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ForumsSemaglutide (Ozempic / Wegovy)Oral semaglutide 50mg Phase 3 — anyone have experience? Page 2

Oral semaglutide 50mg Phase 3 — anyone have experience?

pete_nash Sun, Apr 6, 2025 at 4:01 AM 13 replies 1,578 viewsPage 2 of 3
JakeBK_lifts
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523
2,345
Jul 2024
Brooklyn, NY
Apr 6, 2025 at 6:28 AM#6

Wait there's going to be a 50mg oral version?? That would be a game changer honestly. I would switch in a heartbeat if the efficacy matched injectable.

Last edited: Apr 6, 2025 at 8:28 AM
33 3TrialTracker_MD, JennaRN, LabKate and 30 others
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JenMemphis
Member
267
1,234
Jan 2025
Memphis, TN
Apr 6, 2025 at 7:25 AM#7

For the travel issue specifically — a few tips that helped me keep using injectable while traveling constantly:

  • FRIO insulin cooling wallets — no refrigeration needed, just soak in water. Keeps pens cool for 48-72 hours.
  • TSA has NEVER given me an actual problem with my Wegovy pens. I keep them in a clear bag with the prescription label visible. Just tell them it's medication.
  • Most hotels will put medication in their kitchen fridge if you ask the front desk.
  • Wegovy pens are actually stable at room temperature (up to 86°F/30°C) for up to 28 days, so for short trips you might not even need refrigeration.
Last edited: Apr 6, 2025 at 12:25 PM
32 2BenResearch_OR, MikeKY_noInsulin, Dr.RaviCardio and 29 others
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tane_welly
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234
1,123
Sep 2024
Wellington, NZ
Apr 6, 2025 at 8:22 AM#8

Ok this is all super helpful. It sounds like switching to oral at my current dose (1.7mg injectable) would be a downgrade in efficacy, and the daily fasting requirement might actually be MORE of a hassle than weekly injections.

I think I'll stick with injectable and try the FRIO wallet for travel. And keep my eye out for when/if the higher-dose oral formulation gets approved.

Thanks everyone — saved me from making a mistake! 🙏

31 1DanielChem_CHI, marco_milano, pam_columbus and 28 others
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BiostatsBrad
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Jul 2024
Durham, NC
Apr 6, 2025 at 9:19 AM#9

Smart decision. One more data point: the oral 50mg formulation from OASIS 1 also had higher rates of GI side effects compared to injectable 2.4mg in cross-trial comparisons. The 50mg pill delivers a LOT of semaglutide to the stomach lining even if only 1% is absorbed systemically, and that local GI exposure may cause more nausea/vomiting. Something to factor in if/when it becomes available.

— pharma_data_guy | PharmD | GLP-1 pharmacology nerd
30 0james_edin, FranDenver, Dr.BariatricHTX and 27 others
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