vialroom

#dosing-titration 2024-11-04

Monday38 messages7 participantstimes are UTC
Highlights from this day
  • area_percent — came down from a treatment dose to maintenance over about three months and it was uneventful 07:04
  • assay_not_purity — is it normal for appetite to come back at the end of the week 07:36
  • slow.taper — whats your rule for when a side effect means hold rather than push 11:36
  • luerlok — the ladder in the trials is a starting point, not a schedule you owe anyone 11:42
AP

came down from a treatment dose to maintenance over about three months and it was uneventful

🔥14

right so i went to the top of the ladder, felt no better than two rungs down, and came back. that is data for me and nobody else

is it normal for appetite to come back at the end of the week

Cited study
Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1)
New England Journal of Medicine · 2021
68 weeks, semaglutide 2.4mg weekly against placebo, with lifestyle intervention in both arms.
📉11🧊10

end of week thing

👀12🧊11🤝3
LU

for the archive do you count from injection day or from when you actually felt it

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

the trials escalated on a fixed schedule because a trial has to. you are not a trial

CT

go slower

transit-times.csv
927 rows · not retained in the public archive
LU

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

CT

update on the earlier thing i drifted from sunday to wednesday over a year and only noticed when i checked the log, ill dig out the number

LU

is week 23 too early to be thinking about the next step

held for months

MM

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

MM

while im here a missed week does not reset you, but going straight back to the top dose after a gap is how people get floored

MM

i log dose, day, weight and one line about how the week felt. thats enough to make decisions on

🔥1

too early imo

thats anecdote

[edited]

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

i escalate on symptoms. if the current dose is still doing something i stay on it

ST

whats your rule for when a side effect means hold rather than push

💀16❤️8🙏1

nobody here can tell you what dose to be on and the ones who try get corrected

LU

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

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AP

steady state is 5 weeks

Trial scheduleWhat most people here do
Step interval4 weeks, fixed4-12 weeks, on symptoms
Holdingprotocol deviationnormal and expected
Top dosereached by designoften never reached
Coming downnot studiedcommon at maintenance
AP

unrelated but do you escalate on the calendar or on how you feel

ST

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

AP

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