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#dosing-titration 2025-11-28

Friday34 messages9 participantstimes are UTC
Highlights from this day
  • two_ml_two — whats your rule for when a side effect means hold rather than push 11:58
  • alcohol_hits — has anyone gone up and then straight back down and been glad they tried 12:20
  • hard_stop_hal — anyone tracked whether a smaller more frequent dose changed their side effects 12:42
  • two_ml_two — do you count from injection day or from when you actually felt it 16:27
AH

is there any actual reason to escalate every 4 weeks other than the trial did it

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.
TM

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

💀9😂4
AH

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

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HS

anyone tracked whether a smaller more frequent dose changed their side effects

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AA

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

HS

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

CC

a missed week does not reset you, but going straight back to the top dose after a gap is how people get floored
i jumped a rung once to catch up after a supply gap and it was a bad week. would not repeat

HS

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

PP

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

HS

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

HS

follow up i jumped a rung once to catch up after a supply gap and it was a bad week. would not repeat, your mileage will differ

TM

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

👀1

end of week thing

thats anecdote

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

MP

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

no trial for that

TM

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

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TM

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

TM

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

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

the trials escalated on a fixed schedule because a trial has to. you are not a trial
my rule: if a side effect is still there at day five, i hold. if it clears by day three, i step

update question: did anyone who held for 3 months regret it

with a roughly seven day half-life you are near steady state after about five weeks at a dose
the honest answer is that most of us are running protocols nobody has ever studied