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ForumsSemaglutide (Ozempic / Wegovy)Has anyone dealt with semaglutide and gut microbiome changes? Page 3

Has anyone dealt with semaglutide and gut microbiome changes?

SteveThurs Mon, Oct 27, 2025 at 11:39 PM 12 replies 1,288 viewsPage 3 of 3
PharmD_Rodriguez
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Oct 29, 2025 at 7:29 PM#11
pete_nash said:
Worth answering the question that was asked rather than the one behind it.

That holds for the injectable. The oral formulation has different absorption behaviour and the dose numbers are not interchangeable, which is worth saying out loud because people quote them as if they were.

Last edited: Oct 30, 2025 at 12:29 AM
9 7paul_denver, TinaHashiRN, robert_kc and 6 others
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ingrid_STO
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Oct 30, 2025 at 2:48 PM#12
lucas_SP_BR said:
Albumin binding above 99% is the whole reason weekly dosing works, and it is also why the trough matters more than the peak.

This is exactly what I could not find anywhere else. Printing the relevant bit and taking it with me.

Last edited: Oct 30, 2025 at 5:48 PM
10 8COA_Karl, MikeFit_NJ, InsuranceTom and 7 others
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KevinCompounds
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Oct 31, 2025 at 10:07 AM#13
pete_nash said:
Worth answering the question that was asked rather than the one behind it.

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.

Last edited: Oct 31, 2025 at 12:07 PM
11 9MikeKY_noInsulin, Dr.RaviCardio, jennifer_SEA and 8 others
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Dr.PeteFamMed
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Nov 1, 2025 at 5:25 AM#14

The figures, for anyone assembling their own picture. Keep the original post as written when you update it, and add the correction underneath. An edited-away mistake is invisible to the next person who makes it.

12 10Dr.BariatricHTX, LindaRN_retired, tommy_boulder and 9 others
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mike_mod
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Nov 2, 2025 at 12:43 AM#15

Moderator note: reminder that nothing in this thread is medical advice, and that clinical claims need a source. Tagging this one for the weekly digest.

Last edited: Nov 2, 2025 at 2:43 AM
13 11PurityPaulOR, MaxMetOK, MounjBrad and 10 others
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