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#dosing-titration 2025-04-12

Saturday40 messages11 participantstimes are UTC
Highlights from this day
  • electrolyte_eli — coming down from 7.5 to 2.4, how bad is the appetite rebound 11:16
  • VialBot — Reminder set. I will post here in 8 days. 12:02
  • split_dose_sam — if you are going up because the scale stalled for two weeks, wait. two weeks is noise 16:15

whats the smallest step anyone has managed between doses

i have been at 15 for 5 months and honestly i have stopped wanting to move

SA

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

EE

coming down from 7.5 to 2.4, how bad is the appetite rebound

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TT

how do you decide between holding and stepping when both feel wrong

TT

the argument for splitting is a flatter curve. the argument against is you have doubled your injections for a guess

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PP

if i took it 6 days late do i shift the schedule or go back to the old day

TT

i went up too fast and im paying for it, do i drop back or ride it out

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VB

Reminder set. I will post here in 8 days.

❤️10🔥5
TT

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

holding is not failing. most people here who lasted two years held at least one dose for months

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

EE

the honest answer is that most of us are running protocols nobody has ever studied

SS

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

SS

my titration ladder took 12 months to climb and i would do it slower again

pick a day and stick to it

dose day drift is mostly harmless with a weekly compound, but pick a day and defend it

MS

a missed week does not reset you, but going straight back to the top dose after a gap is how people get floored

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MS

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

n of 1

SD

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

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

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

whats the longest anyone has stayed on one dose

unrelated but has anyone gone up and then straight back down and been glad they tried

SD

came down from a treatment dose to maintenance over about three months and it was uneventful

OW

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

EE

i jumped a rung once to catch up after a supply gap and it was a bad week. would not repeat

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