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ForumsCardiovascular OutcomesSELECT trial: 20% MACE reduction — looking for input Page 3

SELECT trial: 20% MACE reduction — looking for input

TinaHashiRN Thu, Oct 9, 2025 at 9:06 AM 29 replies 1,384 viewsPage 3 of 6
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Oct 9, 2025 at 1:21 PM#11

Moderator note: Reminder: nothing posted here constitutes medical advice. Consult your healthcare provider.

Tagging this for the weekly digest. 👍

43 16PedsEndoPhilly, SleepDoc_PDX, RegAffairsDC and 40 others
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PharmacoVig_BOS
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Oct 9, 2025 at 1:38 PM#12

Slightly tangential to SELECT trial 20% MACE but TrialNerd_Beth reminded me — does anyone have experience combining this with metformin?

I know it is not exactly on-topic but it seems related enough to ask here rather than starting a new thread. Apologies if this has been covered — I did search first.

7 3Dr.GutHealth, amsterdam_pete, LondonLisa and 4 others
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Dr.RheumBOS
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Oct 9, 2025 at 1:55 PM#13
kevin_tulsa said:
Follow-up question: how long did you wait before increasing your dose

This is exactly right. kevin_tulsa articulated what I have been trying to explain to my doctor for months. The SELECT trial 20% MACE aspect is the most important factor.

37 1cory_ATX, lori_vegas, Dr.PulmRoch and 34 others
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sophie_paris
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Oct 9, 2025 at 2:12 PM#14

Saving this for reference. Top-tier content.

2 17AussieAnna, BethLabQueen
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bri_stats
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Oct 9, 2025 at 2:29 PM#15

Adding my data to this SELECT trial 20% MACE discussion:

MetricBaselineMonth 4Month 8
Weight246 lbs246 lbs211 lbs
A1C7.0%6.2%5.4%
hsCRP5.03.01.2

Protocol: Tirzepatide 15mg/wk, resistance training 3x/wk, protein 1.3g/kg/day.

9 21julia.endo, JessicaM_2024, TomFromTexas and 6 others
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