Giant Semaglutide Thread (and other GLP-1 / GIP agonists)

Have you checked your BP around these events? Do you have low BP normally?

Hypotension isn't really a thing with GLP's, but hypoglycemia can mimic the effects, though that's pretty rare too unless the GLP is being used with other things that interact with glucose control.

What other drugs are you taking?
Yes, it's 120/70 typically. Only other drugs I'm taking are test C at 200mg p/w. No beta blockers or arbs.

Reddit apparently talks a lot about this. Reta acts as a diuretic and moves water as well as electrolytes. I supplement magnesium at night but recently added potassium and more salt in my food.

I may just start popping a small amount of baking soda I have in tablets to boost my salt intake. My egg and cheese grits this morning were so salty it kind of burned but no POTS events.
 
Have you checked your BP around these events? Do you have low BP normally?

Hypotension isn't really a thing with GLP's, but hypoglycemia can mimic the effects, though that's pretty rare too unless the GLP is being used with other things that interact with glucose control.

What other drugs are you taking?
Apologies, I just rechecked it and my blood pressure was 113/72 so much lower. Heart rate is a high in the 100s though.
 
Big thanks to @readalot for his comments on the danger of cagrilinitide.

Just searched it up and looked into the fibrilis. Crazy stuff
From what I’ve seen, cagrilinitide reduces fibrils and is designed to do so. But I also see that pramlintide has caused this to happen in lab tests. Very interesting topic indeed. I tried searching @readalot comments and can’t seem to find his post concerning cagri and fibrilis. Do you mind linking it? Thanks!
 
From what I’ve seen, cagrilinitide reduces fibrils and is designed to do so. But I also see that pramlintide has caused this to happen in lab tests. Very interesting topic indeed. I tried searching @readalot comments and can’t seem to find his post concerning cagri and fibrilis. Do you mind linking it? Thanks!

I don't know how to link a post sorry.

 

I don't know how to link a post sorry.

You did a helluva job.
 
Apologies, I just rechecked it and my blood pressure was 113/72 so much lower. Heart rate is a high in the 100s though.

That's a great BP (from a longevity and health perspective).

Not sure if you track how much you drink, but GLPs reduce thirst as much as and sometimes more than appetite, You could be dehydrated, which reduces blood volume and orthostatic hypotension could result. Just another possibility...
 
You did a helluva job.
I've been talking to Gemini about the issue with cagrilinitide. From my understanding LCMS testing will prove that the structural changes needed to differentiate it from IAPP and to reduce the likelihood of fribils have been made.

However it said that you'd need fibril assays to ensure that it did behave as intended.

It seems like this kind of risk will become more prominent with peptides as people use them more often and as peptides are combined.

Interesting to note that the fibrils formed by IAPP are found in the pancreas of diabetics:

Interesting to note that a vendor selling cagri and cagri blends is now selling Pamrilnitide a short acting amylin analog.
 
I've been talking to Gemini about the issue with cagrilinitide. From my understanding LCMS testing will prove that the structural changes needed to differentiate it from IAPP and to reduce the likelihood of fribils have been made.

However it said that you'd need fibril assays to ensure that it did behave as intended.

It seems like this kind of risk will become more prominent with peptides as people use them more often and as peptides are combined.

Interesting to note that the fibrils formed by IAPP are found in the pancreas of diabetics:

Interesting to note that a vendor selling cagri and cagri blends is now selling Pamrilnitide a short acting amylin analog.

Things will be really interesting 10, 20, 30 years after the initiation of this cheap, widespread, underground peptide era.

Was just reading about how Sema, unlike Tirz and Reta, crosses the blood brain barrier stimulating BDNF, a brain growth factor. That's (generally) a very good thing in terms of cognition, increasing brain mass, etc. Even metabolic function controlled by the brain likely improves in a long lasting way. On the other hand, many experimental peptides are Sema size or smaller, and also enter the brain.
 
Things will be really interesting 10, 20, 30 years after the initiation of this cheap, widespread, underground peptide era.

Was just reading about how Sema, unlike Tirz and Reta, crosses the blood brain barrier stimulating BDNF, a brain growth factor. That's (generally) a very good thing in terms of cognition, increasing brain mass, etc. Even metabolic function controlled by the brain likely improves in a long lasting way. On the other hand, many experimental peptides are Sema size or smaller, and also enter the brain.
I'm trying to look into the following points but I've got nowhere:
1. How many fibrils/aggregates are systematically absorbed from the injections site
2. Do oligomers pose more of a threat than fibrils/aggregates
3. Are aggregates likely to form in other tissues

The general rule is larger peptides cause more issues with aggregation. But that's really only an issue if they are circulated systemically vs trapped in the injection site.

Interesting stuff.

Re: sema. That makes sense. Semaglutide had a massive food noise cancelling effect.
 
I'm trying to look into the following points but I've got nowhere:
1. How many fibrils/aggregates are systematically absorbed from the injections site
2. Do oligomers pose more of a threat than fibrils/aggregates
3. Are aggregates likely to form in other tissues

10-10,000 nm (.1-100um) are the highest risk. Above 1000nm being the most likely to provoke an immune response. Below 100nm almost all are absorbed. As they get larger than 100nm the chances increase of them getting trapped in tissue or clogging blood vessels, so fewer get absorbed. 10,000nm (100um) is the visible threshold for aggregates. The ones you can see are the least dangerous.

Oligomers are minuscule, usually under 5nm. They rarely provoke an immune response, but their presence is an indicator something is wrong with the peptide manufacturing, formula, or storage and likely to cause larger aggregates to form.

The body stores some endogenous peptides as highly organized aggregates, like stacks of sheets, and through a chemical disaggregation process can pull off "sheets" as they're needed. GH is stored in the pituitary like this. This is nothing like the random, chaotic aggregates we're concerned with. It's that randomness that makes them so risky. With billions of unique aggregate molecules forming, eventually it's likely something bad will be created by this randomness,

Exogenous peptides are only prone to aggregation at the injection site, where a change in PH in the depot, caused by body fluid, can cause rapid aggregation. Pharma uses excipients (buffers and others) to prevent this, ensuring the peptide stays in monomer form so it can be properly absorbed.

“Aggregated protein formulations often result in decreased bioavailability due to reduced absorption from the injection site. Protein aggregates tend to remain localized at the administration site, leading to slower clearance and lower systemic exposure compared to monomeric forms.”

The other problem is that a high concentration of aggregates in the same subcutaneous depot greatly increases the risk of immune response:

IMG_1992.webp



Anyway, until vendors start talking excipient formulas seriously, all you can do to lower aggregation risk of UGL protein drugs is reconstitute to the highest dilution you reasonably can (with pharma BAC), minimize agitation, keep cold, and filter with .22um PES as close to the time of injection as practical.
 
10-10,000 nm (.1-100um) are the highest risk. Above 1000nm being the most likely to provoke an immune response. Below 100nm almost all are absorbed. As they get larger than 100nm the chances increase of them getting trapped in tissue or clogging blood vessels, so fewer get absorbed. 10,000nm (100um) is the visible threshold for aggregates. The ones you can see are the least dangerous.

Oligomers are minuscule, usually under 5nm. They rarely provoke an immune response, but their presence is an indicator something is wrong with the peptide manufacturing, formula, or storage and likely to cause larger aggregates to form.

The body stores some endogenous peptides as highly organized aggregates, like stacks of sheets, and through a chemical disaggregation process can pull off "sheets" as they're needed. GH is stored in the pituitary like this. This is nothing like the random, chaotic aggregates we're concerned with. It's that randomness that makes them so risky. With billions of unique aggregate molecules forming, eventually it's likely something bad will be created by this randomness,

Exogenous peptides are only prone to aggregation at the injection site, where a change in PH in the depot, caused by body fluid, can cause rapid aggregation. Pharma uses excipients (buffers and others) to prevent this, ensuring the peptide stays in monomer form so it can be properly absorbed.

“Aggregated protein formulations often result in decreased bioavailability due to reduced absorption from the injection site. Protein aggregates tend to remain localized at the administration site, leading to slower clearance and lower systemic exposure compared to monomeric forms.”

The other problem is that a high concentration of aggregates in the same subcutaneous depot greatly increases the risk of immune response:

View attachment 338284



Anyway, until vendors start talking excipient formulas seriously, all you can do to lower aggregation risk of UGL protein drugs is reconstitute to the highest dilution you reasonably can (with pharma BAC), minimize agitation, keep cold, and filter with .22um PES as close to the time of injection as practical.
Thanks for the detailed response.

I've been making my own bacteriostatic water using BA and water for my CPAP (specialised distilled water).

I also use insulin coolers set to 2c. For HGH I use cartridges to remove the headspace and AWI.

I think that's about as good as I can get. I'll have a look into getting more syringe filters in bulk. I currently only filter oils and my bac water.

Cheers bro. I'm not sure I'm keen on pharma excipients like poloxamer however lol
 
Thanks for the detailed response.

I've been making my own bacteriostatic water using BA and water for my CPAP (specialised distilled water).

I also use insulin coolers set to 2c. For HGH I use cartridges to remove the headspace and AWI.

I think that's about as good as I can get. I'll have a look into getting more syringe filters in bulk. I currently only filter oils and my bac water.

Cheers bro. I'm not sure I'm keen on pharma excipients like poloxamer however lol

Try to get Sterilized Water for Injection to make your BAC, if possible.

Sterile Water for Inhalation is a lower standard than for injection.

IMG_1994.webp

 
Try to get Sterilized Water for Injection to make your BAC, if possible.

Sterile Water for Inhalation is a lower standard than for injection.

View attachment 338289

Cheers mate. I usually make my bac water by putting the BA and 10ml of water in a 10ml syringe. Then push it through a .22um syringe filter into a sterile vial. Then I push another 10ml through the filter to make sure all the BA has gone through.

I'll see if I can track some down. But anything drug related is heavily controlled here. Bac water can't be easily purchased, nor can SWI.
 
Anyone feel with insomnia on Tirz. A day after injection I wake up around 12-1 and toss and turn/state at the ceiling all night. It's absolutely awful. Had to load up on unisom just to get some sleep.

Thinking about moving to Reta, stopped the Tirz for now but dang eating cookies and ice cream on a bulk lol.

Hoping to not get this side from Reta. I know it's not a common site but when searching on places like Reddit it comes up a good bit.
 
Hoping to not get this side from Reta. I know it's not a common site but when searching on places like Reddit it comes up a good bit.

From what I've read this is more common with reta than any other GLP. You could try it but be prepared. I'm thinking moving to tirz and try it out just for for the sleep issues I'm having with reta.
 
I was wondering why my t4 was like 5% over range of my lab test they use interesting stuff, also someone knows why i wake up and have isane urge to pee on reta during night like every2 hours ? Saw a Lot of people with this expierence but no solutions just that the glucagon probably does that ? So i switched from reta to trizz and also my heartbeat went from like 90-95 to 70-80 withen a week
 
Anyone feel with insomnia on Tirz. A day after injection I wake up around 12-1 and toss and turn/state at the ceiling all night. It's absolutely awful. Had to load up on unisom just to get some sleep.

Thinking about moving to Reta, stopped the Tirz for now but dang eating cookies and ice cream on a bulk lol.

Hoping to not get this side from Reta. I know it's not a common site but when searching on places like Reddit it comes up a good bit.
Dont think anything will change for better since reta is almost the same stuff with glucagon on top of it
 
Anyone feel with insomnia on Tirz. A day after injection I wake up around 12-1 and toss and turn/state at the ceiling all night. It's absolutely awful. Had to load up on unisom just to get some sleep.

Thinking about moving to Reta, stopped the Tirz for now but dang eating cookies and ice cream on a bulk lol.

Hoping to not get this side from Reta. I know it's not a common site but when searching on places like Reddit it comes up a good bit.
I actually would welcome some insomnia. It's my second try with tirz and while I really like the effects it has, I'm literally dragging ass. I fall asleep almost immediately when I sit down. I plan to switch to reta after holiday and hopefully it will get better with it
 
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