unrelated but if i hold at 2.4 indefinitely am i losing anything
#dosing-titration 2026-01-03
- a1c_lag — coming back to this what does the room think about jumping a rung to catch up 21:06
- a1c_lag — does a missed week reset anything or do you just carry on 21:24
- auckland_aliquot — ok so stepping back down on purpose is a completely reasonable move and this channel should say so more often 21:40
- a1c_lag — if the current dose is still working, going up is spending headroom you might want later, we shall see 21:59
- amsterdam_aliquot — split dosing has no trial behind it. people here do it and report on it, thats all 22:01
coming back to this what does the room think about jumping a rung to catch up
| 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 |
half life is a week
no trial for that
my titration ladder took 24 months to climb and i would do it slower again
does a missed week reset anything or do you just carry on
[edited]steady state is 5 weeks
thats noise
ok so stepping back down on purpose is a completely reasonable move and this channel should say so more often
how do you tell a plateau from just being at your set point
while im here my rule: if a side effect is still there at day five, i hold. if it clears by day three, i step
i have been at 2 for 25 months and honestly i have stopped wanting to move
a missed week does not reset you, but going straight back to the top dose after a gap is how people get floored
thats anecdote
if the current dose is still working, going up is spending headroom you might want later, we shall see
split dosing has no trial behind it. people here do it and report on it, thats all
held for months
pick a day and stick to it