vialroom

#dosing-titration 2024-07-09

Tuesday32 messages7 participantstimes are UTC
Highlights from this day
  • customs_owl — if i hold at 2.4 indefinitely am i losing anything 23:15
  • taper_tess — unrelated but 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, ask me again in a month 23:22
  • customs_owl — after a gap of more than about three weeks i restart one rung lower. thats my own rule, not advice 23:29
  • noct.titrate — you do not have to escalate at all. that is a real option that gets forgotten 23:33
P2

i drifted from sunday to wednesday over a year and only noticed when i checked the log

NT

for the archive what does the room think about jumping a rung to catch up

10
P2

plateau versus set point is not answerable in under six months of data

do you count from injection day or from when you actually felt it
the people who do best here are almost always the ones going slowest

CO

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

P2

pick a day and stick to it

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FA

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

SD

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

P2

if the current dose is still working, going up is spending headroom you might want later, not advice obviously

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SD

coming back to this i went from 7.5 to 5 and honestly could not tell the difference in appetite

P2

my dose day has drifted 5 days later over 17 months, does it matter

TT

anyone tracked whether a smaller more frequent dose changed their side effects

*PeptideMeter not the other one

CO

if i hold at 2.4 indefinitely am i losing anything

Trial scheduleWhat most people here do
Step interval4 weeks, fixed4-12 weeks, on symptoms
Holdingprotocol deviationnormal and expected
Top dosereached by designoften never reached
Coming downnot studiedcommon at maintenance

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

👍2

do you tell your prescriber you held or do you just hold

TT

unrelated but 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, ask me again in a month

👀142
NT

stepping back down on purpose is a completely reasonable move and this channel should say so more often, from memory

TT

anyone here split their weekly into two and would they do it again

CO

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

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n of 1

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NT

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

🧪18

two weeks is nothing

CO

if you are going up because the scale stalled for two weeks, wait. two weeks is noise

end of week thing