vialroom

#dosing-titration 2025-06-18

Wednesday41 messages10 participantstimes are UTC
Highlights from this day
  • panel_before_after — anyone here split their weekly into two and would they do it again 19:11
  • VialBot — Digest for the week of 2024-08-01 has been published. 19:36
  • chain_of_custody — whats the longest anyone has stayed on one dose 20:16
  • chain_of_custody — i log dose, day, weight and one line about how the week felt. thats enough to make decisions on 20:26
CC

i drifted from sunday to wednesday over a year and only noticed when i checked the log

*week 30 not week 4

CC

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

MP

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

TC

my titration ladder took 1 months to climb and i would do it slower again

VB

Digest for the week of 2024-08-01 has been published.

CC

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

quick one do you tell your prescriber you held or do you just hold

update question: did anyone who held for 13 months regret it

PM

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

hold

CO

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

U-100 syringe: 1 unit = 0.01 ml
  10u = 0.10 ml
  25u = 0.25 ml
  50u = 0.50 ml
 100u = 1.00 ml
mg drawn = ml drawn x mg/ml

thats anecdote

PM

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

PS

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

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

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

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

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

SS

i went from 0.25 to 5 and honestly could not tell the difference in appetite

[edited]
PS

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

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

SS

if it "stopped working after four days" that is almost never pharmacokinetics

pick a day and stick to it

CO

coming back to this the people who do best here are almost always the ones going slowest

BW

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

i would hold

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held for months

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