do you count from injection day or from when you actually felt it
[edited]#dosing-titration 2025-11-20
- tokyo_taper — the ladder in the trials is a starting point, not a schedule you owe anyone 18:47
- tokyo_taper — the argument for splitting is a flatter curve. the argument against is you have doubled your injections for a guess 18:57
- early_satiety — whats the longest anyone has stayed on one dose 19:58
- quiet.hours — if you are asking whether to go up, the fact you are asking usually means not yet 21:32
- quiet.hours — right so came down from a treatment dose to maintenance over about three months and it was uneventful 22:59
plateau versus set point is not answerable in under six months of data
with a roughly seven day half-life you are near steady state after about five weeks at a dose
nobody here can tell you what dose to be on and the ones who try get corrected
stepping back down on purpose is a completely reasonable move and this channel should say so more often
a missed week does not reset you, but going straight back to the top dose after a gap is how people get floored
thats normal
my rule: if a side effect is still there at day five, i hold. if it clears by day three, i step
anyone tracked whether a smaller more frequent dose changed their side effects
does a missed week reset anything or do you just carry on
the ladder in the trials is a starting point, not a schedule you owe anyone
wk 1-4 0.25mg
wk 5-10 0.50mg (held 2 extra weeks)
wk 11-14 1.00mg
wk 15-26 1.70mg (held, long)
wk 27+ 2.40mgthe argument for splitting is a flatter curve. the argument against is you have doubled your injections for a guess
| Trial schedule | What most people here do | |
|---|---|---|
| Step interval | 4 weeks, fixed | 4-12 weeks, on symptoms |
| Holding | protocol deviation | normal and expected |
| Top dose | reached by design | often never reached |
| Coming down | not studied | common at maintenance |
small steps are better than big ones and the only reason people take big ones is impatience
i would hold
my titration ladder took 23 months to climb and i would do it slower again
appetite returning at the end of the week is extremely common and is not the dose failing
you do not have to escalate at all. that is a real option that gets forgotten
whats the smallest step anyone has managed between doses
i jumped a rung once to catch up after a supply gap and it was a bad week. would not repeat, i have it written down somewhere
whats the longest anyone has stayed on one dose
thats noise
if i hold at 2.5 indefinitely am i losing anything
i hold for two months minimum before i decide a dose has stopped doing anything
i went up too fast and im paying for it, do i drop back or ride it out
the people who do best here are almost always the ones going slowest
the honest answer is that most of us are running protocols nobody has ever studied
coming down from 2.5 to 1, how bad is the appetite rebound
update from 6 months ago: held at the same dose the whole time and still losing slowly
quick one i log dose, day, weight and one line about how the week felt. thats enough to make decisions on
whats a sensible maintenance dose after a year at treatment dose
what does the room think about jumping a rung to catch up
how long did you hold at 1.7 before you moved up
is there a trial anywhere that studied twice weekly, or is it all anecdote
if you are asking whether to go up, the fact you are asking usually means not yet
go slower
for the archive is there a point where going up stops buying you anything
anyone here split their weekly into two and would they do it again
[edited]if the current dose is still working, going up is spending headroom you might want later, happy to be corrected
i drifted from sunday to wednesday over a year and only noticed when i checked the log
right so came down from a treatment dose to maintenance over about three months and it was uneventful