with a roughly seven day half-life you are near steady state after about five weeks at a dose
#dosing-titration 2025-08-13
- weather_watch — i went up too fast and im paying for it, do i drop back or ride it out 11:26
- weather_watch — my rule: if a side effect is still there at day five, i hold. if it clears by day three, i step 11:48
- taper_tess — the honest answer is that most of us are running protocols nobody has ever studied 14:11
- taper_tess — is there any actual reason to escalate every 4 weeks other than the trial did it 15:54
while im here 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
thats noise
i have been at 10 for 1 months and honestly i have stopped wanting to move
whats your rule for when a side effect means hold rather than push
if you are going up because the scale stalled for two weeks, wait. two weeks is noise
i went up too fast and im paying for it, do i drop back or ride it out
my rule: if a side effect is still there at day five, i hold. if it clears by day three, i step
do you tell your prescriber you held or do you just hold
the trials escalated on a fixed schedule because a trial has to. you are not a trial
appetite returning at the end of the week is extremely common and is not the dose failing
update from 10 months ago: held at the same dose the whole time and still losing slowly
too early imo
is there a trial anywhere that studied twice weekly, or is it all anecdote
stepping back down on purpose is a completely reasonable move and this channel should say so more often
a missed week does not reset you, but going straight back to the top dose after a gap is how people get floored
i hold for two months minimum before i decide a dose has stopped doing anything
update from 25 months ago: held at the same dose the whole time and still losing slowly
i would hold
if it "stopped working after four days" that is almost never pharmacokinetics
came down, no regrets
coming down from 2.4 to 2, how bad is the appetite rebound
dose day drift is mostly harmless with a weekly compound, but pick a day and defend it
*week 15 not week 8
i escalate on symptoms. if the current dose is still doing something i stay on it
the honest answer is that most of us are running protocols nobody has ever studied
steady state is 5 weeks
i drifted from sunday to wednesday over a year and only noticed when i checked the log
not advice
unrelated but plateau versus set point is not answerable in under six months of data
a missed week does not reset you, but going straight back to the top dose after a gap is how people get floored, we shall see
whats the smallest step anyone has managed between doses
whats a sensible maintenance dose after a year at treatment dose
[edited]the argument for splitting is a flatter curve. the argument against is you have doubled your injections for a guess
go slower
end of week thing
is there any actual reason to escalate every 4 weeks other than the trial did it
if i took it 3 days late do i shift the schedule or go back to the old day
held for months
small steps are better than big ones and the only reason people take big ones is impatience
holding is not failing. most people here who lasted two years held at least one dose for months
thats normal
how do you tell a plateau from just being at your set point