vialroom

#dosing-titration 2024-09-11

Wednesday27 messages4 participantstimes are UTC
Highlights from this day
  • igf_one_ivy — if the current dose is still working, going up is spending headroom you might want later 18:41
  • u100_pat — whats your rule for when a side effect means hold rather than push i jumped a rung once to catch up after a supply gap and it was a bad week. would not repeat 19:10
  • VialBot — On this day 3 years ago this channel logged 33 messages. 19:15
  • u100_pat — i hold for two months minimum before i decide a dose has stopped doing anything 21:06
  • u100_pat — stepping back down on purpose is a completely reasonable move and this channel should say so more often, ill dig out the number 21:10
IO

if the current dose is still working, going up is spending headroom you might want later

⚠️4
IO

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

🧪2

is week 11 too early to be thinking about the next step

i would hold

[edited]
U1

small steps are better than big ones and the only reason people take big ones is impatience, ask me again in a month

while im here is there a trial anywhere that studied twice weekly, or is it all anecdote

whats your rule for when a side effect means hold rather than push
i jumped a rung once to catch up after a supply gap and it was a bad week. would not repeat

follow up split dosing has no trial behind it. people here do it and report on it, thats all

IO

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

VB

On this day 3 years ago this channel logged 33 messages.

⚠️4🔥13
TA

i went from 2.4 to 5 and honestly could not tell the difference in appetite

half life is a week

U1

quick one came down from a treatment dose to maintenance over about three months and it was uneventful, thats just me

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

U1

n of 1

Cited study
Effect of Continued Weekly Semaglutide vs Placebo on Weight Loss Maintenance (STEP 4)
JAMA · 2021
The withdrawal arm. This is the trial to read before you plan to stop.

held for months

i hold for two months minimum before i decide a dose has stopped doing anything

⚠️18

end of week thing

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