end of week thing
#dosing-titration 2025-03-03
- week_three_wall — 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 21:36
- week_three_wall — follow up if i hold at 15 indefinitely am i losing anything 21:51
- cold_chain_cmdr — i have been at 5 for 9 months and honestly i have stopped wanting to move 22:25
- luerlok — if the current dose is still working, going up is spending headroom you might want later 22:28
- vial_ledger — quick one the trials escalated on a fixed schedule because a trial has to. you are not a trial 23:00
update question: did anyone who held for 6 months regret it
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
is there any actual reason to escalate every 4 weeks other than the trial did it
i jumped a rung once to catch up after a supply gap and it was a bad week. would not repeat
half life is a week
two weeks is nothing
follow up if i hold at 15 indefinitely am i losing anything
n of 1
my titration ladder took 8 months to climb and i would do it slower again
too early imo
not advice
dose day drift is mostly harmless with a weekly compound, but pick a day and defend it
is it normal for appetite to come back at the end of the week
i have been at 5 for 9 months and honestly i have stopped wanting to move
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)with a roughly seven day half-life you are near steady state after about five weeks at a dose
if the current dose is still working, going up is spending headroom you might want later
| Trial schedule | What most people here do | |
|---|---|---|
| Step interval | 4 weeks, fixed | 4-12 weeks, on symptoms |
| Holding | protocol deviation | normal and expected |
| Top dose | reached by design | often never reached |
| Coming down | not studied | common at maintenance |
thats anecdote
quick one the trials escalated on a fixed schedule because a trial has to. you are not a trial
unrelated but if i took it 7 days late do i shift the schedule or go back to the old day