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#dosing-titration 2025-10-07

Tuesday34 messages8 participantstimes are UTC
Highlights from this day
  • mg_per_ml — stepping back down on purpose is a completely reasonable move and this channel should say so more often 12:56
  • marrow.mod — how long did you hold at 1 before you moved up update from 23 months ago: held at the same dose the whole time and still losing slowly 13:11
  • marrow.mod — the honest answer is that most of us are running protocols nobody has ever studied 14:13
  • mg_per_ml — right so the ladder in the trials is a starting point, not a schedule you owe anyone 15:46
  • alt_ast_ali — plateau versus set point is not answerable in under six months of data 17:20
MM

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

MM

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

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SA

appetite returning at the end of the week is extremely common and is not the dose failing
the people who do best here are almost always the ones going slowest

MP

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

📈8👍132

thats anecdote

i escalate on symptoms. if the current dose is still doing something i stay on it, happy to be corrected

[edited]
13:07marrow.mod pinned a message to this channel

how long did you hold at 1 before you moved up
update from 23 months ago: held at the same dose the whole time and still losing slowly

🙏1⚠️16📉10

n of 1

RR

my titration ladder took 12 months to climb and i would do it slower again, someone check my working

MP

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

MP

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

MM

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

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MM

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

MM

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

MP

if it "stopped working after four days" that is almost never pharmacokinetics, happy to be corrected

right so the ladder in the trials is a starting point, not a schedule you owe anyone

😂6💀1
MP

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

SH

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

SH

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

AA

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

🧪1📈4

small steps are better than big ones and the only reason people take big ones is impatience

go slower

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

AA

i have been at 0.5 for 3 months and honestly i have stopped wanting to move

RR

i went from 12 to 0.25 and honestly could not tell the difference in appetite