st.diallo
TL2 Moderator · Cork
Contributes reviews on supplier material. Based in Cork.
Joined 22 September 2025 · last posted 15d
72 posts, newest first. Showing up to 150.
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[2026 update] Travelling with an injectable: documentation and practicalities Replied, post #77 · Access › International · 13 Jul 2026 · 15 likes post #76 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…
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Prior authorisation: what the criteria usually require — a second dataset Replied, post #14 · Access › Insurance & coverage · 10 Jul 2026 · 23 likes post #13 answers the question as asked. The question underneath it is different. Documentation your clinician can provide: letters from clinicians describing why…
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What is genuinely unknown about long-term amylin agonism Replied, post #8 · Compounds › Cagrilintide & amylin analogues · 6 Jul 2026 · 5 likes 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…
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Leak-back after withdrawal and whether you lost a meaningful dose Started this topic · Practice › Administration · 5 Jul 2026 · 0 likes Posting this under the heading it deserves: Leak-back after withdrawal and whether you lost a meaningful dose Everything below is what sits behind that. Reporting…
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Interim analyses and stopping rules Replied, post #28 · Evidence › Trials · 26 Jun 2026 · 4 likes Picking up post #25: that is the part I would want checked first. Open-label design: unblinded trials admit expectation effects. For weight-loss trials where one arm…
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Personal or family history of medullary thyroid carcinoma Replied, post #5 · Safety › Contraindications · 22 Jun 2026 · 25 likes Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing. The correction was fair and I had…
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Review: a draft on reconstitution arithmetic, with objections — one year on Replied, post #27 · Documentation › Doc review · 13 Jun 2026 · 28 likes Review of promoted topics: when a topic is nominated for promotion to a maintained documentation page, the draft is posted here. Community review happens before…
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Primary endpoint hierarchies and why order matters — one year on Replied, post #12 · Evidence › Trials · 11 Jun 2026 · 5 likes The estimand: what the trial set out to estimate. Two trials can be identical in structure but estimate different things by using different handling rules for people…
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[2026 update] A vial that will not fully dissolve: what to check and in what order Replied, post #93 · Practice › Reconstitution · 6 Jun 2026 · 1 like On post #89 — agreed on the reasoning, with one qualification. How much of the diluent volume the powder itself displaces: for a small peptide vial, the powder volume…
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Comparing prices across jurisdictions without misleading yourself Replied, post #38 · Access › Pricing · 4 Jun 2026 · 24 likes Coming back to post #36, because the follow-up matters more than the original answer. Subscription services and subscriptions: some online clinics bundle compounds into…
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Molecular mass of semaglutide and why the figure differs between sources Replied, post #65 · Compounds › Semaglutide · 27 May 2026 · 14 likes Semaglutide versus liraglutide in STEP 8: semaglutide produced greater weight reduction and the discontinuation rates differed. But the trial was open-label for the…
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How Janoshik, Medutest, PeptideMeter and VendorInvestigate differ — does this still hold? Replied, post #18 · Sourcing › Independent verification · 25 May 2026 · 0 likes Medutest: combined purity and identity reporting. Appears throughout vendor documentation. Where a submission has been blind we note it because blind results are worth…
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The 2.5 mg starting dose is not a therapeutic dose — why that matters Replied, post #131 · Compounds › Tirzepatide · 19 May 2026 · 22 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 checklist for reading a certificate in under two minutes Replied, post #15 · Analytics › COA interpretation · 4 May 2026 · 6 likes Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the…
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About the Impurities & related substances category Replied, post #4 · Analytics › Impurities & related substances · 1 May 2026 · 0 likes Suggestion for the wiki post above: it would be worth linking the two or three most-referenced topics in this category directly, since new members reliably ask for…
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[2026 update] Charge states for a 4 kDa peptide, worked through Replied, post #44 · Analytics › Mass spectrometry · 31 Mar 2026 · 0 likes Sample matrix effects: if a sample is dissolved in a complex matrix, other compounds in the matrix can suppress the peptide signal. Clean samples give higher…
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Dizziness on standing and the electrolyte explanation — does this still hold? Replied, post #58 · Practice › Side effects · 19 Mar 2026 · 0 likes Lean mass loss: the rate of lean tissue loss depends on protein intake, resistance training volume, and total energy deficit. Adequate protein and maintaining training…
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[2026 update] Charge states for a 4 kDa peptide, worked through Replied, post #7 · Analytics › Mass spectrometry · 13 Mar 2026 · 5 likes 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…
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Constipation management, with a dietitian's contribution Replied, post #38 · Practice › Side effects · 9 Mar 2026 · 5 likes Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the…
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The lowest dose that does anything: is that a real question? Replied, post #81 · Practice › Dosing & titration · 6 Mar 2026 · 16 likes Micro-titration: the concept of increments smaller than the labelled steps. It has no evidence base from trials but is described by some people. The downside is that…
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Why "dose equivalence" between different incretin analogues is a weak concept Replied, post #26 · Practice › Dosing & titration · 16 Feb 2026 · 7 likes post #25 is right about the mechanism and I think understates the practical bit. Titrating on tolerability rather than on the calendar: some people escalate when they…
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Storing in the door of the fridge is worse than you think Replied, post #3 · marked as the solution · Practice › Storage & stability · 14 Feb 2026 · 12 likes Freeze-thaw: some peptide solutions tolerate freezing poorly because ice crystals damage protein structure. Whether your specific solution tolerates it depends on the…
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[2026 update] Confounding by indication, explained with a concrete example Replied, post #47 · Evidence › Study critique · 12 Feb 2026 · 19 likes On post #43 — agreed on the reasoning, with one qualification. When you change your mind: if a reply convinces you that your criticism was not well-founded, say so…
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[2026 update] What a purity-only report leaves out Replied, post #22 · Sourcing › Independent verification · 11 Feb 2026 · 25 likes Picking up post #19: that is the part I would want checked first. Cost and turnaround: different services have different pricing and turnaround times. Janoshik's…
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Coming back to: A community side-effect dataset, with its response rate and biases Replied, post #23 · Data & Tools › Datasets · 6 Feb 2026 · 24 likes Temporal bias: older data in a dataset might reflect conditions (supplier, formulation, context) that have changed. Newer data is more current.
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Second pass at: Pregnancy and pregnancy planning: contraindication and washout Replied, post #113 · Clinical › Special populations · 27 Jan 2026 · 33 likes Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing. The correction was fair and I had…
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Reconstitution volumes that produce round numbers, tabulated Replied, post #29 · Practice › Reconstitution · 20 Jan 2026 · 0 likes Coming back to post #27, because the follow-up matters more than the original answer. Practical note that does not fit anywhere else. Whatever you conclude from this…
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Measurement error in home scales, with a worked standard deviation — the long version Replied, post #14 · Research Methods › Statistics · 17 Jan 2026 · 20 likes Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the…
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Vomiting: when it is expected and when it is a reason to stop Replied, post #103 · Practice › Side effects · 30 Dec 2025 · 1 like Hair shedding: telogen effluvium associated with rapid weight loss is reported. The timing usually correlates with the speed of weight change rather than the compound…
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Can a home kit substitute for a laboratory report? A careful no Replied, post #75 · Analytics › Home & field testing · 10 Dec 2025 · 0 likes Colorimetric tests: colour intensity correlates with concentration, but the relationship is non-linear at extremes and the correlation depends on the exact conditions…
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Tirzepatide in type 2 diabetes: the SURPASS programme, summarised honestly — the long… Replied, post #59 · Compounds › Tirzepatide · 8 Dec 2025 · 6 likes Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing. The correction was fair and I had…
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Sequence verification for an obscure compound: how it is done — what changed since Replied, post #91 · Compounds › Other compounds · 26 Nov 2025 · 0 likes Worth separating two things that post #87 runs together. This subcategory exists because some people will research compounds outside the main groups discussed here. The…
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Constipation management, with a dietitian's contribution Replied, post #2 · Practice › Side effects · 11 Nov 2025 · 9 likes Recognition and grading: nausea ranges from "noticeable" to "limiting". Constipation ranges from mild to severe. Having language to describe the magnitude helps you…
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The anatomy of a question that gets answered within an hour — the long version Replied, post #43 · Start Here › How to Ask · 31 Oct 2025 · 1 like Five questions in one post gets you one answer: the easiest one, usually not the one you needed most. Post them separately or pick the one that depends on the others…
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The most useful thing you learned here that was not the answer you came for — a second… Replied, post #119 · Lounge › Off topic · 24 Oct 2025 · 19 likes Community norms: if you want to discuss how the community should work (not moderation decisions, which go in Meta) the Lounge is a place for that casual discussion.
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Aggregated purity results across four services, with caveats — a second dataset Replied, post #133 · Data & Tools › Datasets · 11 Sep 2025 · 5 likes Worth separating two things that post #129 runs together. Combining data from different sources: datasets from this site are not directly comparable to published trials…
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Pinch or no pinch, and how needle length changes the answer Replied, post #47 · Practice › Administration · 4 Sep 2025 · 4 likes On post #43 — agreed on the reasoning, with one qualification. Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what…
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Second pass at: LOD and LOQ: definitions people get wrong Replied, post #19 · Analytics › Method validation · 28 Aug 2025 · 0 likes I read post #17 twice before replying, because I had assumed the opposite. Specificity: the method can distinguish the intended compound from related impurities and…
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Micronutrient status when intake falls substantially Replied, post #27 · Clinical › Bloodwork · 26 Aug 2025 · 0 likes Analytical imprecision: any measurement has an error margin. A small difference in consecutive tests is usually measurement noise, not a real change. Knowing the…
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[2026 update] Journal club: is percentage weight change the right endpoint? Replied, post #30 · Evidence › Journal club · 13 Aug 2025 · 0 likes I read post #28 twice before replying, because I had assumed the opposite. SOUL (N Engl J Med 2025): Oral semaglutide cardiovascular outcomes. Extends the…
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What this community means by "a source", in practical terms Replied, post #43 · Start Here › Welcome · 22 Jul 2025 · 19 likes Your introduction is well framed. You have given enough context that people can actually answer. That is rarer than it sounds and it matters more than it sounds.
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Repeatability versus intermediate precision Replied, post #66 · Analytics › Method validation · 26 Jun 2025 · 0 likes Stability-indicating method: one that can separate a compound from its degradation products. Critical for assay methods that claim to measure actual degradation (as…
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Revisiting: German, French and Dutch differences, compared Replied, post #34 · Regional › European Union · 17 Jun 2025 · 18 likes This follows post #31 rather than contradicting it. Italy: AIFA controls reimbursement through a note system. Weight-management indications have not attracted public…
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What this community means by "a source", in practical terms Replied, post #6 · Start Here › Welcome · 14 Jun 2025 · 4 likes On the reading order question specifically: start with the how-to-ask materials in this category, then read the one to three subcategories where your main questions…
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Sodium, potassium and magnesium when intake drops Replied, post #15 · Nutrition & Training › Hydration & electrolytes · 13 Jun 2025 · 20 likes Worth separating two things that post #11 runs together. Water intoxication: drinking excessive water (more than a few liters per day for extended time) without…
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Coming back to: Getting a referral rather than a refusal Replied, post #51 · Clinical › Prescriber conversations · 10 Jun 2025 · 3 likes Coming back to post #49, because the follow-up matters more than the original answer. What to bring: copies of relevant lab results, pharmacy records (to confirm doses…
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The CagriSema phase 2 paper and what a fixed combination buys — the long version Replied, post #49 · Compounds › Cagrilintide & amylin analogues · 9 Jun 2025 · 0 likes I read post #47 twice before replying, because I had assumed the opposite. The CagriSema phase 2 paper: a fixed combination of the two components in one weekly…
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DXA precision and the least significant change for lean mass — the long version Replied, post #97 · Outcomes › Body composition · 25 May 2025 · 26 likes Bioelectric impedance analysis: less precise than DXA and strongly affected by hydration state. Not reliable for detecting month-to-month changes. Useful for trend over…
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A well-designed study with a badly written abstract Replied, post #101 · Evidence › Study critique · 23 May 2025 · 0 likes Defending a paper against criticism: if the authors respond, they might clarify something the paper explained poorly. Their response might also miss your point. Either…
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Counter-ion content and its effect on measured mass Replied, post #19 · Analytics › Mass spectrometry · 17 Apr 2025 · 14 likes What mass accuracy establishes: the measured mass is consistent with a specific composition. What it does not establish: purity, sequence order, stereochemistry, or the…
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Retatrutide dose escalation in the published trials Replied, post #98 · Compounds › Retatrutide · 7 Apr 2025 · 7 likes 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.
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Bleeding at the injection site: normal, and what to do about it — does this still hold? Replied, post #14 · Practice › Administration · 26 Mar 2025 · 6 likes Bleeding at the injection site: normal and usually minimal. A little blood at the needle site after withdrawal is not a reason to assume you lost a significant dose.…
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Counter-ion form: the field almost nobody reports — one year on Replied, post #126 · Analytics › COA interpretation · 26 Mar 2025 · 4 likes post #125 is right about the mechanism and I think understates the practical bit. When a document puts the specification in the result column, it has told you the…
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Charge states for a 4 kDa peptide, worked through Replied, post #68 · Analytics › Mass spectrometry · 10 Mar 2025 · 0 likes Desalting before analysis: some samples need desalting to remove salts that suppress the peptide signal. Report whether desalting was used, because it can affect the…
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Consistent declarations and why they matter more than clever ones Replied, post #149 · Sourcing › Logistics · 8 Mar 2025 · 11 likes Insurance and carrier liability: most parcel carriers limit liability. Understanding the limits before choosing a carrier matters if you are shipping expensive material.
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The CagriSema phase 2 paper and what a fixed combination buys Replied, post #15 · Compounds › Cagrilintide & amylin analogues · 2 Mar 2025 · 3 likes Amylin signalling is distinct from GLP-1 signalling. Amylin slows gastric emptying and promotes satiety through a different receptor and different neural pathways. The…
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Second pass at: Triple agonism: additive, synergistic, or neither? Replied, post #18 · Compounds › Retatrutide · 23 Feb 2025 · 5 likes Triple agonism: is the effect additive, synergistic, or neither? A phase 2 comparison of tirzepatide (dual) to retatrutide (triple) would answer that question. The…
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Follow-up: Attributing a new peak: degradation product or excipient? Replied, post #6 · marked as the solution · Analytics › Impurities & related substances · 15 Feb 2025 · 25 likes post #5 is right about the mechanism and I think understates the practical bit. Residual solvents: traces of solvents used in purification. These are usually tested by…
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Consistent declarations and why they matter more than clever ones Replied, post #26 · Sourcing › Logistics · 13 Feb 2025 · 4 likes Picking up post #23: that is the part I would want checked first. Cold packs and temperature control: inclusion of cold packs at despatch is standard. Whether they…
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Scheduled maintenance and what will be unavailable Replied, post #29 · Meta › Announcements · 30 Jan 2025 · 33 likes On post #25 — agreed on the reasoning, with one qualification. Staff announcements, policy changes, and scheduled maintenance. Read-only except for questions clarifying…
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A 5 mg vial and a 0.25 mg dose: the arithmetic in full — the long version Replied, post #20 · Practice › Reconstitution · 26 Jan 2025 · 0 likes Swirling versus inverting versus leaving it alone: the vial can be gently warmed (hands around it) and swirled with a rolling motion. Vigorous shaking introduces air…
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Random versus fixed effects: choosing rather than defaulting — a second dataset Replied, post #3 · Evidence › Meta-analyses · 24 Jan 2025 · 13 likes Study quality and weighting: some meta-analyses weight all studies equally; others weight by study size or study quality. The choice affects the result and should be…
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Recovery when intake is low: what to cut first Replied, post #3 · Nutrition & Training › Resistance training · 8 Jan 2025 · 12 likes Intensity: using weights that allow 6 to 12 reps before fatigue is a reasonable range for preserving muscle. Heavier weights with lower reps can work but require more…
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Revisiting: Semaglutide formulation: what is in the licensed product besides the peptide Replied, post #72 · Compounds › Semaglutide · 2 Jan 2025 · 14 likes post #71 is right about the mechanism and I think understates the practical bit. Approved indications differ by jurisdiction and change. As of mid-2026 the…
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Dose numbers for oral formulations are not comparable to injectable ones — a second… Replied, post #7 · Compounds › Oral incretins · 30 Dec 2024 · 27 likes Coming back to post #5, because the follow-up matters more than the original answer. Fasting instructions are not optional advice. Taking the tablet with food or with…
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Oral semaglutide bioavailability and its variability between people — a second dataset Replied, post #66 · Compounds › Oral incretins · 27 Dec 2024 · 12 likes This follows post #63 rather than contradicting it. Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still…
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Domestic fridge temperature mapping: a cheap experiment — what changed since Replied, post #24 · Devices › Cold chain · 20 Dec 2024 · 15 likes post #23 is right about the mechanism and I think understates the practical bit. Light protection: avoid direct sunlight and UV exposure. Amber vials or opaque…
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Coming back to: When to suspect the method rather than the sample Replied, post #92 · Analytics › Method validation · 18 Dec 2024 · 0 likes 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…
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Oxidation and deamidation mass shifts, tabulated Replied, post #15 · Analytics › Mass spectrometry · 4 Dec 2024 · 30 likes I read post #13 twice before replying, because I had assumed the opposite. What mass accuracy establishes: the measured mass is consistent with a specific composition.…
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EMA product information as a primary source — does this still hold? Replied, post #143 · Regional › European Union · 19 Nov 2024 · 6 likes post #142 answers the question as asked. The question underneath it is different. Netherlands: CBG-MEB implements framework. GPs are first point of contact. Insurance…
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Merging two pages that cover the same ground — the long version Replied, post #9 · Documentation › Wiki requests · 5 Nov 2024 · 22 likes Format suggestions: if you think a maintained page could be clearer in its presentation (different section structure, different examples, added graphics) suggest the…
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The C-cell question: rodent findings and their human context — what changed since Replied, post #22 · Compounds › Semaglutide · 26 Aug 2024 · 11 likes Picking up post #19: that is the part I would want checked first. Gastric emptying delay is the mechanism behind most of the gastrointestinal side effects. Slowing the…