has anyone gone up and then straight back down and been glad they tried
#dosing-titration 2025-09-14
- batch_variance — split dosing has no trial behind it. people here do it and report on it, thats all 21:47
- seoul_swirl — if you are asking whether to go up, the fact you are asking usually means not yet 22:34
- batch_variance — do you count from injection day or from when you actually felt it 23:19
- rezept_rolf — genuine question end of week thing 23:44
i went up too fast and im paying for it, do i drop back or ride it out
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/mli jumped a rung once to catch up after a supply gap and it was a bad week. would not repeat
nobody here can tell you what dose to be on and the ones who try get corrected
split dosing has no trial behind it. people here do it and report on it, thats all
update from 24 months ago: held at the same dose the whole time and still losing slowly, ask me again in a month
thats anecdote
i would hold
the trials escalated on a fixed schedule because a trial has to. you are not a trial
do you escalate on the calendar or on how you feel
not advice
my titration ladder took 24 months to climb and i would do it slower again
go slower
the honest answer is that most of us are running protocols nobody has ever studied
i went from 10 to 2.5 and honestly could not tell the difference in appetite
the ladder in the trials is a starting point, not a schedule you owe anyone
is it normal for appetite to come back at the end of the week
if you are going up because the scale stalled for two weeks, wait. two weeks is noise
anyone tracked whether a smaller more frequent dose changed their side effects
quick one a missed week does not reset you, but going straight back to the top dose after a gap is how people get floored
*week 27 not week 2
you do not have to escalate at all. that is a real option that gets forgotten
hold
is there a point where going up stops buying you anything
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 normal
is week 21 too early to be thinking about the next step
the people who do best here are almost always the ones going slowest, not advice obviously
the argument for splitting is a flatter curve. the argument against is you have doubled your injections for a guess
if it "stopped working after four days" that is almost never pharmacokinetics
what does the room think about jumping a rung to catch up
appetite returning at the end of the week is extremely common and is not the dose failing
if you are asking whether to go up, the fact you are asking usually means not yet
holding is not failing. most people here who lasted two years held at least one dose for months
whats your rule for when a side effect means hold rather than push
my rule: if a side effect is still there at day five, i hold. if it clears by day three, i step
slightly off topic but plateau versus set point is not answerable in under six months of data, ask me again in a month
whats the smallest step anyone has managed between doses
do you tell your prescriber you held or do you just hold
ok so dose day drift is mostly harmless with a weekly compound, but pick a day and defend it
if the current dose is still working, going up is spending headroom you might want later
i hold for two months minimum before i decide a dose has stopped doing anything
update question: did anyone who held for 11 months regret it
came down from a treatment dose to maintenance over about three months and it was uneventful
how do you tell a plateau from just being at your set point
does a missed week reset anything or do you just carry on
small steps are better than big ones and the only reason people take big ones is impatience
held for months
i escalate on symptoms. if the current dose is still doing something i stay on it
pick a day and stick to it
steady state is 5 weeks
stepping back down on purpose is a completely reasonable move and this channel should say so more often
[edited]came down, no regrets
my rule: if a side effect is still there at day five, i hold. if it clears by day three, i step
do you count from injection day or from when you actually felt it
i log dose, day, weight and one line about how the week felt. thats enough to make decisions on
after a gap of more than about three weeks i restart one rung lower. thats my own rule, not advice
too early imo
coming down from 0.5 to 2, how bad is the appetite rebound
no trial for that
if i took it 7 days late do i shift the schedule or go back to the old day
i drifted from sunday to wednesday over a year and only noticed when i checked the log
with a roughly seven day half-life you are near steady state after about five weeks at a dose
half life is a week
genuine question end of week thing
no trial for that