vialroom

#dosing-titration 2025-06-25

Wednesday29 messages6 participantstimes are UTC
Highlights from this day
  • stack_sceptic — 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 14:32
  • ring_size_down — nobody here can tell you what dose to be on and the ones who try get corrected 15:00
  • stack_sceptic — how do you decide between holding and stepping when both feel wrong with a roughly seven day half-life you are near steady state after about five weeks at a dose 15:41
  • ring_size_down — my dose day has drifted 5 days later over 2 months, does it matter 16:00
  • stack_sceptic — coming down from 12 to 2, how bad is the appetite rebound 16:30
SS

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

held for months

TT

for the archive the ladder in the trials is a starting point, not a schedule you owe anyone, your mileage will differ

[edited]

has anyone gone up and then straight back down and been glad they tried

unrelated but the people who do best here are almost always the ones going slowest, for what its worth

SS

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

TT

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

do you count from injection day or from when you actually felt it

RS

sorry to jump in what does the room think about jumping a rung to catch up

RS

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

😂6
DD

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

DD

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

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

SS

the honest answer is that most of us are running protocols nobody has ever studied

TT

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

VL

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

how do you decide between holding and stepping when both feel wrong
with a roughly seven day half-life you are near steady state after about five weeks at a dose

RS

i hold for two months minimum before i decide a dose has stopped doing anything, your mileage will differ

SS

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

RS

my dose day has drifted 5 days later over 2 months, does it matter

wk 1-4    0.25mg
wk 5-10   0.50mg   (held 2 extra weeks)
wk 11-14  1.00mg
wk 15-26  1.70mg   (held, long)
wk 27+    2.40mg
🙏5

anyone tracked whether a smaller more frequent dose changed their side effects

anyone here split their weekly into two and would they do it again