The jump from 1mg to 1.7mg (a 70% increase) typically produces more side effects than the jump from 0.25mg to 0.5mg (a 100% increase but from a much lower base)
Figure from van der Aart-van der Beek AB, Nat Rev Nephrol, 2020 The Study Methods This was an international, event-driven, double-blind, parallel-group, randomized, placebo-controlled trial conducted at 387 sites in 28 countries comparing semaglutide to placebo in patients with T2DM and CKD, both being treated with baseline standard of care
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In the STEP-1 trial studying Wegovy at 2.4 mg weekly, about 44% of participants reported nausea at some point during treatment
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Because tirzepatide activates two receptors rather than one, the biological response to reduced exposure may not mirror semaglutide directly