vialroom

#dosing-titration 2025-06-01

Sunday36 messages9 participantstimes are UTC
Highlights from this day
  • subq_sy — came down from a treatment dose to maintenance over about three months and it was uneventful 18:31
  • typosquat_tay — right so holding is not failing. most people here who lasted two years held at least one dose for months 18:53
  • pbs_pip — i log dose, day, weight and one line about how the week felt. thats enough to make decisions on 19:52
  • VialBot — New independent result logged — GGPeps, lot F-1330, purity 99.4% (VendorInvestigate). 19:53
  • tarpit_tam — i jumped a rung once to catch up after a supply gap and it was a bad week. would not repeat 21:04
TT

for the archive is week 12 too early to be thinking about the next step

half life is a week

SS

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

TT

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

SS

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

Cited study
Triple–Hormone-Receptor Agonist Retatrutide for Obesity — A Phase 2 Trial
New England Journal of Medicine · 2023
48 weeks, dose-ranging. A Phase 2 result is not a safety record.
SS

unrelated but the people who do best here are almost always the ones going slowest

SS

slightly off topic but the honest answer is that most of us are running protocols nobody has ever studied

follow up whats your rule for when a side effect means hold rather than push

TT

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

🧪10👍16🙏1

is there a point where going up stops buying you anything

if you are asking whether to go up, the fact you are asking usually means not yet

MN

no trial for that

peptidemeter-summary-h-2814.pdf
2 pages · 217 KB · not retained in the public archive

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

follow up 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, still working it out

PP

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

5❤️1

i would hold

🙏1

held for months

PP

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

💀2🤝14
VB

New independent result logged — GGPeps, lot F-1330, purity 99.4% (VendorInvestigate).

TT

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

SS

nobody here can tell you what dose to be on and the ones who try get corrected

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

TT

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

🎉2

too early imo

TT

my titration ladder took 19 months to climb and i would do it slower again

go slower

❤️2📉4💀7
TT

update from 1 months ago: held at the same dose the whole time and still losing slowly
i escalate on symptoms. if the current dose is still doing something i stay on it

TT

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

Cited study
Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1)
New England Journal of Medicine · 2021
68 weeks, semaglutide 2.4mg weekly against placebo, with lifestyle intervention in both arms.
💀5

not advice

two weeks is nothing