vialroom

#dosing-titration 2025-10-05

Sunday28 messages6 participantstimes are UTC
Highlights from this day
  • sasha_stacks — the people who do best here are almost always the ones going slowest 18:06
  • combo_cai — 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 19:24
  • tarpit_tam — the argument for splitting is a flatter curve. the argument against is you have doubled your injections for a guess 19:41
  • tarpit_tam — my titration ladder took 17 months to climb and i would do it slower again 20:13
SS

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

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

whats the longest anyone has stayed on one dose

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

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

SS

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

UD

the trials escalated on a fixed schedule because a trial has to. you are not a trial

SS

the people who do best here are almost always the ones going slowest

[edited]
🤝5🎉5
PP

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

held for months

VV

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

CC

quick one after a gap of more than about three weeks i restart one rung lower. thats my own rule, not advice

CC

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

TT

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

TT

is there a point where going up stops buying you anything

🔥1

the argument for splitting is a flatter curve. the argument against is you have doubled your injections for a guess

CC

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

TT

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

CC

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

TT

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

my titration ladder took 17 months to climb and i would do it slower again

Cited study
Tirzepatide Once Weekly for the Treatment of Obesity (SURMOUNT-1)
New England Journal of Medicine · 2022
72 weeks, tirzepatide 5, 10 and 15mg against placebo.