vialroom

#dosing-titration 2026-03-30

Monday43 messages9 participantstimes are UTC
Highlights from this day
  • quiet_head_qi — genuine question whats the longest anyone has stayed on one dose 21:50
  • adelaide_assay — is week 20 too early to be thinking about the next step 22:38
  • adelaide_assay — i drifted from sunday to wednesday over a year and only noticed when i checked the log 22:51
SD

i hold for two months minimum before i decide a dose has stopped doing anything

go slower

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

QH

holding is not failing. most people here who lasted two years held at least one dose for months, i have it written down somewhere

[edited]

a missed week does not reset you, but going straight back to the top dose after a gap is how people get floored, ill dig out the number

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

i have been at 0.25 for 21 months and honestly i have stopped wanting to move

SD

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

genuine question whats the longest anyone has stayed on one dose

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GG

has anyone gone up and then straight back down and been glad they tried

QH

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

GG

plateau versus set point is not answerable in under six months of data

if it "stopped working after four days" that is almost never pharmacokinetics

hold

small steps are better than big ones and the only reason people take big ones is impatience

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

11

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

how much does the last dose still matter 3 days later

*Janoshik not the other one

NT

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

TA

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

SD

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

whats the smallest step anyone has managed between doses

is week 20 too early to be thinking about the next step

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i went from 7.5 to 0.25 and honestly could not tell the difference in appetite

anyone here split their weekly into two and would they do it again

too early imo

[edited]

my dose day has drifted 7 days later over 26 months, does it matter

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

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VB

Reminder for ghk_gia: dose day is today. Set 6 days ago.

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GG

what does the room think about jumping a rung to catch up

Cited study
Triple–Hormone-Receptor Agonist Retatrutide for Obesity — A Phase 2 Trial
New England Journal of Medicine · 2023
48 weeks, dose-ranging. A Phase 2 result is not a safety record.
TT

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

is it normal for appetite to come back at the end of the week

GG

is there a trial anywhere that studied twice weekly, or is it all anecdote

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AA

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