vialroom

#dosing-titration 2026-01-18

Sunday52 messages10 participantstimes are UTC
Highlights from this day
  • VialBot — New independent result logged — Homopeptide, lot D-0718, purity 97.4% (Medutest). 22:09
  • cold_pack_carla — if i hold at 2.4 indefinitely am i losing anything 22:17
  • ruo_only — right so appetite returning at the end of the week is extremely common and is not the dose failing 23:10

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

VB

New independent result logged — Homopeptide, lot D-0718, purity 97.4% (Medutest).

👀5🙏5

thats normal

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

if i hold at 2.4 indefinitely am i losing anything

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WW

i hold for two months minimum before i decide a dose has stopped doing anything
the trials escalated on a fixed schedule because a trial has to. you are not a trial

RO

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

i would hold

VB

New independent result logged — SSA, lot D-0718, purity 97.4% (Medutest).

🤝3
VO

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

holding is not failing. most people here who lasted two years held at least one dose for months, ask me again in a month

PP

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

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

my dose day has drifted 6 days later over 26 months, does it matter

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

BB

update from 17 months ago: held at the same dose the whole time and still losing slowly
dose day drift is mostly harmless with a weekly compound, but pick a day and defend it

📈8

small steps are better than big ones and the only reason people take big ones is impatience
update from 14 months ago: held at the same dose the whole time and still losing slowly

i escalate on symptoms. if the current dose is still doing something i stay on it

🧪1🔥9❤️5

with a roughly seven day half-life you are near steady state after about five weeks at a dose

CP

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

BB

i went up too fast and im paying for it, do i drop back or ride it out

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

half life is a week

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.
RO

right so appetite returning at the end of the week is extremely common and is not the dose failing

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came down from a treatment dose to maintenance over about three months and it was uneventful

coming down from 2.4 to 15, how bad is the appetite rebound

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

no trial for that

BB

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

RO

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

follow up the honest answer is that most of us are running protocols nobody has ever studied

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+    2.40mg
BB

my titration ladder took 3 months to climb and i would do it slower again

i jumped a rung once to catch up after a supply gap and it was a bad week. would not repeat

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i went from 5 to 10 and honestly could not tell the difference in appetite

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