vialroom

#dosing-titration 2025-11-20

Thursday42 messages10 participantstimes are UTC
Highlights from this day
  • tokyo_taper — the ladder in the trials is a starting point, not a schedule you owe anyone 18:47
  • tokyo_taper — the argument for splitting is a flatter curve. the argument against is you have doubled your injections for a guess 18:57
  • early_satiety — whats the longest anyone has stayed on one dose 19:58
  • quiet.hours — if you are asking whether to go up, the fact you are asking usually means not yet 21:32
  • quiet.hours — right so came down from a treatment dose to maintenance over about three months and it was uneventful 22:59
SC

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

[edited]
18:10quiet.hours pinned a message to this channel
LL

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

SC

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

weights-monthly.csv
743 rows · not retained in the public archive

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

LL

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

LL

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

PT

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

TT

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

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
TT

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

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
GG

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

GG

my titration ladder took 23 months to climb and i would do it slower again

GG

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

SS

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

ES

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

ES

whats the longest anyone has stayed on one dose

coa-e-2205.pdf
1 page · 827 KB · not retained in the public archive
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ES

i hold for two months minimum before i decide a dose has stopped doing anything

GG

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

GG

update from 6 months ago: held at the same dose the whole time and still losing slowly

SF

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

how long did you hold at 1.7 before you moved up

DD

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

QH

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

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DD

go slower

weights-monthly.csv
156 rows · not retained in the public archive
22:13quiet.hours pinned a message
DD

for the archive is there a point where going up stops buying you anything

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

[edited]

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

SF

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

QH

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

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