tommy_boulder and 12 others
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EndoResFellow
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Apr 27, 2026 at 9:18 PM#10
lisa_labSD said:
Steady state is the thing most people miss.

Agreed, though "tolerable" needs defining. A dose you tolerate by eating almost nothing is not tolerated, it is being paid for somewhere else — usually in lean mass, sometimes in adherence three months later.

35 10Dr.ObesityLA, NurseKim_ATL, paul_denver and 32 others
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