Stage and season
Slow titrators
For people who go up at their own pace, with their prescriber.
Some people do far better stepping up slowly, and the standard schedule is a schedule rather than a law. This circle is for people who have agreed a slower path with a prescriber and are living it — including the odd feeling of watching others move faster and wondering whether you are doing it wrong.
You are not doing it wrong. Slower is a strategy, not a failure, and it is the strategy that keeps a lot of people on treatment at all.
Who this circle is for
- You are stepping up more slowly than the label schedule, with clinical agreement
- You are sensitive to dose changes and want company
- You are considering asking about a slower path and want to hear how that conversation went for others
Agreements here
- Nobody posts a dose plan as advice. We describe our own and name our prescriber conversation
- No pace comparison. Different bodies, different weeks
Every step up gives me three bad days like clockwork
Hal15 replies
Every step up gives me three bad days like clockwork — putting it in its own thread so it does not get lost in the check-in. Long one, sorry. I have been chewing on this for a fortnight. I…
A year at the same dose and my bloods are fine
Bevan14 replies
Something I have been sitting with: A year at the same dose and my bloods are fine Not looking for advice so much as other people's experience. I do not know if this belongs in this…
I went up because I felt I ought to and it cost me a fortnight
Bodhi7 replies
Confession thread, gently. I have been the person in this circle telling everyone that standing still is fine, and then in December I went up a step for reasons that had nothing to do with…
How I asked my GP about a slower schedule and what she said
Gwenno17 replies
A question rather than an update: How I asked my GP about a slower schedule and what she said I do not know if this belongs in this circle. Move me if not. I am aware some of this may be…
Half steps, split weeks and a very patient pharmacist
Stefan8 replies
I have been asked about this enough times in the last month that I would rather write it once and point at it, with a very large caveat on the front. The caveat: every part of what I do…
The relief of not being in a race
Idris13 replies
A question rather than an update: The relief of not being in a race Writing this partly to ask and partly because writing it down usually tells me what I think. What I keep tripping on is…
Three weeks at each step instead of four and it changed everything
Hedda18 replies
Something I have been sitting with: Three weeks at each step instead of four and it changed everything Not looking for advice so much as other people's experience. I have been reading here…
Slower on tirzepatide — anyone else
Florrie18 replies
Slower on tirzepatide — anyone else Writing it down partly to work out what I actually think. I do not know if this belongs in this circle. Move me if not. I am aware some of this may be…
I moved up too fast in the spring and I am still cautious
Hedda13 replies
A question rather than an update: I moved up too fast in the spring and I am still cautious I do not know if this belongs in this circle. Move me if not. I am aware some of this may be…
Third month at the same dose and my clinic is entirely relaxed about it
Inês7 repliesfacilitator note
Porto. Small steps only, it says under my name, and I want to explain what that has actually looked like because I spent a long time thinking I was doing this wrong. I have been at the…
The pharmacist queried it and I did not know what to say
Gwyneth17 replies
A question rather than an update: The pharmacist queried it and I did not know what to say Writing this partly to ask and partly because writing it down usually tells me what I think. What…
Staying on a lower dose for eight months and being fine
Dora13 replies
Starting a thread on this because it keeps coming up in ones and twos: Staying on a lower dose for eight months and being fine Long one, sorry. I have been chewing on this for a fortnight.…
What "sensitive to steps" actually feels like
Gwyneth20 replies
Something I have been sitting with: What "sensitive to steps" actually feels like Not looking for advice so much as other people's experience. I have been reading here for a few weeks and…
Comparing notes on the fortnight after a change
Brammy19 replies
A question rather than an update: Comparing notes on the fortnight after a change I have been reading here for a few weeks and have not posted, so this is me posting. I have written down…