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ForumsProgress & Lab ResultsHas anyone dealt with how to properly track progress?

Has anyone dealt with how to properly track progress?

sarah_nash92 Sat, Oct 19, 2024 at 9:41 AM 22 replies 1,985 viewsPage 1 of 5
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sarah_nash92
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Nashville, TN
Oct 19, 2024 at 11:06 AM#1

Has anyone dealt with how to properly track progress?

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 how to 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 — 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 — 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.
— sarah_nash92 | Posted in Progress & Lab Results
31 20NauseaFreeNow, SteveThurs, B12Beth and 28 others
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PharmD_Rodriguez
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Oct 19, 2024 at 11:23 AM#2

Clinical perspective on Has anyone dealt with how to properly:

I have managed roughly 300 patients on GLP-1 therapy and this topic comes up frequently. What the data shows — and what I see in practice — is that proper titration prevents most adverse events.

For this specific question, I would recommend: reviewing the relevant clinical guidelines.

2 13TinaHashiRN, robert_kc
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NurseKim_ATL
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Oct 19, 2024 at 11:40 AM#3
PharmD_Rodriguez said:
What the data shows — and what I see in practice — is that proper titration prevents most adverse ev

This is exactly right. PharmD_Rodriguez articulated what I have been trying to explain to my friends for months. The Has anyone dealt with how aspect is what made the difference for me.

43 18ingrid_STO, pete_nash, hank_denver and 40 others
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dave_SLC
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Oct 19, 2024 at 11:57 AM#4

Relevant to Has anyone dealt with how to — here is my latest bloodwork comparison:

Key improvements: A1C 8.0% → 5.3%, triglycerides 227 → 97 mg/dL, hsCRP 6.0 → 0.9 mg/L. All on tirzepatide for 7 months.

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

41 15FranDenver, Dr.BariatricHTX, LindaRN_retired and 38 others
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Dr.NutriCornell
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Ithaca, NY
Oct 19, 2024 at 12:14 PM#5
PharmD_Rodriguez said:
What the data shows — and what I see in practice — is that proper titration prevents most adverse ev

I respect PharmD_Rodriguez perspective but I think this oversimplifies things a bit. Re: Has anyone dealt with how to — the subgroup analyses show meaningful heterogeneity.

I am not saying PharmD_Rodriguez wrong entirely — just that the picture is more nuanced than a blanket statement. The SUSTAIN data specifically shows different outcomes in different metabolic phenotypes.

29 5pat_auckland, Dr.GastroMayo, JakeBK_lifts and 26 others
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