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ForumsSemaglutide (Ozempic / Wegovy)Semaglutide mechanism of action: hypothalamic GLP-1R binding and satiety — what worked for you? Page 5

Semaglutide mechanism of action: hypothalamic GLP-1R binding and satiety — what worked for you?

VendorMark Fri, Jan 31, 2025 at 9:53 PM 54 replies 2,401 viewsPage 5 of 11
FDA_TrackerJim
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Feb 16, 2025 at 2:13 PM#21

One concrete data point for the thread. For anyone reading later: the numbers in this thread are worth checking against a primary source before you act on them, including mine. Half the figures circulating in this community trace back to a secondary summary that dropped a qualifier.

Last edited: Feb 16, 2025 at 5:13 PM
24 22Dr.Martinez, mike_mod, SarahChen_PharmD and 21 others
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TirzTom
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Feb 21, 2025 at 1:55 PM#22

Following on from Dr.RenalNash — and this may be the naive question:

How much of the between-person variation is pharmacokinetic and how much is just adherence measured badly?

25 23tom_AK, josh_phd_bmore, roxy_nash and 22 others
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bri_stats
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Feb 26, 2025 at 1:34 PM#23
FDA_TrackerJim said:
For anyone reading later: the numbers in this thread are worth checking against a primary source before you act on them, including mine.

I read this differently. The confidence in this thread is running ahead of the evidence, and I would rather the uncertainty were stated than smoothed over because it is unsatisfying.

26 24TomFromTexas, mike.trainer_LA, sarah_nash92 and 23 others
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Dr.MetabolicMD
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Mar 3, 2025 at 1:10 PM#24
FDA_TrackerJim said:
For anyone reading later: the numbers in this thread are worth checking against a primary source before you act on them, including mine.

Agreed, and the adaptation point cuts both ways: tachyphylaxis to gastric emptying is why tolerability improves, and it is also why people who were relying on physical fullness feel the effect fade while the appetite effect is still working.

27 0Dr.ObesityMed, HealthEcon_DC, PedsEndoPhilly and 24 others
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maya_sedona
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Mar 8, 2025 at 12:43 PM#25
FDA_TrackerJim said:
For anyone reading later: the numbers in this thread are worth checking against a primary source before you act on them, including mine.

That reframing is the part I needed. Adding it to my notes with a link back to this thread.

Last edited: Mar 8, 2025 at 4:43 PM
28 1Dr.RaviCardio, jennifer_SEA, tyler_CSCS and 25 others
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