Semaglutide Forum: Game Changer for Weight Loss

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Mark A. Moyad, MD, MPH & Martin M. Miner, MD, discuss the potential benefits of semaglutide, a newly approved weight-loss drug.

Semaglutide is a medication that has been approved by the FDA to treat type 2 diabetes and has also been approved for obesity management under the brand name Wegovy [1][3]. It helps with weight loss by suppressing appetite, which can lead to a reduced intake of food [2].

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Semaglutide works by mimicking a hormone called glucagon-like peptide-1 (GLP-1), which is naturally produced by the body. GLP-1 plays a role in regulating blood sugar levels and appetite. Semaglutide affects several processes in the body, including increasing the release of insulin, reducing the release of glucagon, and delaying gastric emptying [2].

The increase in insulin helps lower high blood sugar, while the reduction in glucagon release also contributes to better blood sugar control. Delaying gastric emptying means that food stays in the stomach for a longer time, which can help with satiety and decrease appetite [2].

The typical dose of semaglutide for weight loss is 2.4 milligrams, administered weekly as subcutaneous (under the skin) self-injections [3]. While semaglutide has shown promising results in weight loss, it is important to note that its effectiveness is dependent on continued use, and some experts are skeptical about its long-term safety and limitations [1].

In semaglutide studies, participants experienced significant weight loss. In one clinical trial, participants who received semaglutide lost 5% or more, 10% or more, 15% or more, and 20% or more of their baseline body weight at week 68, compared to those who received a placebo [1]. On average, participants taking semaglutide lost 15% of their body weight [2]. Some individuals lost as much as 40 pounds while participating in a clinical trial of the drug [2].

In another study, after 68 weeks of treatment, the semaglutide group lost an average of 16% of their baseline body weight, equal to 37 pounds. This was compared to a 5.7% average weight loss, or 14 pounds, for those assigned to intensive behavioral therapy combined with a placebo [3]. These results demonstrate the significant weight loss potential of semaglutide in clinical trials.

There are a few ways to save on semaglutide for weight loss, which is available as the brand-name medication Wegovy. One option is to use a copay savings card from the manufacturer. If you have commercial insurance, you may be eligible to pay as little as $25 for Wegovy using this savings card [1]. More information about the copay savings card and other coverage options can be found on the Wegovy website [2].

It's important to note that the cost of Wegovy before insurance is around $1,627 per month, and coverage for weight loss drugs like Wegovy can vary widely depending on the type of insurance you have and your location [3]. The $25 copay card provided by the manufacturer may help ease the cost, but only if your insurance plan covers the medication [3].

A more affordable way to get semaglutide when insurance does not pay is to have your doctor fax a prescription to a compounding pharmacy like EmpowerPharmacy.com. Their price runs approximately $350 per month.
 
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Peptide sciences does have them and I just bought a few vials, but the conversions are confusing to me so if i could get them from a pharmacy that is already ready to go, and are affordable, that would be even better. I just checked out a few canadian pharmacies and they seem to still be a bit pricey, but nothing like the american pharmacies. Maybe 300ish a month...peptide sciences still seems a bit less expensive than that.
 
I just bought the peptide science vials. It is a way better deal, and if you’re into this sort of supplementing and optimization research, you should get good at conversions, and there are lots of good videos and it is not that hard. Plus the vial is going to keep far longer.
 
thank you for the update; that's great to know! yes, i know...my math skills have always been a detriment for me :( please keep me updated on how it is working for you. As i mentioned; i am new to peptides, so I am looking into all of this for myself and my family.
 
It's barely barely math. Semaglutide is a glucagone like peptide-1 receptor agonist. Pretty sure that's different from some of the other peptides I'm used to like ipamorelin, bpc-157, etc. so I'd suggest looking carefully at the risks and sides. Mine arrived from peptide sciences, so thanks so much for the advice there.

One of the major benefits is I think it has helped me identify when my urge to eat is from Ghrelin (ignore) from a yearn for dopamine (double ignore) and when it's from low blood sugar and lack of fuel (eat moderately). I a lot of people bounce back when taking a great from Semaglutide, but I haven't. I just find it much more tiring and annoying to fight Ghrelin all the time and Semaglutide/Ozempic relieves that in a major way. I also feel its effect on stabilizing blood sugar because I can work out hard on empty and still feel decent. Good luck!
 
Great thread all. I started taking Ozempic at .25mg a few months back and it did absolutely nothing for me. I upped it to .5mg a month later and that also did nothing. It wasn't until I dosed 1mg per week that I started noticing the hunger blunting capabilities of semaglutide, but it was still only a moderate effect.

What's frustrating is that Ozempic max dose is 2mg per week but that needs prior authorization from my insurance, and Defy does not provide prior auth. I also looked into Wegovy, which is the brand name of semaglutide made specifically for weight loss. Unfortunately, my insurance needs prior auth for that too. Wegovy's max dose is 2.4mg!

I'm going to buy some supplementary vials from Peptide Sciences and will report back on how effective 1.5mg weekly is. Good luck all, I think this is a game changer!
 
T
Jay Campbell on Semaglutide and fat loss.

Stack with AOD9604.

Can you imagine stacking it further with tesamorelin/ipamorelin/CJC195?
Good ole Jay. Amazing how even doctors I've known will inject themselves with "research" preparations.

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Therapeutic Polypharmacy time. Sign me up LMAO!

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Wow, now Ben Greenfield in on the fun with Jay:


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Speechless.


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#SymptomRelief?..1200 ng/dl trough w/ E7D or E3.5D dosing

What’s your problem Bro? I’m only “hitting” 1200 ng/dl.

Here on down if you want to better understand dose reponse with TOT/TRT:
 
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I am told that Semaglutide should be combined with methylB12 to help mitigate the nausea associated with taking it alone. Some compounding pharmacies are doing just that.
 
Wow--impressive stats. Not sure I want to lose weight faster than Semaglutide. Plus I noticed this: "Tirzepatide's Retail Price Set at About $12,666 Per Year".
For the people that mentioned this above, I do already stack with ipamorelin, mod grf (cjc1295), bpc-157 and thymosine beta. Along with cypionate and currently a small amount of deca. I get no nausea so I don't plan to do the b12 addition.


I had some concern that the semaglutide reduction of ghrelin effect might interfere with ghrp but does not seem to be the case, and I likely just don't understand the mechanisms of action well enough. You can also see I'm trying to go slow and steady with my progress.

weight 10/8/21 168.2 to 6/5/22 153.6
fat 10/8/21 14.3% to 6/5/22 12.7%

Also added myfitplan meal tracking, whoop exercise tracking, bought a sweet eliptical and also a bike for home gym, and a tonal. So actually all things considered my progress is mediocre haha.
 

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Mark A. Moyad, MD, MPH & Martin M. Miner, MD, discuss the potential benefits of semaglutide, a newly approved weight-loss drug.
DR Martin Miner is my Dr..his credentials speak for themselves in men's health, fertility, test..HCG etc..I have talked about HCG with him ..he does not seem to share the same claims most state...
 
It's barely barely math. Semaglutide is a glucagone like peptide-1 receptor agonist. Pretty sure that's different from some of the other peptides I'm used to like ipamorelin, bpc-157, etc. so I'd suggest looking carefully at the risks and sides. Mine arrived from peptide sciences, so thanks so much for the advice there.

One of the major benefits is I think it has helped me identify when my urge to eat is from Ghrelin (ignore) from a yearn for dopamine (double ignore) and when it's from low blood sugar and lack of fuel (eat moderately). I a lot of people bounce back when taking a great from Semaglutide, but I haven't. I just find it much more tiring and annoying to fight Ghrelin all the time and Semaglutide/Ozempic relieves that in a major way. I also feel its effect on stabilizing blood sugar because I can work out hard on empty and still feel decent. Good luck!
excellent description No Doc. For some people - hopefully myself included - I think the GLP-1 agonists (and +GIP agonists) see and understand these drivers (Ghrelin, Dopamine, fuel needs) clearly for the first time.
 
My weight lose and fat loss continues but I can feel my metabolism has slowed. Debating adding some t3 or staying even for a while before heading lower in body fat %. I’ve tried clen and didn’t like it. Did some frag, gw, and considering others. I guess no surprise going from 14 to 12% bodyfat is easier than 12 to 10.
 

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