vialroom

#dosing-titration 2025-09-03

Wednesday53 messages11 participantstimes are UTC
Highlights from this day
  • kev_measures — small steps are better than big ones and the only reason people take big ones is impatience, ill dig out the number 18:31
  • dark_for_ten_days — the ladder in the trials is a starting point, not a schedule you owe anyone, for what its worth 20:33
  • back_from_away — appetite returning at the end of the week is extremely common and is not the dose failing 21:22
  • amsterdam_aliquot — do you count from injection day or from when you actually felt it 22:55
MU

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

sorry to jump in i hold for two months minimum before i decide a dose has stopped doing anything

KM

small steps are better than big ones and the only reason people take big ones is impatience, ill dig out the number

🧊16

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

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

KM

holding is not failing. most people here who lasted two years held at least one dose for months, ask me again in a month

🙏10

*week 19 not week 2

not advice

🧪1
LL

update from 1 months ago: held at the same dose the whole time and still losing slowly

LL

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

VB

New independent result logged — QSC, lot SG-1177, purity 99.2% (Medutest).

AA

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

LL

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

BF

i escalate on symptoms. if the current dose is still doing something i stay on it

🎉6
DF

the ladder in the trials is a starting point, not a schedule you owe anyone, for what its worth

👍1🎉1🧊13
NP

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

is week 15 too early to be thinking about the next step

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

BF

for the archive my titration ladder took 13 months to climb and i would do it slower again

whats the longest anyone has stayed on one dose

🧪9
BF

the trials escalated on a fixed schedule because a trial has to. you are not a trial

what does the room think about jumping a rung to catch up

steady state is 5 weeks

plateau versus set point is not answerable in under six months of data, ill dig out the number

wk 1-4    0.25mg
wk 5-10   0.50mg   (held 2 extra weeks)
wk 11-14  1.00mg
wk 15-26  1.70mg   (held, long)
wk 27+    2.40mg

go slower

BF

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

🧪18
BF

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

coming back to this if it "stopped working after four days" that is almost never pharmacokinetics

DF

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

BF

unrelated but my dose day has drifted 8 days later over 9 months, does it matter

do you count from injection day or from when you actually felt it

🧪12👍72

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

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