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#dosing-titration 2026-02-10

Tuesday27 messages5 participantstimes are UTC
Highlights from this day
  • lisbon_lot — i hold for two months minimum before i decide a dose has stopped doing anything 21:47
  • VialBot — Purity check: no report on file for lot B-0114. Nothing logged either way. 21:50
  • lisbon_lot — i went up too fast and im paying for it, do i drop back or ride it out 22:16
  • lisbon_lot — you do not have to escalate at all. that is a real option that gets forgotten the trials escalated on a fixed schedule because a trial has to. you are not a trial 23:08
BW

while im here my dose day has drifted 3 days later over 2 months, does it matter

LL

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

🤝13
VB

Purity check: no report on file for lot B-0114. Nothing logged either way.

🎉5
LL

the honest answer is that most of us are running protocols nobody has ever studied, not advice obviously

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

i went from 10 to 2 and honestly could not tell the difference in appetite

held for months

⚠️12

is there a point where going up stops buying you anything

BW

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

🤝1
LL

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

LL

i went up too fast and im paying for it, do i drop back or ride it out

😂12⚠️9

dose day drift is mostly harmless with a weekly compound, but pick a day and defend it

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

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

👀2
FT

slightly off topic but 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

TA

sorry to jump in whats the smallest step anyone has managed between doses

FT

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

is it normal for appetite to come back at the end of the week

TA

if it "stopped working after four days" that is almost never pharmacokinetics

LL

you do not have to escalate at all. that is a real option that gets forgotten
the trials escalated on a fixed schedule because a trial has to. you are not a trial

the argument for splitting is a flatter curve. the argument against is you have doubled your injections for a guess, i could be wrong

LL

coming back to this whats a sensible maintenance dose after a year at treatment dose

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