The withdrawal trials, read as designs rather than warnings
The evidence on stopping is better than the evidence on almost anything else in this field, because somebody deliberately randomised it.
TheCompound Journal
Reporting on incretins, compounding & the peptide supply chain
Page 8 of 8 of this archive, newest first.
The evidence on stopping is better than the evidence on almost anything else in this field, because somebody deliberately randomised it.
Grading six widely repeated claims against the studies actually behind them.
The practical difficulty is not knowing the target. It is meeting it on an appetite that has been pharmacologically reduced by half.
The regain trajectories, arm by arm, with the estimands named.
A tour of the source literatures, with an assessment of how far each legitimately reaches.
The evidence base is one secondary analysis, several small studies and a large amount of extrapolation from bariatric surgery.
The evidence base is one secondary analysis, several small studies and a large amount of extrapolation from bariatric surgery.
Mass and function are different endpoints and training affects them differently. Most coverage treats them as one.
The composition data comes from imaging substudies enrolling a few score participants at selected sites. It is the best evidence available and it is thin.
The gap between a defensible recommendation and a confident one is where most of the harm in this subject lives.
A plausible mechanism, a measurable change, and no outcome data. This is what an open question looks like.
These agents produce no dependence and no withdrawal syndrome. What a taper would be for is therefore a real question rather than an obvious one.
A withdrawal trial answers a narrower question than it appears to. This piece states which question.