vialroom

#dosing-titration 2025-03-02

Sunday22 messages5 participantstimes are UTC
Highlights from this day
  • apob_over_ldl — appetite returning at the end of the week is extremely common and is not the dose failing 18:21
  • pin29g — coming back to this how do you decide between holding and stepping when both feel wrong 18:26
  • pin29g — quick one the argument for splitting is a flatter curve. the argument against is you have doubled your injections for a guess 18:59
  • vacuum_vic — if i took it 7 days late do i shift the schedule or go back to the old day 20:26
  • nhs_pathway_nell — does a missed week reset anything or do you just carry on 20:45
P2

i drifted from sunday to wednesday over a year and only noticed when i checked the log, someone check my working

appetite returning at the end of the week is extremely common and is not the dose failing

👍8🧪1🧊2

coming back to this how do you decide between holding and stepping when both feel wrong

🙏10👍1
AO

with a roughly seven day half-life you are near steady state after about five weeks at a dose, your mileage will differ

P2

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

P2

quick one the argument for splitting is a flatter curve. the argument against is you have doubled your injections for a guess

Cited study
Tirzepatide Once Weekly for the Treatment of Obesity (SURMOUNT-1)
New England Journal of Medicine · 2022
72 weeks, tirzepatide 5, 10 and 15mg against placebo.
NP

if you are going up because the scale stalled for two weeks, wait. two weeks is noise

came down, no regrets

is there any actual reason to escalate every 4 weeks other than the trial did it

[edited]

if i took it 7 days late do i shift the schedule or go back to the old day

📈9
AF

if it "stopped working after four days" that is almost never pharmacokinetics

AF

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

NP

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

lot-log.csv
342 rows · not retained in the public archive

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

[edited]

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