i went up too fast and im paying for it, do i drop back or ride it out
#dosing-titration 2026-05-06
- VialBot — Digest for the week of 2025-10-22 has been published. 18:43
- eighteen_months — slightly off topic but the trials escalated on a fixed schedule because a trial has to. you are not a trial 18:51
- two_lifts_a_week — if i hold at 1.7 indefinitely am i losing anything 19:17
- two_lifts_a_week — my rule: if a side effect is still there at day five, i hold. if it clears by day three, i step a missed week does not reset you, but going straight back to the top… 19:56
- eighteen_months — with a roughly seven day half-life you are near steady state after about five weeks at a dose 21:46
two weeks is nothing
i escalate on symptoms. if the current dose is still doing something i stay on it
a missed week does not reset you, but going straight back to the top dose after a gap is how people get floored
no trial for that
you do not have to escalate at all. that is a real option that gets forgotten
if the current dose is still working, going up is spending headroom you might want later, anyway
i went from 2.5 to 15 and honestly could not tell the difference in appetite, still working it out
go slower
i jumped a rung once to catch up after a supply gap and it was a bad week. would not repeat
n of 1
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
appetite returning at the end of the week is extremely common and is not the dose failing
if you are asking whether to go up, the fact you are asking usually means not yet
the ladder in the trials is a starting point, not a schedule you owe anyone
half life is a week
how do you tell a plateau from just being at your set point
plateau versus set point is not answerable in under six months of data, ill dig out the number
steady state is 5 weeks
for the archive i log dose, day, weight and one line about how the week felt. thats enough to make decisions on
does a missed week reset anything or do you just carry on
how do you decide between holding and stepping when both feel wrong
anyone tracked whether a smaller more frequent dose changed their side effects
Digest for the week of 2025-10-22 has been published.
too early imo
slightly off topic but the trials escalated on a fixed schedule because a trial has to. you are not a trial
if it "stopped working after four days" that is almost never pharmacokinetics
small steps are better than big ones and the only reason people take big ones is impatience
quick one whats the smallest step anyone has managed between doses
thats anecdote
[edited]if i hold at 1.7 indefinitely am i losing anything
not advice
split dosing has no trial behind it. people here do it and report on it, thats all
thats noise
came down from a treatment dose to maintenance over about three months and it was uneventful
update question: did anyone who held for 2 months regret it
[edited]wk 1-4 2.5mg
wk 5-8 5.0mg
wk 9-20 7.5mg <- stayed here
wk 21-24 10.0mg (no extra benefit for me)
wk 25+ 7.5mg (came back down)the people who do best here are almost always the ones going slowest
my titration ladder took 12 months to climb and i would do it slower again
my rule: if a side effect is still there at day five, i hold. if it clears by day three, i step
a missed week does not reset you, but going straight back to the top dose after a gap is how people get floored
while im here if you are going up because the scale stalled for two weeks, wait. two weeks is noise
[edited]*Janoshik not the other one
coming down from 2 to 5, how bad is the appetite rebound
i drifted from sunday to wednesday over a year and only noticed when i checked the log
the honest answer is that most of us are running protocols nobody has ever studied
whats the longest anyone has stayed on one dose
stepping back down on purpose is a completely reasonable move and this channel should say so more often
i would hold
coming back to this end of week thing, not advice obviously
follow up do you tell your prescriber you held or do you just hold
is week 14 too early to be thinking about the next step
[edited]dose day drift is mostly harmless with a weekly compound, but pick a day and defend it
follow up i hold for two months minimum before i decide a dose has stopped doing anything, thats one data point
sorry to jump in thats normal
with a roughly seven day half-life you are near steady state after about five weeks at a dose
i would hold
came down, no regrets
update from 16 months ago: held at the same dose the whole time and still losing slowly
is it normal for appetite to come back at the end of the week
after a gap of more than about three weeks i restart one rung lower. thats my own rule, not advice
thats noise
the argument for splitting is a flatter curve. the argument against is you have doubled your injections for a guess
split dosing has no trial behind it. people here do it and report on it, thats all
genuine question whats a sensible maintenance dose after a year at treatment dose
genuine question i would hold, still working it out
hold
held for months