Intermittent (oral) Rybelsus / Semaglutide use in healthy individuals?

Wow. Very interesting. Any other changes?
Were you also taking rapamycin at that time?

I had increased my aerobic exercise during that period. No major dietary changes (other than just eating less), no rapamycin or any other medications that Iā€™m aware would have an effect.

Just curiousā€¦ How much weight did you lose during this time? How many pounds or kilos? I wonder if thst might be driving the blood work changes and resulting bioage reduction.

Semiglutide is the only way I was able to rid my 20 lbs of post menopausal weight.

I initially started with a PA.
My dose was prescribed as follows:

One .4 mg (point 4, not 4) injection, one day a week (same day each week) for the first month.

Next, I increased dose .1 mg/10 units weekly for another month until I got to .08 mg/80 units.
This was the PAs decision and I think she was being cautious as it was a new medication for their office.
Iā€™m pretty sure I was the Guinea Pig:)
(I use a 1 mg /100 unit syringe)

I followed instructions and stopped at .8 mg until I read more articles about its use, benefits, and dosing for weight loss specifically.

Please indulge me for a minute at this point. I want to mention things I wish Iā€™d known prior, just to keep in mind.

When Googled, many reputable organizations, health orgs, specialists, and research articles were consistent in the safety of the higher doses mentioned previously. There arenā€™t any health issues that would prohibit me from going to more beneficial/reasonable and improved increases. My theory, again, is the Guinea Pig Theory.

On a brighter note, Iā€™m very cautious AND confident about what I take/put in my body, how much, and from ā€œwhereā€.

You guessed it, YES, my doctors love me and all the research, new treatments, drugs in pipelineā€¦about to arrive.

The first place I purchased from had everything put together in the ā€œ2/3rds fullā€ vial (BWater and powder peptide)ā€¦ I mention this so you arenā€™t shocked when you see what you just spent a lot of money on.
It really did help me with weight I was unable to budge as an older womenā€¦

Item stays in fridge directly upon receipt.

Iā€™ve noticed in researching that ordering powder is much cheaper- but still pretty expensive, Either ways works.

When you start, thereā€™s seems to be some solution/powder missing. Knowing this before it arrives may help you a little w/the sticker shock. Just a note of caution, look at/in vial as soon as you get it. Iā€™ve received an empty one before.

My final frontier is to do math, ugh, because I purchased ā€œpowder onlyā€ and need to reconstitute.
No problem. Not the hard part.
Figuring out dose when one bottle reads 1 mg on front label (one with liquid already in it). The powder vial says 3 mg and leaves very little room for the liquid to dissolve.

My biggest takeaway (confusion really) was that my PAā€™s ā€œupward titratingā€ initial dose and cut off point, both seem pretty low after all Iā€™ve read. .

One last thing. Promise.
I was pretty nauseous for awhile. Then it was gone as quickly as it came on.

Whew! Feels like I just write a book. Let me know if you have any questions about my experience with this product. I hope I answered your question in there somewhere!

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I recently started Ozempic as well. I went to a weight management type of NP with the intention of getting compounded semaglutide. I found her on Sesame. She suggested that I first attempt to get Ozempic covered by insurance and it worked out well. Iā€™m very surprised my HMO insurance didnā€™t decline as Iā€™m not diabetic. A1C is 5.7 and BMI is 29. However, my CVD markers are extremely bad, but thatā€™s not an indication for the drug. I can only guess that the reviewing physician did consider overall risk.

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I had to provide my last annual notes, and all recent bloodwork. But I buy other, excuse me, I used to buy other peptide/nutrient injectableā€™s from them and didnā€™t have to talk to their provider. I donā€™t know how many they have but I had a brief phone call, sent back any forms, and was prescribed it. Just over $100 for consult with specials monthly. The SG was $275 vial and $40 to overnight w/ice packs since they reconstituted it.

I have a friend who takes the other new injection for weight loss and itā€™s covered by her insurance. Ins plans are vastly different so some will and some just wonā€™t. I wish anyone struggling with weight loss and wanted to use it could but itā€™s expensive unless you have great insurance plan.

She gets the Mounjaro. Itā€™s been in the news lately more :woman_shrugging:

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Thatā€™s for a 3mg vial correct? Are you planning to go higher than 0.8mg/week and what do they charge for the stronger doses?

Iā€™m pretty sure itā€™s 3 mg (weight) of powder as thereā€™s just a little in the vial. I used the peptide calculator, I can add link so you can see it. The first company sent a much larger vial premixed and it said 1 mg on vial. Anyway, Iā€™ve not figured it out yet. Gotta call my peptide guy.

He did help me understand how to calculate, reconstitute ā€¦ and we walked through one. But the vial, mg, dosing of mfg are so different, I want someone in the know to help me figure out 1 gram dose so I can double itā€¦ with simple addition.

Yes, Iā€™m already above the .8 mg dose.

In any research Iā€™ve found, the dosage begins at
.4 or .5 (.5 is a half full 1 mg/ml syringe- for visual)
and titrates up to a recommended dose. I believe if you take too much, thinking itā€™s helping to lose pounds, you may have to deal with low blood sugar.

So now I have this powder w/3 mg on the label (again weight of powder I believe), Iā€™m trying to figure out a proper dose that I can manipulate easy. For example, when I figure out what 1 mg (not. 0.1) looks like by adding the recon water, Iā€™ll likely start at 1 mg after taking .8 for long enough.

I used medical sites or pharma site for dosing.
Their recommended range is the manufacturerā€™s
.5 mg - 4 mg. Quite a difference.

I believe, although itā€™s not really settled into my synapses yet, if I want the dose to be a 1 mg full needle, itā€™s about how much you reconstitute it with or diluting by adding more BS water.

He and I walked through another peptide recommended to me. We used the chart and the numbers were easy, all 19s.
10 mg, vial, water, doseā€¦I donā€™t remember it exactly. But we did work out my recommended dose as 1 mg or one full syringe. (1 mg, 29x1/2ā€).

Then I asked him if I put in only half of the biostatic water we worked out w/calculator, would the solution be ā€œ2x as strongā€ so Iā€™d only need 1/2 full (.5) solution in syringe and get the same dose. Yes, that was correct. So you can make a solution stronger by adding less BS water and take in same dose but have less in needle.

Does this make sense? Iā€™ll go get the calculator. BRB.

PS Iā€™m not proofing anymore. It takes too long. Bear with me on typos and autocorrect!

https://peptidecalc.com/

Calculator to play around with. Let me know if you get it right. And use good resources for range of dosing :pray:t3:.

Interestingā€¦ For that price you may be able to get a compound pharmacy to give you a higher grade product where you donā€™t have to fool around with volumetric calculations. IIRC it was around $250 for the beginner doses when I called around to local compounding pharmacies. Thereā€™s a peptide supplier I found off reddit that was a bit cheaper. There are some risks injecting unclean products, as you may know. How did you vet your supplier? We really donā€™t know who is bootlegging these patented peptides. Novo Nordisk posted that they donā€™t supply it for anyone else to distribute.

Iā€™ve been listening to body hack podcasters, researching anything I can find.
I am not looking to do aesthetic things. Iā€™m working to feel my best. It seems anything ā€œanti agingā€ seems to help with certain things I deal with too. They overlap.

Neuro protective, decreased inflammation, decreased oxidative stress tips, medsā€¦ overlap anti-aging and certain chronic symptoms.

I do make sure the companies have all credentials I can gather ie: 3rd party testingā€¦ I also have a good friend in Pakistan who knows the big, legit ā€œpharmaciesā€ and she a researcher. She suggests some places if I canā€™t find here.

I really liked working directly with the PA when I first started my journey but they truly let me down when $315 worth of meds arrived in an empty vial and they didnā€™t even try to make it right. My fault, I guess or Iā€™m lying - are the loud/clear messages I received.

Luckily, my primary care just asks me, what tests to you want to run. So I do.

Is there a primary pre-post test I should look at specifically to determine if a dose starts to go in the wrong direction vs beneficial?

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Given that Wegovy / Semaglutide GLP1 type drugs are in very high demand, and high priced (patent-predicted) I would expect a lot of the counterfeit / scam businesses are now focusing on this area as they can make a lot of money.

Given this, I think that the best approach now with this drug is to go only through legitimate US / Western (Canada/European) sources and channels.

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Ozempic shortage ongoing as prescriptions soar among global supply constraints.

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Rapamycin may be such a miracle drugā€¦ This argues that (at least in rats) it resets the metabolism to a lower weight point - even with a single dose.

Single Rapamycin Administration Induces Prolonged Downward Shift in Defended Body Weight in Rats

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4008417/#__ffn_sectitle

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I recently had a good experience buying from Kachhela Medex: Rybelsus 14 mg tablets 30 tablets $ 120 USD, much lower than the price quoted above. I am going to start at 3.5mg tomorrow.

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Make sure you donā€™t cut or break the tablets. The coating helps with absorption

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from [Oral semaglutide, first oral GLP-1 receptor agonist (RybelsusĀ®)]. | Semantic Scholar

with an absorption enhancer, sodium N- (8- [2- hydroxybenzoyl] amino) caprylate (SNAC), which facilitates the absorption of semaglutide across the gastric epithelium in a concentration dependent manner

Is the absorption-enhacing SNAC in the coating? And if the semaglutide is absorbed ā€œacross the gastric epithelium,ā€ then does it matter if the tablet is broken?

An interesting but non-definitive discussion on splitting the semaglutide pills:

This video describes the absorption process but does not talk about the coating:

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You make fair points

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people are desperate to have better health

Weā€™re all dead in the end anyway, so thereā€™s risk in doing nothing too

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