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ForumsSemaglutide (Ozempic / Wegovy)Semaglutide cardiovascular benefit: SELECT trial deep dive Page 2

Semaglutide cardiovascular benefit: SELECT trial deep dive

Dr.CardioMD Sun, May 31, 2026 at 8:37 PM 21 replies 414 viewsPage 2 of 5
jason_paloalto
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May 31, 2026 at 8:56 PM#6

Adding the numbers, since they settle part of this. 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.

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

22 17tane_welly, Dr.PathRoch, mona_PHX and 19 others
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sarah_TO
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May 31, 2026 at 9:03 PM#7

A narrower follow-up, since the general answer is now clear:

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?

21 16Dr.EndoEP, GraceAZ_72, carl_compliance and 18 others
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GenomicsKate
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May 31, 2026 at 9:11 PM#8
jason_paloalto 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…

Adding the part of the answer the thread has not reached. The dose-response is real but shallow at the top. Across STEP 1 and STEP 4 the gap between 1.7mg and 2.4mg is a couple of percentage points of body weight on average, and the average is carrying a wide spread — plenty of people at 1.7mg sit above the 2.4mg mean. If a dose is working and tolerable, "working" is the relevant variable, not "maximal".

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

20 15MarkLI_maint, Dr.PeteFamMed, claudia_zurich and 17 others
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Dr.CardioMD
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May 31, 2026 at 9:18 PM#9

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.

Last edited: Jun 1, 2026 at 3:18 AM
19 14roxy_nash, tony_orlando, Dr.NephBHM_UK and 16 others
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Dr.ReproEndo
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May 31, 2026 at 9:53 PM#10
GenomicsKate said:
The dose-response is real but shallow at the top.

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.

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

That is the short version; the long version is somebody else's post.

Last edited: May 31, 2026 at 10:53 PM
13 11carl_compliance, DanielChem_CHI, marco_milano and 10 others
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