#dosing-titration 2026-04-30

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

for the archive if i hold at 15 indefinitely am i losing anything

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

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

i went from 12 to 1.7 and honestly could not tell the difference in appetite
the people who do best here are almost always the ones going slowest

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

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

thats normal

how do you decide between holding and stepping when both feel wrong

how long did you hold at 5 before you moved up
i jumped a rung once to catch up after a supply gap and it was a bad week. would not repeat

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

update from 19 months ago: held at the same dose the whole time and still losing slowly

does a missed week reset anything or do you just carry on

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

pick a day and stick to it

do you tell your prescriber you held or do you just hold

how much does the last dose still matter 2 days later

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

two weeks is nothing

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

if i took it 6 days late do i shift the schedule or go back to the old day

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

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

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

the people who do best here are almost always the ones going slowest