ok so the honest answer is that most of us are running protocols nobody has ever studied
#dosing-titration 2024-12-01
- maintenance_mo — the ladder in the trials is a starting point, not a schedule you owe anyone 12:24
- VialBot — Purity check: no report on file for lot C-4402. Nothing logged either way. 12:54
- maintenance_mo — plateau versus set point is not answerable in under six months of data 13:59
- amylin_amy — has anyone gone up and then straight back down and been glad they tried 16:08
whats a sensible maintenance dose after a year at treatment dose
if i hold at 10 indefinitely am i losing anything
the ladder in the trials is a starting point, not a schedule you owe anyone
[edited]pick a day and stick to it
thats normal
dose day drift is mostly harmless with a weekly compound, but pick a day and defend it
Purity check: no report on file for lot C-4402. Nothing logged either way.
i would hold
i drifted from sunday to wednesday over a year and only noticed when i checked the log
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
half life is a week
how much does the last dose still matter 8 days later
plateau versus set point is not answerable in under six months of data
do you escalate on the calendar or on how you feel
came down, no regrets
steady state is 5 weeks
plateau versus set point is not answerable in under six months of data
thats anecdote
follow up whats the longest anyone has stayed on one dose
if i took it 9 days late do i shift the schedule or go back to the old day
thats noise
not advice
the people who do best here are almost always the ones going slowest
has anyone gone up and then straight back down and been glad they tried
whats your rule for when a side effect means hold rather than push
is there a trial anywhere that studied twice weekly, or is it all anecdote
my rule: if a side effect is still there at day five, i hold. if it clears by day three, i step
came down from a treatment dose to maintenance over about three months and it was uneventful
i jumped a rung once to catch up after a supply gap and it was a bad week. would not repeat
slightly off topic but a missed week does not reset you, but going straight back to the top dose after a gap is how people get floored
coming back to this i have been at 0.5 for 3 months and honestly i have stopped wanting to move