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ForumsSemaglutide (Ozempic / Wegovy)Oral semaglutide 50mg Phase 3 — anyone have experience? Page 2

Oral semaglutide 50mg Phase 3 — anyone have experience?

pete_nash Thu, Jan 9, 2025 at 4:01 AM 13 replies 1,578 viewsPage 2 of 3
robert_kc
Member
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Oct 2024
Kansas City, MO
Jan 9, 2025 at 6:51 AM#6

Wait there's going to be a 50mg oral version?? That would be a game changer honestly. I would switch in a heartbeat if the efficacy matched injectable.

Last edited: Jan 9, 2025 at 8:51 AM
40 14PurityPaulOR, MaxMetOK, MounjBrad and 37 others
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InsuranceTom
Senior Member
1,345
7,890
Mar 2024
Connecticut
Jan 9, 2025 at 7:08 AM#7

For the travel issue specifically — a few tips that helped me keep using injectable while traveling constantly:

  • FRIO insulin cooling wallets — no refrigeration needed, just soak in water. Keeps pens cool for 48-72 hours.
  • TSA has NEVER given me an actual problem with my Wegovy pens. I keep them in a clear bag with the prescription label visible. Just tell them it's medication.
  • Most hotels will put medication in their kitchen fridge if you ask the front desk.
  • Wegovy pens are actually stable at room temperature (up to 86°F/30°C) for up to 28 days, so for short trips you might not even need refrigeration.
33 3lucas_SP_BR, lisa_labSD, adam_van and 30 others
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JakeBK_lifts
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Jul 2024
Brooklyn, NY
Jan 9, 2025 at 7:25 AM#8

Ok this is all super helpful. It sounds like switching to oral at my current dose (1.7mg injectable) would be a downgrade in efficacy, and the daily fasting requirement might actually be MORE of a hassle than weekly injections.

I think I'll stick with injectable and try the FRIO wallet for travel. And keep my eye out for when/if the higher-dose oral formulation gets approved.

Thanks everyone — saved me from making a mistake! 🙏

8 0LabKate, kate.chem, DataDave and 5 others
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quinn_sf
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489
2,123
Jun 2024
San Francisco, CA
Jan 9, 2025 at 7:42 AM#9

Smart decision. One more data point: the oral 50mg formulation from OASIS 1 also had higher rates of GI side effects compared to injectable 2.4mg in cross-trial comparisons. The 50mg pill delivers a LOT of semaglutide to the stomach lining even if only 1% is absorbed systemically, and that local GI exposure may cause more nausea/vomiting. Something to factor in if/when it becomes available.

— pharma_data_guy | PharmD | GLP-1 pharmacology nerd
3 14andrew_nyc, Dr.EndoEP, GraceAZ_72
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