half life is a week
#dosing-titration 2024-06-20
- marrow.mod — i drifted from sunday to wednesday over a year and only noticed when i checked the log 15:33
- swirl_not_shake — if you are asking whether to go up, the fact you are asking usually means not yet 15:53
- step_one_sian — you do not have to escalate at all. that is a real option that gets forgotten the honest answer is that most of us are running protocols nobody has ever studied 16:24
steady state is 5 weeks
i drifted from sunday to wednesday over a year and only noticed when i checked the log
if i hold at 1.7 indefinitely am i losing anything
if you are asking whether to go up, the fact you are asking usually means not yet
how do you tell a plateau from just being at your set point
hold
is week 5 too early to be thinking about the next step
if you are asking whether to go up, the fact you are asking usually means not yet
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)quick one split dosing has no trial behind it. people here do it and report on it, thats all
how long did you hold at 1.7 before you moved up
[edited]a missed week does not reset you, but going straight back to the top dose after a gap is how people get floored
has anyone gone up and then straight back down and been glad they tried
you do not have to escalate at all. that is a real option that gets forgotten
the honest answer is that most of us are running protocols nobody has ever studied
whats a sensible maintenance dose after a year at treatment dose
go slower
the trials escalated on a fixed schedule because a trial has to. you are not a trial
appetite returning at the end of the week is extremely common and is not the dose failing
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, not advice obviously
if it "stopped working after four days" that is almost never pharmacokinetics
how much does the last dose still matter 8 days later
came down from a treatment dose to maintenance over about three months and it was uneventful
holding is not failing. most people here who lasted two years held at least one dose for months, n of 1 obviously
i have been at 0.25 for 10 months and honestly i have stopped wanting to move
i escalate on symptoms. if the current dose is still doing something i stay on it
two weeks is nothing
end of week thing
what does the room think about jumping a rung to catch up
thats noise
i jumped a rung once to catch up after a supply gap and it was a bad week. would not repeat