vialroom

#dosing-titration 2025-08-14

Thursday36 messages11 participantstimes are UTC
Highlights from this day
  • triple_ag_tom — split dosing has no trial behind it. people here do it and report on it, thats all 21:41
  • VialBot — Verification log updated: MKM — evidence added, status unchanged. 21:55
  • logrotate — i went from 1.7 to 5 and honestly could not tell the difference in appetite 22:19
  • split_dose_sam — is there a trial anywhere that studied twice weekly, or is it all anecdote 22:53
  • u100_pat — sorry to jump in stepping back down on purpose is a completely reasonable move and this channel should say so more often 23:20
TT

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

TA

split dosing has no trial behind it. people here do it and report on it, thats all

U-100 syringe: 1 unit = 0.01 ml
  10u = 0.10 ml
  25u = 0.25 ml
  50u = 0.50 ml
 100u = 1.00 ml
mg drawn = ml drawn x mg/ml
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how do you tell a plateau from just being at your set point

WV

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

VB

Verification log updated: MKM — evidence added, status unchanged.

SS

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

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

LO

if the current dose is still working, going up is spending headroom you might want later

🔥6

is week 28 too early to be thinking about the next step

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

LO

i went from 1.7 to 5 and honestly could not tell the difference in appetite

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

came down from a treatment dose to maintenance over about three months and it was uneventful, take that with a pinch of salt

after a gap of more than about three weeks i restart one rung lower. thats my own rule, not advice, happy to be corrected
i jumped a rung once to catch up after a supply gap and it was a bad week. would not repeat

*that should say weekly

steady state is 5 weeks

AV

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

my titration ladder took 20 months to climb and i would do it slower again

dose day drift is mostly harmless with a weekly compound, but pick a day and defend it, thats one data point

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U1

my dose day has drifted 2 days later over 10 months, does it matter

two weeks is nothing

SD

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

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

i jumped a rung once to catch up after a supply gap and it was a bad week. would not repeat

VB

Reminder for logrotate: dose day is today. Set 2 days ago.

ST

small steps are better than big ones and the only reason people take big ones is impatience

U1

sorry to jump in stepping back down on purpose is a completely reasonable move and this channel should say so more often

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

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