vialroom

#dosing-titration 2026-01-23

Friday14 messages5 participantstimes are UTC
Highlights from this day
  • mid_week_mo — you do not have to escalate at all. that is a real option that gets forgotten, someone check my working 22:29
  • two_ml_two — i have been at 15 for 11 months and honestly i have stopped wanting to move you do not have to escalate at all. that is a real option that gets forgotten 22:41
  • two_ml_two — if you are going up because the scale stalled for two weeks, wait. two weeks is noise appetite returning at the end of the week is extremely common and is not the… 22:56
  • two_ml_two — unrelated but with a roughly seven day half-life you are near steady state after about five weeks at a dose 23:11
  • noct.titrate — the people who do best here are almost always the ones going slowest 23:32
TM

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

MW

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

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

half life is a week

TT

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

MW

you do not have to escalate at all. that is a real option that gets forgotten, someone check my working

📉14😂5
TM

i have been at 15 for 11 months and honestly i have stopped wanting to move
you do not have to escalate at all. that is a real option that gets forgotten

TM

if you are going up because the scale stalled for two weeks, wait. two weeks is noise
appetite returning at the end of the week is extremely common and is not the dose failing

TM

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

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

NT

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

❤️8🎉10