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ForumsClinical Trials & ResearchSOUL trial: semaglutide cardiovascular outcomes in T2DM — design overview Page 3

SOUL trial: semaglutide cardiovascular outcomes in T2DM — design overview

Dr.CardioMD Wed, Jun 3, 2026 at 8:11 AM 14 replies 318 viewsPage 3 of 3
MarkLI_maint
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Jun 5, 2026 at 4:53 AM#11
LindaRN_retired said:
Albumin binding above 99% is the whole reason weekly dosing works, and it is also why the trough matters more than the peak.

Thank you — that is the clearest version of this I have read, and I have read a lot of them. I will report back once I have actually tried it.

48 23RunnerRach, TrialNerd_Beth, HPLC_Greg and 45 others
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MASHdoc_SA
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Jun 6, 2026 at 12:56 AM#12

Clinical perspective, offered as context rather than as advice.

Dr.CardioMD said:
...but the FDA says semaglutide...

Interesting point. I want to add some regulatory nuance: the FDA labeling reflects the specific clinical trial data submitted for approval. Real-world clinical practice often extends beyond the FDA label based on emerging evidence and clinical judgment.

Example: semaglutide was first approved for diabetes (Ozempic), then obesity (Wegovy). The molecule didn't change — our understanding of its applications expanded. Similarly, semaglutide may evolve as more data accumulates.

Last edited: Jun 6, 2026 at 3:56 AM
47 22TrialTracker_MD, JennaRN, LabKate and 44 others
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Dr.SleepRoch
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Jun 6, 2026 at 8:59 PM#13
Dr.SportsMedIN said:
The dose-response is real but shallow at the top.

I will push back on the "any working dose is fine" framing. The maintenance evidence sits overwhelmingly at the top studied dose, and the extension data shows regain tracking dose reduction rather than tracking stopping. Holding low is reasonable; pretending it is evidentially equivalent is not.

46 21Dr.NephBHM_UK, kim_atl_prep, sarah_TO and 43 others
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NicoleRaleigh
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Jun 7, 2026 at 5:04 PM#14

Adding the numbers, since they settle part of this. Relative versus absolute is the distinction that gets lost: a 20% relative reduction on a high baseline risk is a large absolute benefit, and the same relative figure on a low baseline risk is a small one.

Last edited: Jun 7, 2026 at 6:04 PM
45 20VendorMark, COA_Karl, MikeFit_NJ and 42 others
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Admin
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Jun 8, 2026 at 1:08 PM#15

Moderator note: reminder that nothing in this thread is medical advice, and that clinical claims need a source. Report rather than reply if it drifts again.

44 19PeptideSynthNJ, Dr.KarenChen, Dr.NateNeph and 41 others
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