vialroom

#dosing-titration 2026-03-01

Sunday17 messages4 participantstimes are UTC
Highlights from this day
  • power_through_no — slightly off topic but i escalate on symptoms. if the current dose is still doing something i stay on it 20:45
  • glasgow_vial — anyone tracked whether a smaller more frequent dose changed their side effects 20:46
  • power_through_no — after a gap of more than about three weeks i restart one rung lower. thats my own rule, not advice 21:17
PT

slightly off topic but i escalate on symptoms. if the current dose is still doing something i stay on it

🤝2
GV

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

💀11🧪1🔥10
PT

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

GV

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

PT

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

5
RR

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

RR

pick a day and stick to it

Cited study
Tirzepatide Once Weekly for the Treatment of Obesity (SURMOUNT-1)
New England Journal of Medicine · 2022
72 weeks, tirzepatide 5, 10 and 15mg against placebo.

is there a point where going up stops buying you anything

PT

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

NP

i hold for two months minimum before i decide a dose has stopped doing anything, ill dig out the number

RR

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

NP

i went from 0.25 to 5 and honestly could not tell the difference in appetite

RR

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

NP

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

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