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ForumsSide Effects & ManagementInsomnia on semaglutide — need advice Page 3

Insomnia on semaglutide — need advice

wei_SG Tue, Dec 17, 2024 at 5:21 AM 34 replies 1,822 viewsPage 3 of 7
Dr.RenalNash
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Dec 20, 2024 at 5:12 PM#11
EndoResFellow said:
Almost every unanswerable question in these threads is unanswerable because three things changed in the same fortnight, and no amount of subsequent…

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.

Last edited: Dec 20, 2024 at 10:12 PM
11 9wei_SG, cory_ATX, lori_vegas and 8 others
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Dr.RheumBOS
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Dec 20, 2024 at 7:58 PM#12
Dr.CardioMD said:
Albumin binding above 99% is the whole reason weekly dosing works, and it is also why the trough matters more than the peak.

Saving this. It is the first explanation that did not require me to already understand it.

Last edited: Dec 21, 2024 at 1:58 AM
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A1cHero_PHX
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Dec 20, 2024 at 10:44 PM#13
EndoResFellow said:
Almost every unanswerable question in these threads is unanswerable because three things changed in the same fortnight, and no amount of subsequent…

Pushing back on EndoResFellow here. The trial means are being read too generously in this thread. STEP populations were selected, supported, and titrated by protocol, and the real-world curves are consistently a few points worse. That difference is not noise, it is what happens when you remove the study infrastructure.

If somebody has the primary source to hand I would rather cite it than paraphrase it.

Last edited: Dec 21, 2024 at 3:44 AM
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raj_cambridge
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Dec 21, 2024 at 1:30 AM#14

Adding the numbers, since they settle part of this. Worth stating the units and the reference range whenever you post a number here. A large fraction of the apparent disagreement in these threads is two people using different units and both being right.

I would rather be corrected than agreed with, if it comes to it.

Last edited: Dec 21, 2024 at 2:30 AM
14 12PharmHunterJen, TomTeleRx, DoseLogDan and 11 others
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mike_mod
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Dec 21, 2024 at 4:16 AM#15

Moderator note: good thread. Keeping it here rather than moving it, because the question is general enough to be useful. No action needed from anybody.

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