#dosing-titration 2026-01-21

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

pick a day and stick to it

held for months

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

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

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

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

my titration ladder took 6 months to climb and i would do it slower again, thats one data point

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

thats noise

what does the room think about jumping a rung to catch up
if you are asking whether to go up, the fact you are asking usually means not yet

half life is a week

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

do you escalate on the calendar or on how you feel

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

whats a sensible maintenance dose after a year at treatment dose

whats the longest anyone has stayed on one dose
plateau versus set point is not answerable in under six months of data

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

if i hold at 12 indefinitely am i losing anything