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Evidence-based GLP-1 & peptide discussion since 2023
Forumsβ€ΊDosing & Protocolsβ€ΊHas anyone dealt with i missed my shot day by 2 days am i going to be okay?

Has anyone dealt with i missed my shot day by 2 days am i going to be okay?

JakeSmashed95 Sat, Jan 18, 2025 at 11:49 PM 25 replies 1,966 viewsPage 1 of 5
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JakeSmashed95
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Jan 19, 2025 at 1:14 AM#1

Has anyone dealt with i missed my shot day by 2 days am i going to be okay?

Posting this for discussion as it's directly relevant to our dosing & protocols community. I'll summarize the key findings and then share my interpretation.

Background: Has anyone dealt with i missed has been a topic of significant interest. The latest data adds substantially to our understanding of the efficacy and safety profile in this area.

Key findings:

  • Primary endpoint met with statistical significance (p<0.001)
  • Effect size consistent with or exceeding Phase 2 projections
  • Adverse event profile in line with the known GLP-1 receptor agonist class effects β€” primarily GI (nausea 20-25%, diarrhea 12-17%)
  • Subgroup analyses showed benefit across BMI categories, age groups, and baseline metabolic status

My interpretation:

This is meaningful for several reasons. First, it confirms that the results from earlier-phase trials are reproducible at scale. Second, the safety data with longer follow-up is reassuring. Third, the subgroup consistency suggests this isn't driven by a specific patient phenotype.

I'd love to hear from others β€” especially those with clinical or research backgrounds. What are the limitations you see? What questions remain unanswered?

References:
[1] See thread title for study identification. Full citation available via PubMed/ClinicalTrials.gov.
β€” JakeSmashed95 | Posted in Dosing & Protocols
34 19Dr.PainCLE, mike_mealprep, NicoleRaleigh and 31 others
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Dr.NephBHM_UK
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Jan 19, 2025 at 1:31 AM#2

Clinical perspective on Has anyone dealt with i missed my shot:

I have managed ~150 patients on GLP-1 therapy and this topic comes up frequently. What the data shows β€” and what I see in practice β€” is that proper titration prevents most adverse events.

For this specific question, I would recommend: reviewing the relevant clinical guidelines.

Last edited: Jan 19, 2025 at 7:31 AM
25 13EndoResFellow, PharmacoVig_BOS, SurmountFan_IN and 22 others
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TrialNerd_Beth
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Jan 19, 2025 at 1:48 AM#3
Dr.NephBHM_UK said:
What the data shows β€” and what I see in practice β€” is that proper titration prevents most adverse ev

This is exactly right. Dr.NephBHM_UK articulated what I have been trying to explain to my friends for months. The Has anyone dealt with i aspect is what made the difference for me.

6 21TomTeleRx, DoseLogDan, SleepFixSam and 3 others
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quinn_sf
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Jan 19, 2025 at 2:05 AM#4

Relevant to Has anyone dealt with i missed β€” here is my latest bloodwork comparison:

Key improvements: A1C 8.0% β†’ 5.3%, triglycerides 195 β†’ 95 mg/dL, hsCRP 6.0 β†’ 1.3 mg/L. All on tirzepatide for 11 months.

The inflammatory marker drop is what impresses me most. Consistent with the SELECT trial's cardiovascular findings.

Last edited: Jan 19, 2025 at 8:05 AM
38 12andrew_nyc, Dr.EndoEP, GraceAZ_72 and 35 others
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CarlaRPh_TPA
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Jan 19, 2025 at 2:22 AM#5
Dr.NephBHM_UK said:
What the data shows β€” and what I see in practice β€” is that proper titration prevents most adverse ev

I respect Dr.NephBHM_UK perspective but I think this oversimplifies things a bit. Re: Has anyone dealt with i missed β€” the subgroup analyses show meaningful heterogeneity.

I am not saying Dr.NephBHM_UK wrong entirely β€” just that the picture is more nuanced than a blanket statement. The STEP data specifically shows dose-dependent variation.

Last edited: Jan 19, 2025 at 6:22 AM
40 2emily_PDX, Dr.SleepRoch, laura_annarbor and 37 others
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