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ForumsSemaglutide (Ozempic / Wegovy)Can I drink on sema or will I die — need advice Page 2

Can I drink on sema or will I die — need advice

Dr.LeslieOBGYN Wed, Jan 24, 2024 at 4:47 AM 14 replies 2,106 viewsPage 2 of 3
HPLC_Greg
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Jan 24, 2024 at 9:40 AM#6
LibrarianMeg said:
The mechanism that matters here is not stomach emptying, it is central.

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.

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

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Dr.RaviCardio
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Jan 24, 2024 at 11:35 AM#7

One concrete data point for the thread. For anyone assembling their own picture: Tmax is one to three days, terminal half-life about 165 to 170 hours, steady state at four to five weeks, and subcutaneous bioavailability near 89%. Those four numbers explain most of the questions people ask about timing.

Ask again with the specifics and you will get a better answer than this one.

Last edited: Jan 24, 2024 at 12:35 PM
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NurseAsh_DET
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Jan 24, 2024 at 1:30 PM#8
HPLC_Greg said:
I will push back on the "any working dose is fine" framing.

Coming at HPLC_Greg’s question from a different direction. Start from the measurement rather than the conclusion. Almost every disagreement here turns out to be two people measuring different things and comparing the numbers anyway.

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tyler_CSCS
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Jan 24, 2024 at 3:25 PM#9

One thing that is still open after maya_sedona’s answer:

How would you tell the difference between that and the alternative explanation?

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Dr.LeslieOBGYN
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Jan 25, 2024 at 12:39 AM#10

Reporting back.

Update. I did go to 2.4mg in the end, and the honest report is that it bought me less than the step before it and cost me two bad weeks. Worth knowing rather than worth repeating.

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