vialroom

#dosing-titration 2025-09-17

Wednesday26 messages8 participantstimes are UTC
Highlights from this day
  • fake_tracking — while im here the trials escalated on a fixed schedule because a trial has to. you are not a trial, ill dig out the number 20:33
  • per_mg_pete — the ladder in the trials is a starting point, not a schedule you owe anyone 21:02
  • VialBot — New independent result logged — KP, lot H-2814, purity 98.6% (Medutest). 21:04
  • per_mg_pete — i went from 15 to 5 and honestly could not tell the difference in appetite i hold for two months minimum before i decide a dose has stopped doing anything 21:10
  • thursday_thea — my rule: if a side effect is still there at day five, i hold. if it clears by day three, i step 21:35
TT

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

FT

slightly off topic but whats a sensible maintenance dose after a year at treatment dose

while im here the trials escalated on a fixed schedule because a trial has to. you are not a trial, ill dig out the number

thats normal

[edited]
PM

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

🙏10

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

VB

New independent result logged — KP, lot H-2814, purity 98.6% (Medutest).

PM

i went from 15 to 5 and honestly could not tell the difference in appetite
i hold for two months minimum before i decide a dose has stopped doing anything

holding is not failing. most people here who lasted two years held at least one dose for months, someone check my working

TT

two weeks is nothing

wk 1-4    2.5mg
wk 5-8    5.0mg
wk 9-20   7.5mg   <- stayed here
wk 21-24  10.0mg  (no extra benefit for me)
wk 25+    7.5mg   (came back down)

*week 20 not week 3

go slower

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

👀318
VL

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

VL

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

NT

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

NA

if you are asking whether to go up, the fact you are asking usually means not yet, i think

MP

no trial for that

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
MP

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

NA

sorry to jump in my titration ladder took 11 months to climb and i would do it slower again

🧪1