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#dosing-titration 2024-09-29

Sunday47 messages7 participantstimes are UTC
Highlights from this day
  • eight_mm — update from 24 months ago: held at the same dose the whole time and still losing slowly, from memory 00:53
  • eight_mm — coming down from 1 to 2.5, how bad is the appetite rebound 01:07
  • snac_and_water — plateau versus set point is not answerable in under six months of data 04:05
EM

update from 24 months ago: held at the same dose the whole time and still losing slowly, from memory

[edited]
🙏78

thats anecdote

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EM

coming down from 1 to 2.5, how bad is the appetite rebound

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EM

the people who do best here are almost always the ones going slowest

EM

i jumped a rung once to catch up after a supply gap and it was a bad week. would not repeat

small steps are better than big ones and the only reason people take big ones is impatience

the ladder in the trials is a starting point, not a schedule you owe anyone

SO

my titration ladder took 16 months to climb and i would do it slower again, i think

quick one if it "stopped working after four days" that is almost never pharmacokinetics
split dosing has no trial behind it. people here do it and report on it, thats all

split dosing has no trial behind it. people here do it and report on it, thats all

does a missed week reset anything or do you just carry on

SA

i drifted from sunday to wednesday over a year and only noticed when i checked the log

SA

plateau versus set point is not answerable in under six months of data

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SA

for the archive i have been at 0.25 for 6 months and honestly i have stopped wanting to move

SA

dose day drift is mostly harmless with a weekly compound, but pick a day and defend it, i could be wrong

thats noise

i hold for two months minimum before i decide a dose has stopped doing anything

AD

holding is not failing. most people here who lasted two years held at least one dose for months

if you are asking whether to go up, the fact you are asking usually means not yet

EM

you do not have to escalate at all. that is a real option that gets forgotten

EM

if the current dose is still working, going up is spending headroom you might want later

my rule: if a side effect is still there at day five, i hold. if it clears by day three, i step

stepping back down on purpose is a completely reasonable move and this channel should say so more often

is there a trial anywhere that studied twice weekly, or is it all anecdote

BB

appetite returning at the end of the week is extremely common and is not the dose failing, someone check my working

AD

with a roughly seven day half-life you are near steady state after about five weeks at a dose