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constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often outlasts the nausea.

55 questions · sorted by votes · page 1 of 3

50 votes 3 answers29k views
Why does the constipation outlast the nausea by months when both are supposedly the same mechanism?

The nausea followed exactly the pattern I was told to expect: bad for a fortnight after each dose step, better by week four, essentially gone by month five. The…

constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
gi-side-effects
gi-side-effects

The gastrointestinal cluster as a whole - nausea, vomiting, diarrhoea, constipation, reflux, early satiety - with trial incidence rates, dropout…

162 questions
glp1-mechanism
glp1-mechanism

Receptor-level pharmacology: GLP-1R as a class B GPCR, cAMP and PKA signalling, biased agonism, internalisation and resensitisation, and the…

132 questions
maintenance-dose
maintenance-dose

Staying put: the lowest dose that holds a result, the difference between the maximum studied dose and the maximum useful dose, and what the…

54 questions
asked by swab_stopper 8.8k · 23 months ago
43 votes3 answers18k views
How do I distinguish drug-related constipation from something obstructive, given both present as not going?

I have had slow bowels since starting semaglutide and I have accepted that as the trade. Last week was different and it frightened me: four days with nothing, a hard…

constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
gi-side-effects
gi-side-effects

The gastrointestinal cluster as a whole - nausea, vomiting, diarrhoea, constipation, reflux, early satiety - with trial incidence rates, dropout…

162 questions
vomiting
vomiting

Emesis as a reported adverse event: trial incidence, its relationship to dose escalation rate, dehydration risk, and when it stops being a…

57 questions
harm-reduction
harm-reduction

Reducing avoidable risk where a decision has already been made: independent verification before use, sterility practice, dose arithmetic checked…

472 questions
asked by grainne_ahearn 50k · 6 months ago
40 votes 5 answers51k views
What is the reported incidence of constipation on oral semaglutide in PIONEER-4?

Conditions: constipation · oral semaglutide · PIONEER-4. The figures are clear enough; the question is what they mean and what they do not. I can supply the numbers…

constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
clinical-trials
clinical-trials

Reading the primary literature properly: estimands, intention-to-treat versus per-protocol, confidence intervals, absolute versus relative…

745 questions
oral-glp1
oral-glp1

Oral routes for GLP-1 receptor agonism: peptide formulations rescued by absorption enhancers such as SNAC, and true small molecules that need no…

219 questions
asked by bounty_hunter_q 15k · 2.1 years ago
40 votes 5 answers49k views
Does constipation at week ten of semaglutide usually resolve without a dose change?

For reference: constipation · ten · semaglutide. Everything I have found on this is either a forum aside or a product page, neither of which I trust. I am comfortable…

constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
titration
titration

Stepwise dose increases over weeks, why the label schedules exist at all, and what tolerability-driven deviation from a schedule looks like in…

456 questions
semaglutide
semaglutide

A GLP-1 receptor agonist with a fatty-acid-acylated backbone and a roughly one-week half-life, marketed for type 2 diabetes and for weight…

470 questions
asked by esther_vandeVelde 52k · 2.0 years ago
40 votes 5 answers23k views
Is constipation on cagrilintide dose-dependent or dose-rate dependent?

What I am working with: constipation · cagrilintide. I keep seeing this stated as a fact with no explanation attached, and unexplained facts make me suspicious. My…

constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
titration
titration

Stepwise dose increases over weeks, why the label schedules exist at all, and what tolerability-driven deviation from a schedule looks like in…

456 questions
amylin
amylin

Amylin and its analogues, most prominently cagrilintide, as a satiety mechanism orthogonal to incretin signalling. Includes the pharmacology of…

237 questions
asked by anja_hellstrom 13k · 20 months ago
36 votes0 answers53k views
Does holding at 1 mg for twelve weeks before escalating reduce constipation?

Conditions: 1 mg · twelve weeks · constipation. I want to know whether this is a real physical effect or an artefact of how it is measured. What prompted the question…

titration
titration

Stepwise dose increases over weeks, why the label schedules exist at all, and what tolerability-driven deviation from a schedule looks like in…

456 questions
constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
dose-escalation
dose-escalation

The decision to move up a step: what evidence supports a four-week interval, what happens when you compress it, and how trial protocols handled…

103 questions
asked by linnea_wahlberg 17k · 2.4 years ago
36 votes 4 answers49k views
Does constipation at week six of survodutide usually resolve without a dose change?

Concretely: constipation · six · survodutide. This is a procedural question rather than a theoretical one, and I would like the procedure rather than the theory. What…

constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
titration
titration

Stepwise dose increases over weeks, why the label schedules exist at all, and what tolerability-driven deviation from a schedule looks like in…

456 questions
survodutide
survodutide

A GLP-1 and glucagon receptor dual agonist with a substantial published MASH dataset. Use this tag for its hepatic endpoints, its dose ladder, and…

225 questions
asked by fill_volume 22k · 23 months ago
36 votes 5 answers49k views
What did the placebo arm of ATTAIN-1 report for constipation?

What I have: ATTAIN-1 · constipation. I can parse the result. I am less sure what it licenses me to conclude. I have deliberately not looked at anyone else’s…

clinical-trials
clinical-trials

Reading the primary literature properly: estimands, intention-to-treat versus per-protocol, confidence intervals, absolute versus relative…

745 questions
constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
asked by esther_vandeVelde 52k · 17 months ago
36 votes 3 answers13k views
How much of my constipation is just eating 45% less? Working the arithmetic on residue and fluid

I want to check a hypothesis with numbers rather than argue about mechanisms. The claim I keep reading is that a large part of GLP-1 constipation is simply the…

constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
nutrition
nutrition

Eating on a suppressed appetite: hitting nutritional targets inside a small energy budget, micronutrient risk, meal structure, and what the trial…

100 questions
hydration
hydration

Fluid intake when thirst and intake cues are both blunted: how much of the early scale drop is fluid, how dehydration confounds a renal panel, and…

14 questions
protein-intake
protein-intake

Protein targets in grams per kilogram, per-meal distribution and the leucine threshold, and the evidence for a higher intake specifically during…

60 questions
asked by lipid_panel_q 36k · 15 months ago
34 votes 5 answers35k views
What does SURMOUNT-4 tell me about constipation at the 5 mg dose?

The particulars: SURMOUNT-4 · constipation · 5 mg. I want to understand what this actually establishes, as opposed to what it is being used to imply. My concern is…

clinical-trials
clinical-trials

Reading the primary literature properly: estimands, intention-to-treat versus per-protocol, confidence intervals, absolute versus relative…

745 questions
constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
titration
titration

Stepwise dose increases over weeks, why the label schedules exist at all, and what tolerability-driven deviation from a schedule looks like in…

456 questions
asked by orla_sheridan 18k · 17 months ago
33 votes 5 answers30k views
Does constipation at week six of orforglipron usually resolve without a dose change?

For reference: constipation · six · orforglipron. I have done this once and I suspect I got away with it rather than got it right. For context: I keep records of…

constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
titration
titration

Stepwise dose increases over weeks, why the label schedules exist at all, and what tolerability-driven deviation from a schedule looks like in…

456 questions
orforglipron
orforglipron

A non-peptide, orally bioavailable small-molecule GLP-1 receptor agonist studied in the ATTAIN programme. It is not a peptide, which changes…

219 questions
asked by Dr_Signe_Baldursdottir 29k · 19 months ago
33 votes 5 answers24k views
What does TRIUMPH-3 tell me about constipation at the 4 mg dose?

Details up front: TRIUMPH-3 · constipation · 4 mg. This is presented as though it settles something, and I am not convinced it does. I have two documents that appear…

clinical-trials
clinical-trials

Reading the primary literature properly: estimands, intention-to-treat versus per-protocol, confidence intervals, absolute versus relative…

745 questions
constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
titration
titration

Stepwise dose increases over weeks, why the label schedules exist at all, and what tolerability-driven deviation from a schedule looks like in…

456 questions
asked by forty_units 16k · 12 months ago
32 votes 2 answers35k views
What does ESSENCE tell me about constipation at the 1 mg dose?

Details up front: ESSENCE · constipation · 1 mg. This is presented as though it settles something, and I am not convinced it does. I have two documents that appear to…

clinical-trials
clinical-trials

Reading the primary literature properly: estimands, intention-to-treat versus per-protocol, confidence intervals, absolute versus relative…

745 questions
constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
titration
titration

Stepwise dose increases over weeks, why the label schedules exist at all, and what tolerability-driven deviation from a schedule looks like in…

456 questions
asked by vial_five 12k · 2.3 years ago
32 votes 4 answers17k views
Does constipation at week six of retatrutide usually resolve without a dose change?

The case in front of me: constipation · six · retatrutide. I am trying to do this correctly the first time rather than learn it by getting it wrong. I have already…

constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
titration
titration

Stepwise dose increases over weeks, why the label schedules exist at all, and what tolerability-driven deviation from a schedule looks like in…

456 questions
retatrutide
retatrutide

An investigational GLP-1, GIP and glucagon receptor tri-agonist, studied in the TRIUMPH programme. Not approved anywhere. Use this tag for…

251 questions
asked by jo_vandeberg 23k · 17 months ago
31 votes 5 answers22k views
When does constipation stop being a tolerability issue and become a clinical one?

I am comparing three suppliers on documentation rather than on price. I am trying to build something sustainable rather than something thorough that I will abandon. I…

harm-reduction
harm-reduction

Reducing avoidable risk where a decision has already been made: independent verification before use, sterility practice, dose arithmetic checked…

472 questions
constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
pancreatitis
pancreatitis

Acute pancreatitis as a labelled risk: background incidence, the signal in pooled trial and pharmacovigilance data, lipase interpretation, and the…

30 questions
asked by p_mkhize 58k · 21 months ago
28 votes 5 answers29k views
What did the placebo arm of SURMOUNT-4 report for constipation?

For reference: SURMOUNT-4 · constipation. I want to understand what this actually establishes, as opposed to what it is being used to imply. My concern is that I am…

clinical-trials
clinical-trials

Reading the primary literature properly: estimands, intention-to-treat versus per-protocol, confidence intervals, absolute versus relative…

745 questions
constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
asked by label_claim 30k · 17 months ago
28 votes 5 answers28k views
What did the placebo arm of STEP 8 report for constipation?

What I have: STEP 8 · constipation. I can parse the result. I am less sure what it licenses me to conclude. I have deliberately not looked at anyone else’s…

clinical-trials
clinical-trials

Reading the primary literature properly: estimands, intention-to-treat versus per-protocol, confidence intervals, absolute versus relative…

745 questions
constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
asked by zeynep_arslan 16k · 21 months ago
28 votes 4 answers21k views
What does STEP 1 tell me about constipation at the 1 mg dose?

The specifics, since they change the answer: STEP 1 · constipation · 1 mg. I have the document in front of me and I can read the numbers. What I cannot do is…

clinical-trials
clinical-trials

Reading the primary literature properly: estimands, intention-to-treat versus per-protocol, confidence intervals, absolute versus relative…

745 questions
constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
titration
titration

Stepwise dose increases over weeks, why the label schedules exist at all, and what tolerability-driven deviation from a schedule looks like in…

456 questions
asked by mass_shift_18 9.7k · 12 months ago
28 votes4 answers17k views
Does constipation at week eight of orforglipron usually resolve without a dose change?

For reference: constipation · eight · orforglipron. I have done this once and I suspect I got away with it rather than got it right. For context: I keep records of…

constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
titration
titration

Stepwise dose increases over weeks, why the label schedules exist at all, and what tolerability-driven deviation from a schedule looks like in…

456 questions
orforglipron
orforglipron

A non-peptide, orally bioavailable small-molecule GLP-1 receptor agonist studied in the ATTAIN programme. It is not a peptide, which changes…

219 questions
asked by kwn_analytical 147k · 8 months ago
28 votes 5 answers16k views
Does holding at 2.4 mg for eight weeks before escalating reduce constipation?

What I am working with: 2.4 mg · eight weeks · constipation. The empirical answer seems settled. The explanation does not. If the honest answer is that nobody knows,…

titration
titration

Stepwise dose increases over weeks, why the label schedules exist at all, and what tolerability-driven deviation from a schedule looks like in…

456 questions
constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
dose-escalation
dose-escalation

The decision to move up a step: what evidence supports a four-week interval, what happens when you compress it, and how trial protocols handled…

103 questions
asked by coring_risk 27k · 16 months ago
27 votes0 answers35k views
Does holding at 2.4 mg for two weeks before escalating reduce constipation?

What I am working with: 2.4 mg · two weeks · constipation. I keep seeing this stated as a fact with no explanation attached, and unexplained facts make me suspicious.…

titration
titration

Stepwise dose increases over weeks, why the label schedules exist at all, and what tolerability-driven deviation from a schedule looks like in…

456 questions
constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
dose-escalation
dose-escalation

The decision to move up a step: what evidence supports a four-week interval, what happens when you compress it, and how trial protocols handled…

103 questions
asked by esben_lykke 84k · 2.4 years ago
26 votes 5 answers26k views
What is the reported incidence of constipation on cagrilintide in REDEFINE-1?

What I am working with: constipation · cagrilintide · REDEFINE-1. I would like help reading this properly rather than being told what conclusion to reach. I have the…

constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
clinical-trials
clinical-trials

Reading the primary literature properly: estimands, intention-to-treat versus per-protocol, confidence intervals, absolute versus relative…

745 questions
amylin
amylin

Amylin and its analogues, most prominently cagrilintide, as a satiety mechanism orthogonal to incretin signalling. Includes the pharmacology of…

237 questions
asked by tare_and_weigh 12k · 15 months ago
25 votes 5 answers13k views
Does constipation at week four of dulaglutide usually resolve without a dose change?

For reference: constipation · four · dulaglutide. I am trying to do this correctly the first time rather than learn it by getting it wrong. I have already made one…

constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
titration
titration

Stepwise dose increases over weeks, why the label schedules exist at all, and what tolerability-driven deviation from a schedule looks like in…

456 questions
dulaglutide
dulaglutide

A once-weekly GLP-1 receptor agonist built on an Fc fusion rather than fatty-acid acylation. Use this tag for questions about the fusion-protein…

200 questions
asked by tri_gly_ala 24k · 4 months ago
23 votes5 answers37k views
Does holding at 12.5 mg for eight weeks before escalating reduce constipation?

Stated plainly: 12.5 mg · eight weeks · constipation. The empirical answer seems settled. The explanation does not. If the honest answer is that nobody knows, I would…

titration
titration

Stepwise dose increases over weeks, why the label schedules exist at all, and what tolerability-driven deviation from a schedule looks like in…

456 questions
constipation
constipation

Slowed transit as a consequence of delayed gastric emptying and reduced intake: incidence figures, fibre and hydration evidence, and why it often…

55 questions
dose-escalation
dose-escalation

The decision to move up a step: what evidence supports a four-week interval, what happens when you compress it, and how trial protocols handled…

103 questions
asked by nils_karlberg 9.4k · 2.1 years ago
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