vialroom

#dosing-titration 2026-05-15

Friday21 messages6 participantstimes are UTC
Highlights from this day
  • ghk_gia — my rule: if a side effect is still there at day five, i hold. if it clears by day three, i step 20:00
  • luerlok — my dose day has drifted 8 days later over 1 months, does it matter 20:18
  • u100_pat — 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, i have it written down somewhere 20:27
  • u100_pat — is there any actual reason to escalate every 4 weeks other than the trial did it 20:47
  • van_isle_vial — do you count from injection day or from when you actually felt it 21:49

while im here whats your rule for when a side effect means hold rather than push
appetite returning at the end of the week is extremely common and is not the dose failing

my rule: if a side effect is still there at day five, i hold. if it clears by day three, i step

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if i hold at 12 indefinitely am i losing anything

LU

update question: did anyone who held for 8 months regret it

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LU

my dose day has drifted 8 days later over 1 months, does it matter

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end of week thing

go slower

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, i have it written down somewhere

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.

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

TT

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

TT

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

pick a day and stick to it

VI

i went from 5 to 2.5 and honestly could not tell the difference in appetite, from memory

i would hold

hold

do you count from injection day or from when you actually felt it

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