The Peptide CommonsEst. May 2024
Independent. We sell nothing and are affiliated with no manufacturer or pharmacy. Every moderation action is logged in public
Research Methods · N-of-1 designs

Pre-registering a personal experiment, seriously

PA
p.amankwahTL2 Moderator24 May 2025#1

Pre-registering a personal experiment, seriously — setting out what I have, and where I think it stops being reliable.

Comparing STEP 4 (JAMA, 2021) with SUSTAIN 6 (N Engl J Med, 2016) and finding the comparison harder than it looks.

Different populations, different durations, different endpoints defined slightly differently, and in one case a different estimand. People compare the headline percentages anyway, including me until recently.

Is there a defensible way to put these side by side, or is the honest answer that there is not and we should stop?

46 likes 14mo
D
DSakamotoTL3Regular24 May 2025 · edited#2

This follows the opening post rather than contradicting it.

For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use.

12 likes 14mo
AV
a.villalobosTL2 Moderator25 May 2025#3

When to run an n-of-1: this design works when you want to know whether a treatment works for you, not whether it works in general. For that purpose, it is efficient.

4 likes 14mo
SS
s.stavrianosTL2Member25 May 2025#4

Generalisability: a robust n-of-1 result applies to you. It does not tell you much about whether the effect generalises to others similar to you, much less to people different from you.

0 likes 14mo
JL
j.lokkenTL2 Moderator25 May 2025#5
s.stavrianos, post #4: Generalisability: a robust n-of-1 result applies to you. It does not tell you much about whether the effect generalises to others similar to you, much less to people different from you. Go to post

Coming back to post #3, because the follow-up matters more than the original answer.

Sample size in n-of-1: you are the sample. Repeated measurements (weekly weighings, daily mood scores) increase the power to detect a real effect even though n=1.

33 likes in reply to #4 14mo
D
DKwiatkowskiTL3Regular25 May 2025#6
s.stavrianos, post #4: Generalisability: a robust n-of-1 result applies to you. It does not tell you much about whether the effect generalises to others similar to you, much less to people different from you. Go to post

Objective versus subjective measures: subjective measures (how you feel) are vulnerable to bias. Objective measures (weight, strength on a specific exercise) are less vulnerable but not immune.

17 likes in reply to #4 14mo
LK
l.krastevTL2 Moderator25 May 2025#7

Two things before anyone answers the substance.

First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound.

7 likes 14mo
GD
glossary_deskTL3Regular25 May 2025#8

Washout periods: after stopping a medication, how long does it take for the effect to wash out? For compounds with a week-long half-life, roughly a month is needed to reach baseline. Using that washout period in a before-after design strengthens the inference.

1 like 14mo
CF
c.falkTL2 Moderator26 May 2025#9
glossary_desk, post #8: Washout periods: after stopping a medication, how long does it take for the effect to wash out? For compounds with a week-long half-life, roughly a month is needed to reach baseline. Using that washout period in a before-after design strengthens the inference. Go to post

Stopping rules: decide in advance when you will stop measuring (after a defined duration, after a defined number of measurements, or after a defined condition is met). Not deciding in advance means stopping when the result satisfies you, which is bias.

0 likes in reply to #8 14mo
SE
septum_entryTL2Member26 May 2025#10

Blinding: blinding yourself (not knowing which condition you are in) removes expectation bias. This is hard to do with these compounds (the appetite suppression is hard to miss) but partial blinding is possible (measuring something objective without knowing whether you took it today).

24 likes 14mo
MY
m.yilmazTL2 Moderator26 May 2025#11

Statistical analysis of n-of-1 data: comparing before versus after with a t-test or similar is one approach. Plotting the data visually is another. Both are valid.

11 likes 14mo
GI
g.ibarraTL2 Moderator26 May 2025#12

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

25 likes 14mo
KH
ka.haddadTL2 Moderator26 May 2025#13
g.ibarra, post #12: Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive. Go to post

post #12 is right about the mechanism and I think understates the practical bit.

Confounding in personal experiments: other things change when you start a medication (season, exercise, diet, stress). Documenting those confounders helps you understand their contribution to the result.

0 likes in reply to #12 14mo
AS
a.salcedoTL3Regular26 May 2025 · edited#14

Worth separating two things that post #10 runs together.

Confounding in personal experiments: other things change when you start a medication (season, exercise, diet, stress). Documenting those confounders helps you understand their contribution to the result.

1 like 14mo
TW
t.wojcikTL2 Moderator26 May 2025#15

I disagree with the reply above, and I think the disagreement is substantive rather than terminological.

The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient.

17 likes 14mo
AK
a.kowalskiTL2 Moderator26 May 2025#16

When to run an n-of-1: this design works when you want to know whether a treatment works for you, not whether it works in general. For that purpose, it is efficient.

33 likes 14mo
SC
s.cardosoTL2 Moderator26 May 2025#17
t.wojcik, post #15: I disagree with the reply above, and I think the disagreement is substantive rather than terminological. The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient. Go to post

Stopping rules: decide in advance when you will stop measuring (after a defined duration, after a defined number of measurements, or after a defined condition is met). Not deciding in advance means stopping when the result satisfies you, which is bias.

0 likes in reply to #15 14mo
JD
j.dahlbergTL2 Moderator27 May 2025#18

On post #14 — agreed on the reasoning, with one qualification.

Designing a personal experiment that could actually change your mind: that is the standard for an n-of-1 design. An experiment designed so that any result confirms what you already believed has not changed anything.

4 likes 14mo
HS
hana.satoTL4 Moderator27 May 2025#19
Staff post. Actions described here are recorded in the public moderation log and may be challenged in Meta.

This follows post #16 rather than contradicting it.

Statistical analysis of n-of-1 data: comparing before versus after with a t-test or similar is one approach. Plotting the data visually is another. Both are valid.

24 likes 14mo
CO
c.ostergaardTL2 Moderator27 May 2025#20

Generalisability: a robust n-of-1 result applies to you. It does not tell you much about whether the effect generalises to others similar to you, much less to people different from you.

0 likes 14mo
TD
titration_diaryTL3Regular27 May 2025#21
a.salcedo, post #14: Worth separating two things that post #10 runs together. Confounding in personal experiments: other things change when you start a medication (season, exercise, diet, stress). Documenting those confounders helps you understand their contribution to the result. Go to post

I read post #19 twice before replying, because I had assumed the opposite.

Blinding: blinding yourself (not knowing which condition you are in) removes expectation bias. This is hard to do with these compounds (the appetite suppression is hard to miss) but partial blinding is possible (measuring something objective without knowing whether you took it today).

18 likes in reply to #14 14mo
HF
h.falkTL2 Moderator27 May 2025#22

Washout periods: after stopping a medication, how long does it take for the effect to wash out? For compounds with a week-long half-life, roughly a month is needed to reach baseline. Using that washout period in a before-after design strengthens the inference.

7 likes 14mo
EF
e.ferreiraTL3Regular27 May 2025#23

Sample size in n-of-1: you are the sample. Repeated measurements (weekly weighings, daily mood scores) increase the power to detect a real effect even though n=1.

0 likes 14mo
TD
t.duarteTL2 Moderator27 May 2025#24

post #23 is right about the mechanism and I think understates the practical bit.

For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use.

0 likes 14mo
DB
dr_bhattacharyaTL3Physician27 May 2025#25
t.wojcik, post #15: I disagree with the reply above, and I think the disagreement is substantive rather than terminological. The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient. Go to post

Coming back to post #23, because the follow-up matters more than the original answer.

Objective versus subjective measures: subjective measures (how you feel) are vulnerable to bias. Objective measures (weight, strength on a specific exercise) are less vulnerable but not immune.

13 likes in reply to #15 14mo
RE
r.erdoganTL2 Moderator27 May 2025#26

Picking up post #23: that is the part I would want checked first.

Generalisability: a robust n-of-1 result applies to you. It does not tell you much about whether the effect generalises to others similar to you, much less to people different from you.

4 likes 14mo
LG
lc_gradientTL3Analytical chemist28 May 2025 · edited#27

Two things before anyone answers the substance.

First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound.

0 likes 14mo
SO
s.okaforTL2 Moderator28 May 2025#28
dr_bhattacharya, post #25: Coming back to post #23, because the follow-up matters more than the original answer. Objective versus subjective measures: subjective measures (how you feel) are vulnerable to bias. Objective measures (weight, strength on a specific exercise) are less vulnerable but not immune. Go to post

Stopping rules: decide in advance when you will stop measuring (after a defined duration, after a defined number of measurements, or after a defined condition is met). Not deciding in advance means stopping when the result satisfies you, which is bias.

26 likes in reply to #25 14mo
RA
r.aldana_pharmdTL4Pharmacist28 May 2025#29

Designing a personal experiment that could actually change your mind: that is the standard for an n-of-1 design. An experiment designed so that any result confirms what you already believed has not changed anything.

0 likes 14mo
EV
e.vargaTL2 Moderator28 May 2025 · edited#30

This follows post #27 rather than contradicting it.

Washout periods: after stopping a medication, how long does it take for the effect to wash out? For compounds with a week-long half-life, roughly a month is needed to reach baseline. Using that washout period in a before-after design strengthens the inference.

17 likes 14mo