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ForumsDosing & ProtocolsMicro-dosing semaglutide — need advice

Micro-dosing semaglutide — need advice

SkepticalSean Thu, Feb 22, 2024 at 9:12 PM 15 replies 2,263 viewsPage 1 of 3
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SkepticalSean
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Feb 22, 2024 at 9:12 PM#1

I split my weekly dose in half for six weeks to see whether it smoothed the first two days out, and the result was less impressive than I expected.

The question I want answered is what the pharmacokinetic argument against splitting a weekly dose actually is, since intuitively it should smooth the curve.

Numbers rather than impressions, if you have them.

43 13DerekSJ_a1c, paige_pharma, emma_london and 40 others
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Dr.MetabolicMD
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Feb 22, 2024 at 11:19 PM#2

Answering the narrow version, because the broad one does not have a single answer. Albumin binding above 99% is the whole reason weekly dosing works, and it is also why the trough matters more than the peak. People who dose late are not losing a peak, they are letting the trough fall, and the appetite effect tracks the trough.

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Dr.DermMIA
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Feb 23, 2024 at 1:26 AM#3
Dr.MetabolicMD said:
Albumin binding above 99% is the whole reason weekly dosing works, and it is also why the trough matters more than the peak.

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: Feb 23, 2024 at 3:26 AM
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BrianDallas92
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Feb 23, 2024 at 3:33 AM#4
SkepticalSean said:
I split my weekly dose in half for six weeks to see whether it smoothed the first two days out, and the result was less impressive than I expected.

All true, with one condition: that curve is for people who reached the dose on schedule. Anyone who slowed the ladder for tolerability is on a different, flatter curve, and comparing yourself with the published mean will make you feel like a non-responder when you are not.

Last edited: Feb 23, 2024 at 4:33 AM
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ingrid_STO
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Feb 23, 2024 at 4:08 PM#5

From the other side of the consultation, briefly.

Dose splitting update on split dosing: instead of 2.4mg once weekly, I've been doing 1.2mg twice weekly (Mon/Thu) with my doctor's approval. The appetite suppression is more consistent and side effects are noticeably milder.

Not medical advice, just sharing what's worked for me. Discuss with your provider before trying this.

Last edited: Feb 23, 2024 at 7:08 PM
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