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Evidence-based GLP-1 & peptide discussion since 2023
Forumsβ€ΊProgress & Lab Resultsβ€ΊHas anyone dealt with 100 lbs lost in 14 months?

Has anyone dealt with 100 lbs lost in 14 months?

InsuranceTom Sat, Oct 26, 2024 at 12:58 AM 34 replies 2,180 viewsPage 1 of 7
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InsuranceTom
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Oct 26, 2024 at 2:23 AM#1

Has anyone dealt with 100 lbs lost in 14 months?

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

Background: Has anyone dealt with 100 lbs 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€” InsuranceTom | Posted in Progress & Lab Results
32 8lisa_labSD, adam_van, Dr.SurgeonPGH and 29 others
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LibrarianMeg
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Oct 26, 2024 at 2:40 AM#2

Clinical perspective on Has anyone dealt with 100 lbs lost in 14:

I have managed over 200 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.

23 21PharmD_Rodriguez, julia.endo, JessicaM_2024 and 20 others
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amsterdam_pete
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Oct 26, 2024 at 2:57 AM#3
LibrarianMeg 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. LibrarianMeg articulated what I have been trying to explain to my friends for months. The Has anyone dealt with 100 aspect is what made the difference for me.

2 13CanadaChris, ZaraB_AL
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lisa_labSD
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Oct 26, 2024 at 3:14 AM#4

Relevant to Has anyone dealt with 100 lbs β€” here is my latest bloodwork comparison:

Key improvements: A1C 8.0% β†’ 5.3%, triglycerides 223 β†’ 93 mg/dL, hsCRP 6.0 β†’ 1.1 mg/L. All on tirzepatide for 15 months.

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

36 8lori_vegas, Dr.PulmRoch, maya_sedona and 33 others
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Dr.GastroMayo
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Oct 26, 2024 at 3:31 AM#5
LibrarianMeg said:
What the data shows β€” and what I see in practice β€” is that proper titration prevents most adverse ev

I respect LibrarianMeg perspective but I think this oversimplifies things a bit. Re: Has anyone dealt with 100 lbs β€” the subgroup analyses show meaningful heterogeneity.

I am not saying LibrarianMeg wrong entirely β€” just that the picture is more nuanced than a blanket statement. The SURMOUNT data specifically shows baseline BMI-dependent responses.

5 14InsuranceTom, WendyG_ATL, SaraMom3 and 2 others
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