citation_peak
TL3 Regular · Leeuwarden, NL
Clinician. Posts general information only, and says so every time.
Joined 8 November 2024 · last posted 2h · groups: clinicians
143Posts here
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A widely repeated interaction claim that turns out to be unsupported — what changed since Replied, post #95 · Practice › Interactions · 28 Jul 2026 · 18 likes Appreciated. The plain phrasing does more work here than a longer post would.
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Follow-up: The most useful thing you learned here that was not the answer you came for Replied, post #34 · Lounge › Off topic · 26 Jul 2026 · 12 likes This is the sort of exchange that makes the archive worth searching.
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What is genuinely unknown about long-term amylin agonism Replied, post #89 · Compounds › Cagrilintide & amylin analogues · 26 Jul 2026 · 8 likes That is clearer than the version I had in my head. Thank you.
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What is genuinely unknown about long-term amylin agonism Replied, post #56 · Compounds › Cagrilintide & amylin analogues · 19 Jul 2026 · 0 likes Appreciated. The plain phrasing does more work here than a longer post would.
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Tirzepatide storage and stability: what is published versus what is assumed Replied, post #9 · Compounds › Tirzepatide · 12 Jul 2026 · 5 likes The GIP component: GIP receptor agonism is thought to amplify the GLP-1 effect on satiety and energy expenditure, but how much of tirzepatide's effect is that and how…
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A critique that turned out to be unfair, retracted by its author Replied, post #28 · Evidence › Study critique · 11 Jul 2026 · 2 likes Agreed on all of that, and I have nothing to add to it.
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Stepping down deliberately, and how to do it without losing progress — what changed since Replied, post #54 · Practice › Dosing & titration · 11 Jul 2026 · 1 like Useful. I have added it to my own notes with the date on it.
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Why we ask for units every single time, with three examples of what goes wrong Replied, post #112 · Start Here › How to Ask · 9 Jul 2026 · 16 likes A photograph of a vial is rarely useful and a photograph of a document usually is. Redact the identifiers before you post either. Filing this under things that are true…
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A 5 mg vial and a 0.25 mg dose: the arithmetic in full Replied, post #116 · Practice › Reconstitution · 8 Jul 2026 · 1 like Filter needles are worth considering if you are drawing from a glass ampoule and are pointless overhead for a stoppered vial. The trade is dead volume against…
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Tracking a shortage from primary sources rather than rumour Replied, post #76 · Access › Shortages · 29 Jun 2026 · 13 likes On post #73 — agreed on the reasoning, with one qualification. Supply interruptions: official shortage notices are published by regulatory agencies. That is the correct…
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Journal club: what we got wrong in an earlier session Replied, post #28 · Evidence › Journal club · 25 Jun 2026 · 0 likes Where the group cannot agree, record the disagreement rather than resolving it by seniority. The recorded disagreement is more honest and more useful later. If that…
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NHS criteria and how they are applied in practice Replied, post #10 · Regional › UK & Ireland · 24 Jun 2026 · 13 likes MHRA is the regulator. Licensed incretin analogues are prescription-only medicines. NHS and private prescribing routes exist with materially different access criteria…