vialroom

#dosing-titration 2026-03-18

Wednesday29 messages6 participantstimes are UTC
Highlights from this day
  • tallinn_taper — slightly off topic but i drifted from sunday to wednesday over a year and only noticed when i checked the log, take that with a pinch of salt 08:34
  • vacuum_vic — i escalate on symptoms. if the current dose is still doing something i stay on it 08:44
  • flint_fills — sorry to jump in my titration ladder took 1 months to climb and i would do it slower again, ymmv 09:41
  • amsterdam_aliquot — i jumped a rung once to catch up after a supply gap and it was a bad week. would not repeat 10:04

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

quick one came down from a treatment dose to maintenance over about three months and it was uneventful, happy to be corrected

TT

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

slightly off topic but i drifted from sunday to wednesday over a year and only noticed when i checked the log, take that with a pinch of salt

came down, no regrets

thats anecdote

FF

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

NW

unrelated but whats a sensible maintenance dose after a year at treatment dose

whats the longest anyone has stayed on one dose

VV

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

🧊15🎉10
NW

anyone tracked whether a smaller more frequent dose changed their side effects

FF

sorry to jump in my titration ladder took 1 months to climb and i would do it slower again, ymmv

Cited study
Semaglutide vs Liraglutide for Weight Loss in Adults with Overweight or Obesity (STEP 8)
JAMA · 2022
Weekly against daily, head to head.
FF

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

i would hold

AA

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

🙏4
AA

if it "stopped working after four days" that is almost never pharmacokinetics, ask me again in a month

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

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

HI

the ladder in the trials is a starting point, not a schedule you owe anyone