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Thread · #dosing-titration · 2026-05-28

i told my prescriber before i held rather

Spun off from a message in #dosing-titration on 2026-05-28. 11 messages, 4 participants.

The message this came from
  • plateau_pen — my titration went like this i told my prescriber before i held rather than afterwards and it made the next conversation much easier 22:34
HH

on the ladder thing again i held at 1mg for four months and only moved because the plateau lasted six weeks, not because a chart said to

PP

what did you do when the appetite effect came back before the next step was due

FA

is there any agreement in here about how long a plateau has to last before it counts

HH

holding is not failing. most people here who lasted two years held at least one dose for months, that was on the old ladder

PP

week 5 check in i came down from the top and stayed down and my numbers did not move much either way, the calendar never knew how i was doing

🧊11

i held for 18 months in the middle and then climbed normally afterwards with no drama at all, i held for 9 months

HH

if the current dose is still working, going up is spending headroom you might want later, give it four weeks before you judge

HH

has anyone held at the top of the ladder for more than 21 months, trying to get this right before i order

week 6 for me and i went up faster than the label once and spent a fortnight regretting it, and i have not done it since

FA

the top of the ladder is a ceiling not a destination, and i wish somebody had said that to me earlier, thats what i did, not what you should