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Research Methods · N-of-1 designs

Washout with a one-week half-life: the arithmetic — does this still hold?

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Solved by n.norgaard in post #5
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.

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AF
a.finnegan_rdTL2Dietitian20 Mar 2026#1

Washout with a one-week half-life: the arithmetic — does this still hold? — that is the question, and I have not found it answered plainly anywhere I have looked.

Comparing SURPASS-2 (N Engl J Med, 2021) with STEP 8 (JAMA, 2022) 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?

17 likes 4mo
AN
a.nwosuTL2 Moderator26 Mar 2026#2

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.

21 likes 4mo
AB
a.batistaTL2 Moderator31 Mar 2026#3

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 4mo
AN
a.novakTL2 Moderator4 Apr 2026#4

I read post #2 twice before replying, because I had assumed the opposite.

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.

2 likes 4mo
NN
n.norgaardTL2 Moderator Solution8 Apr 2026#5

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.

14 likes 4mo
RG
r.girardTL2 Moderator12 Apr 2026#6
a.finnegan_rd, post #1: Washout with a one-week half-life: the arithmetic — does this still hold? — that is the question, and I have not found it answered plainly anywhere I have looked. Comparing SURPASS-2 ( N Engl J Med , 2021) with STEP 8 ( JAMA , 2022) and finding the comparison harder than it looks. Different populations, different durations, different… Go to post

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.

28 likes in reply to #1 4mo
CS
c.silvaTL2 Moderator16 Apr 2026#7

Picking up post #4: that is the part I would want checked first.

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.

0 likes 3mo
AZ
a.zamoraTL2 Moderator19 Apr 2026#8

Coming back to post #6, because the follow-up matters more than the original answer.

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).

5 likes 3mo
BJ
b.jansenTL222 Apr 2026#9
BP
baseline_peakTL2Member26 Apr 2026#10

Worth separating two things that post #6 runs together.

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.

0 likes 3mo
SB
sharps_binTL2Regular29 Apr 2026#11
a.nwosu, post #2: 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. Go to post

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 in reply to #2 3mo
IB
i.boatengTL2 Moderator2 May 2026#12

This follows post #9 rather than contradicting it.

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.

31 likes 3mo
TD
titration_diaryTL3Regular5 May 2026#13

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.

16 likes 3mo
HF
h.falkTL2 Moderator8 May 2026#14
c.silva, post #7: Picking up post #4: that is the part I would want checked first. 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.

6 likes in reply to #7 3mo
EF
e.ferreiraTL3Regular11 May 2026#15

Coming back to post #13, because the follow-up matters more than the original answer.

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 3mo
BK
b.kowalskiTL2 Moderator14 May 2026#16

Picking up post #13: that is the part I would want checked first.

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 2mo
DB
dr_bhattacharyaTL3Physician16 May 2026#17

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.

22 likes 2mo
RE
r.erdoganTL2 Moderator19 May 2026#18
sharps_bin, post #11: 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. 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.

10 likes in reply to #11 2mo
NR
n.rowntreeTL3Regular22 May 2026#19

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.

3 likes 2mo
PF
p.fontaineTL2 Moderator25 May 2026#20

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.

0 likes 2mo
ON
o.nybergTL2 Moderator27 May 2026 · edited#21

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.

8 likes 2mo
DI
diluent_indexTL1Member30 May 2026#22
c.silva, post #7: Picking up post #4: that is the part I would want checked first. 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

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.

19 likes in reply to #7 2mo
ZV
z.vogelTL2 Moderator2 Jun 2026#23

post #22 is right about the mechanism and I think understates the practical bit.

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).

0 likes 2mo
M
MakinenTL2Member4 Jun 2026#24

Worth separating two things that post #20 runs together.

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.

2 likes 2mo
AP
ar.petrovTL27 Jun 2026#25
FF
f.fenwickTL3Regular9 Jun 2026#26
sharps_bin, post #11: 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. Go to post

Coming back to post #24, because the follow-up matters more than the original answer.

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.

26 likes in reply to #11 2mo
SH
s.hartmannTL2 Moderator12 Jun 2026#27
p.fontaine, post #20: 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

post #26 answers the question as asked. The question underneath it is different.

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.

0 likes in reply to #20 2mo
K
KForsbergTL2Member14 Jun 2026#28

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.

4 likes 1mo
ZA
z.adeyemiTL2 Moderator17 Jun 2026#29
b.jansen, post #9: 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. Go to post

This follows post #26 rather than contradicting it.

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.

2 likes in reply to #9 1mo
CN
cohort_notesTL2Member19 Jun 2026 · edited#30

I read post #28 twice before replying, because I had assumed the opposite.

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.

8 likes 1mo