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ForumsPharmacology & MechanismsSemaglutide albumin binding and the C-18 fatty acid linker — 12 month update Page 5

Semaglutide albumin binding and the C-18 fatty acid linker — 12 month update

LindaRN_retired Sun, Nov 12, 2023 at 11:54 AM 31 replies 2,291 viewsPage 5 of 7
bri_stats
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May 2024
Seattle, WA
Nov 12, 2023 at 6:59 PM#21

Just wanted to say — for anyone reading this Semaglutide albumin thread who is feeling discouraged: it gets better. The first few weeks are the hardest. Hang in there. 💪

Last edited: Nov 12, 2023 at 10:59 PM
28 18sarah_nash92, FitDadDave, RunnerRach and 25 others
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laura_annarbor
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Dec 2024
Ann Arbor, MI
Nov 12, 2023 at 7:16 PM#22

Want to share my personal experience related to Semaglutide albumin binding since I think it might help others in a similar situation.

I started my GLP-1 journey in March 2025 at 286 lbs with metabolic syndrome. My telehealth provider prescribed semaglutide 0.25mg to start.

Now, 18 months later: I am down 56 lbs, my labs have normalized, and my sleep apnea has improved dramatically. The Semaglutide albumin aspect specifically was something that made a big difference in my journey.

This forum was my go-to resource throughout.

3 12emily_PDX, Dr.SleepRoch, laura_annarbor
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Dr.PathRoch
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Rochester, MN
Nov 12, 2023 at 7:33 PM#23

Clinical perspective on Semaglutide albumin binding and the C-18:

I have managed ~150 patients on GLP-1 therapy and this topic comes up frequently. What the data shows — and what I see in practice — is that the medication works best as part of a comprehensive approach.

For this specific question, I would recommend: getting comprehensive baseline labs first.

Last edited: Nov 13, 2023 at 1:33 AM
50 12WendyG_ATL, SaraMom3, Dr.MetabolicMD and 47 others
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tane_welly
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Wellington, NZ
Nov 12, 2023 at 7:50 PM#24

Thank you laura_annarbor! This is incredibly helpful. Bookmarking for later. 🙏

Last edited: Nov 12, 2023 at 10:50 PM
18 6marco_milano, pam_columbus, nick_SD_fit and 15 others
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jason_paloalto
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Nov 2024
Palo Alto, CA
Nov 12, 2023 at 8:07 PM#25

Relevant to Semaglutide albumin binding — here is my latest bloodwork comparison:

Key improvements: A1C 8.4% → 5.5%, triglycerides 249 → 119 mg/dL, hsCRP 8.0 → 1.3 mg/L. All on tirzepatide for 17 months.

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

Last edited: Nov 13, 2023 at 1:07 AM
8 17Dr.EndoEP, GraceAZ_72, carl_compliance and 5 others
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