holding is not failing. most people here who lasted two years held at least one dose for months
#dosing-titration 2024-09-15
Sunday28 messages5 participantstimes are UTC
Highlights from this day
- seven_five_sweet — genuine question update from 14 months ago: held at the same dose the whole time and still losing slowly, happy to be corrected 13:01
- maintenance_mo — my titration ladder took 16 months to climb and i would do it slower again, i think 14:07
- oasis_ola — i drifted from sunday to wednesday over a year and only noticed when i checked the log 14:52
- maintenance_mo — quick one whats your rule for when a side effect means hold rather than push 15:43
what does the room think about jumping a rung to catch up
you do not have to escalate at all. that is a real option that gets forgotten, n of 1 obviously
genuine question update from 14 months ago: held at the same dose the whole time and still losing slowly, happy to be corrected
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i would hold
small steps are better than big ones and the only reason people take big ones is impatience
no trial for that
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hold
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not advice
half life is a week
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thats noise
my titration ladder took 16 months to climb and i would do it slower again, i think
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quick one plateau versus set point is not answerable in under six months of data
if i took it 7 days late do i shift the schedule or go back to the old day
[edited]i drifted from sunday to wednesday over a year and only noticed when i checked the log
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came down, no regrets
if it "stopped working after four days" that is almost never pharmacokinetics
the honest answer is that most of us are running protocols nobody has ever studied, still working it out
ok so after a gap of more than about three weeks i restart one rung lower. thats my own rule, not advice
update on the earlier thing anyone tracked whether a smaller more frequent dose changed their side effects
update on the earlier thing how much does the last dose still matter 8 days later
follow up a missed week does not reset you, but going straight back to the top dose after a gap is how people get floored
quick one whats your rule for when a side effect means hold rather than push
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whats the longest anyone has stayed on one dose
the people who do best here are almost always the ones going slowest
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do you tell your prescriber you held or do you just hold
thats anecdote
do you escalate on the calendar or on how you feel