Type 213 attended
When one thing improves and another gets worse
Four members arrived with results that had moved in two directions at once, and the room was much better at this than it would have been a year ago. The subject is…
The community
Group call recaps
Written up afterwards by the facilitator who held the call. 38 of them, from May 2024 onwards.
Research reading group16 attended
Phase two is not phase three
The retatrutide phase 2 paper — Jastreboff AM, et al. New England Journal of Medicine 2023;389(6):514 to 526. Sixteen people, and the reason we came back to this one is…
Maintenance14 attended
Nobody claps for a flat year
A call about the social side of the boring part, which turns out to be where the difficulty actually lives now that this circle has some long-standing members in it.…
Nausea and eating12 attended
Two people who found the opposite things helped
A call I set up as a deliberate contradiction, because this circle occasionally develops an orthodoxy and orthodoxy is not what pooled experience is for. Two…
Sourcing safely17 attended
The risks nobody can remove, said again
I run this call twice a year and I run it deliberately unchanged, because the membership turns over and because repetition is the only defence against a subject where…
Just starting12 attended
Everything you were told before you started
A theme call. I asked everyone to bring one thing they were told before starting that turned out to be wrong, and one thing that turned out to be exactly right. It went…
Insurance appeals13 attended
The appeals that failed
I run this call once a year because a circle that only counts its wins is running a marketing operation. Thirteen people, six of whom have lost an appeal, two of whom…
Side effect support13 attended
Symptoms that turned out to belong to something else
A call built entirely out of members' own misattributions, and one of the more genuinely useful hours this circle has had. Everybody brought one thing they had blamed…
The first twelve weeks15 attended
What the twelfth week is not
Five people in the room were within a fortnight of the end of their first twelve weeks and all five had quietly decided that something was supposed to happen. Nothing…
When the noise goes quiet13 attended
Somebody left this call upset and I want to say why
A member left this call in tears about twenty minutes in and did not come back to it. I followed up the same evening and again two days later, with her agreement I am…
Research reading group13 attended
The kidney paper and what a composite endpoint hides
FLOW — Perkovic V, et al. New England Journal of Medicine 2024;391(2):109 to 121. We had covered it jointly with the type 2 circle in the spring; this was the proper…
Protein and strength16 attended
Keeping the two sessions through a bad fortnight
A call about the weeks when it all lapses, which is the actual failure point and not the one people plan for. Sixteen in the room, several of them coming back after a…