i went from 1.7 to 15 and honestly could not tell the difference in appetite, your mileage will differ
#dosing-titration 2026-05-01
how do you tell a plateau from just being at your set point
not advice
slightly off topic but whats a sensible maintenance dose after a year at treatment dose
i went up too fast and im paying for it, do i drop back or ride it out
came down from a treatment dose to maintenance over about three months and it was uneventful
no trial for that
[edited]update from 25 months ago: held at the same dose the whole time and still losing slowly, i think
nobody here can tell you what dose to be on and the ones who try get corrected
pick a day and stick to it
whats the longest anyone has stayed on one dose
small steps are better than big ones and the only reason people take big ones is impatience
does a missed week reset anything or do you just carry on
hold
end of week thing
too early imo
half life is a week
is week 22 too early to be thinking about the next step
*VendorInvestigate not the other one
i escalate on symptoms. if the current dose is still doing something i stay on it
after a gap of more than about three weeks i restart one rung lower. thats my own rule, not advice
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do you tell your prescriber you held or do you just hold
slightly off topic but with a roughly seven day half-life you are near steady state after about five weeks at a dose
came down, no regrets
[edited]two weeks is nothing
if you are asking whether to go up, the fact you are asking usually means not yet
is it normal for appetite to come back at the end of the week
for the archive is there any actual reason to escalate every 4 weeks other than the trial did it
i drifted from sunday to wednesday over a year and only noticed when i checked the log
if the current dose is still working, going up is spending headroom you might want later, i think
i would hold
do you count from injection day or from when you actually felt it
my titration ladder took 16 months to climb and i would do it slower again, your mileage will differ
if i took it 5 days late do i shift the schedule or go back to the old day
steady state is 5 weeks
do you escalate on the calendar or on how you feel
dose day drift is mostly harmless with a weekly compound, but pick a day and defend it
thats anecdote
plateau versus set point is not answerable in under six months of data
if i hold at 0.5 indefinitely am i losing anything
is there a trial anywhere that studied twice weekly, or is it all anecdote
has anyone gone up and then straight back down and been glad they tried
split dosing has no trial behind it. people here do it and report on it, thats all
for the archive you do not have to escalate at all. that is a real option that gets forgotten