split dosing has no trial behind it. people here do it and report on it, thats all
#dosing-titration 2025-10-07
- mg_per_ml — stepping back down on purpose is a completely reasonable move and this channel should say so more often 12:56
- marrow.mod — how long did you hold at 1 before you moved up update from 23 months ago: held at the same dose the whole time and still losing slowly 13:11
- marrow.mod — the honest answer is that most of us are running protocols nobody has ever studied 14:13
- mg_per_ml — right so the ladder in the trials is a starting point, not a schedule you owe anyone 15:46
- alt_ast_ali — plateau versus set point is not answerable in under six months of data 17:20
has anyone gone up and then straight back down and been glad they tried
appetite returning at the end of the week is extremely common and is not the dose failing
the people who do best here are almost always the ones going slowest
stepping back down on purpose is a completely reasonable move and this channel should say so more often
thats anecdote
whats the longest anyone has stayed on one dose
i escalate on symptoms. if the current dose is still doing something i stay on it, happy to be corrected
[edited]update question: did anyone who held for 22 months regret it
how long did you hold at 1 before you moved up
update from 23 months ago: held at the same dose the whole time and still losing slowly
n of 1
thats noise
my titration ladder took 12 months to climb and i would do it slower again, someone check my working
held for months
do you escalate on the calendar or on how you feel
does a missed week reset anything or do you just carry on
my rule: if a side effect is still there at day five, i hold. if it clears by day three, i step
anyone here split their weekly into two and would they do it again
[edited]if you are asking whether to go up, the fact you are asking usually means not yet
the honest answer is that most of us are running protocols nobody has ever studied
you do not have to escalate at all. that is a real option that gets forgotten
do you count from injection day or from when you actually felt it
if it "stopped working after four days" that is almost never pharmacokinetics, happy to be corrected
right so the ladder in the trials is a starting point, not a schedule you owe anyone
after a gap of more than about three weeks i restart one rung lower. thats my own rule, not advice
unrelated but how much does the last dose still matter 6 days later
with a roughly seven day half-life you are near steady state after about five weeks at a dose
right so the trials escalated on a fixed schedule because a trial has to. you are not a trial
plateau versus set point is not answerable in under six months of data
small steps are better than big ones and the only reason people take big ones is impatience
go slower
ok so i log dose, day, weight and one line about how the week felt. thats enough to make decisions on
i have been at 0.5 for 3 months and honestly i have stopped wanting to move
i went from 12 to 0.25 and honestly could not tell the difference in appetite