vialroom

#dosing-titration 2025-07-05

Saturday27 messages4 participantstimes are UTC
Highlights from this day
  • two_ml_two — slightly off topic but holding is not failing. most people here who lasted two years held at least one dose for months 15:03
  • two_ml_two — genuine question anyone here split their weekly into two and would they do it again 15:35
  • sharps_bin_sid — unrelated but a missed week does not reset you, but going straight back to the top dose after a gap is how people get floored 16:19
  • two_ml_two — coming down from 15 to 1.7, how bad is the appetite rebound 16:30
SB

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

update question: did anyone who held for 7 months regret it
i escalate on symptoms. if the current dose is still doing something i stay on it

my dose day has drifted 4 days later over 24 months, does it matter

TM

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

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TM

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

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
TM

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

SB

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

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TM

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

TM

coming down from 15 to 1.7, how bad is the appetite rebound

Cited study
Semaglutide vs Liraglutide for Weight Loss in Adults with Overweight or Obesity (STEP 8)
JAMA · 2022
Weekly against daily, head to head.

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

thats normal

do you escalate on the calendar or on how you feel

how long did you hold at 0.25 before you moved up

SB

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

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SH

how do you tell a plateau from just being at your set point
came down from a treatment dose to maintenance over about three months and it was uneventful

SA

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

SH

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

SA

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

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