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 No disagreement from me. Posting only so the question does not look ignored.
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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 Digression worth the space: the archive is starting to be genuinely long. There are questions here whose good answer is four years old and still correct, and that only…
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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 Useful. I have added it to my own notes with the date on it.
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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 Nothing to add on the substance. Thank you for taking the question at face value.
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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 Sensible. I would want the same detail before I acted on it either.
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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 When you change your mind: if a reply convinces you that your criticism was not well-founded, say so plainly. The critique might still be real but smaller than you…
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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 Reaching a dose and staying there for a year: the question of whether a stable dose remains effective over years is mostly answered by the withdrawal trials and by…
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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 No notes. Posting so the count is not one.
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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 Where I part company with post #72, and it is a narrow parting. Compounding during shortages: some jurisdictions allow pharmacy compounding when a marketed product is…
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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…