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ForumsSemaglutide (Ozempic / Wegovy)Oral semaglutide 25mg vs 50mg — looking for input Page 2

Oral semaglutide 25mg vs 50mg — looking for input

pam_stl Mon, Mar 4, 2024 at 9:03 AM 55 replies 2,751 viewsPage 2 of 11
cory_ATX
Member
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2,123
Jul 2024
Austin, TX
Mar 4, 2024 at 11:53 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: Mar 4, 2024 at 1:53 PM
17 0Dr.EndoEP, GraceAZ_72, carl_compliance and 14 others
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paige_pharma
Member
289
1,234
Sep 2024
Omaha, NE
Mar 4, 2024 at 12:10 PM#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.
28 2Dr.SurgeonPGH, rachel_ABQ, traveltech_sara and 25 others
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LabKate
Senior Member
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11,234
Jan 2024
Oregon
Mar 4, 2024 at 12:27 PM#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! 🙏

26 5Dr.SleepRoch, laura_annarbor, JenMemphis and 23 others
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Dr.GutHealth
Senior Member
1,456
7,890
Mar 2024
Minnesota
Mar 4, 2024 at 12:44 PM#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
8 7Dr.RaviCardio, jennifer_SEA, tyler_CSCS and 5 others
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