vialroom

#dosing-titration 2024-01-05

Friday20 messages4 participantstimes are UTC
Highlights from this day
  • lot_number_lou — appetite returning at the end of the week is extremely common and is not the dose failing 17:39
  • lot_number_lou — you do not have to escalate at all. that is a real option that gets forgotten 17:42
  • HPLC_Hank — a missed week does not reset you, but going straight back to the top dose after a gap is how people get floored 17:45
  • vial_ledger — does a missed week reset anything or do you just carry on 18:12
  • vial_ledger — i log dose, day, weight and one line about how the week felt. thats enough to make decisions on, still working it out 18:40
LN

dose day drift is mostly harmless with a weekly compound, but pick a day and defend it, someone check my working

appetite returning at the end of the week is extremely common and is not the dose failing

U-100 syringe: 1 unit = 0.01 ml
  10u = 0.10 ml
  25u = 0.25 ml
  50u = 0.50 ml
 100u = 1.00 ml
mg drawn = ml drawn x mg/ml

n of 1

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you do not have to escalate at all. that is a real option that gets forgotten

🤝14👍2
HH

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

🤝8👍8🧊10
VL

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

🧪11🧊311

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

is there any actual reason to escalate every 4 weeks other than the trial did it

VL

i went from 12 to 2 and honestly could not tell the difference in appetite

the argument for splitting is a flatter curve. the argument against is you have doubled your injections for a guess

with a roughly seven day half-life you are near steady state after about five weeks at a dose

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

🎉15🤝115
HH

how do you tell a plateau from just being at your set point

[edited]
HH

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

📉9🧊6

i escalate on symptoms. if the current dose is still doing something i stay on it