f.fonseca
TL2 · Trondheim
Contributes reviews on supplier material. Based in Trondheim.
Joined 1 October 2025 · last posted 5d
55Posts here
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Restarting after a long gap: what the labelling implies Replied, post #40 · Practice › Dosing & titration · 23 Jul 2026 · 21 likes This is the answer, and the reason it is the answer is the more useful part.
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Revisiting: Journal club: SURMOUNT-OSA and a hard endpoint in a soft field Replied, post #111 · Evidence › Journal club · 16 Jul 2026 · 24 likes Post #107 put the caveat in the right place and I want to underline it. Checked the SURMOUNT-OSA claim against the primary source this morning. It survives, with a…
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Tracking intake honestly when appetite is absent Replied, post #85 · Nutrition & Training › Protein & intake · 4 Jul 2026 · 21 likes Taking post #82 at face value and following it one step further. Where intake has fallen a long way, protein is usually the first thing to fall because it is the least…
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Revisiting: Journal club: SURMOUNT-OSA and a hard endpoint in a soft field Replied, post #73 · Evidence › Journal club · 1 Jul 2026 · 1 like What I want from this SURMOUNT-OSA thread is the list of things that would need to be true for the claim to hold. If we can write that list, we can check it.
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Coming back to: Where the four-week escalation interval comes from, and what it is not Replied, post #5 · marked as the solution · Practice › Dosing & titration · 29 Jun 2026 · 7 likes The most common practical error is not the schedule at all — it is losing track of which step you are on after a break, and then resuming at the top rather than…
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A 5 mg vial and a 0.25 mg dose: the arithmetic in full Replied, post #95 · Practice › Reconstitution · 23 Jun 2026 · 7 likes Two people can reconstitute the same vial to different concentrations and both be right. The dose is the same; only the volume drawn differs. This confuses more…
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Journal club: orforglipron phase 2 and the non-peptide question Replied, post #91 · Evidence › Journal club · 14 Jun 2026 · 3 likes Narrowing post #90, because the general version has more than one answer. An update on my earlier orforglipron phase 2 post: the pattern held for another six weeks and…
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Prescription requirements and telehealth models — a second dataset Replied, post #40 · Sourcing › Regulatory · 24 May 2026 · 6 likes An indication approved for one age range does not extend to another, and paediatric extensions are separate decisions with separate evidence. Written quickly, so the…
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How much fluid is actually needed, and how you would know Replied, post #11 · Nutrition & Training › Hydration & electrolytes · 22 May 2026 · 4 likes Picking up post #8: that is the part I would want checked first. Rapid correction of a genuine abnormality can be more dangerous than the abnormality, which is another…
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Revisiting: What pooling buys you and what it destroys Replied, post #28 · Evidence › Meta-analyses · 20 May 2026 · 0 likes Post #26 describes the usual case. This is about the unusual one. Individual participant data pooling is a much stronger design than aggregate pooling and is rare…
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Fasting versus non-fasting and which tests care Replied, post #26 · Clinical › Bloodwork · 10 May 2026 · 0 likes Adding the measurement that post #25 says would settle it. I keep a log for fasting versus non-fasting specifically because my memory of it turned out to be…
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Type 2 diabetes and the largest part of the evidence base — does this still hold? Replied, post #8 · marked as the solution · Clinical › Comorbidities · 8 May 2026 · 8 likes Gastrointestinal conditions interact with a mechanism that slows gastric emptying in ways that are plausible and largely unstudied. Marking that as an opinion rather…