Deciding today whether to bump my dose or hold another week. How did you know it was time to climb?
Bumping up today - talk me through it?
The jump to the next dose was smoother than I feared. Titrating slowly is so underrated, no rush to climb.
Walking most days alongside the meds really compounds. Found my sweet spot dose and I'm not in a hurry to go higher.
I held at 10 for almost two months before moving to 12.5 because the appetite quieting faded for me -- that was my signal. If suppression is still working where you are, staying put is a fine answer too. Down 17 lbs on the desert heat walks here in Tucson and no regrets about the slow climb.
For me the sign was hunger creeping back between shots even though side effects had fully settled. I sat an extra week once before climbing and it made the jump way easier on my stomach. No shame in holding if your suppression is still doing its job.
Titrating slowly is so underrated, no rush to climb. Everyone titrates differently, listen to your own body. Consistency with my injection day mattered more than the exact dose.
I climbed only when food noise started creeping back at my current dose and the side effects from the last bump were long gone. Down 40-some lbs mostly from holding longer than the schedule suggested, and the slower pace kept my stomach happy. If suppression is still solid for you, another week costs you nothing.
I held two extra weeks at my last step because appetite was still quiet and I'm down about 18 lbs doing that. For me the sign it's time to climb is when I actually get hungry between meals again. If that's not happening yet, staying put a bit longer costs you nothing.
Lost 17 lbs on my current dose and I held off climbing until hunger showed up on day five or six instead of right after my shot. That was my personal green light. If suppression is still holding through the week, waiting costs you almost nothing.
Still holding after dropping 23 lbs because my appetite stays quiet most of the week. My personal signal last time was hunger actually waking up around day five, so if you're not feeling that yet I'd give it another week before climbing.
Down 28 myself and I never climbed until food noise crept back near the end of the week. For me that return of actual appetite, not just thinking about food, was the cue both times. If your shots are still covering you on day six or seven, another week holding is basically free.
I sat on 0.5 for an extra cycle myself since the suppression was still strong through day six, and holding worked fine. My cue to move has been real stomach hunger showing up, not just food thoughts. If you're not feeling that yet there's no rush.
I'm down 32 and my rule has been the same as these folks: I only climb when actual hunger shows up days five through seven, not just head noise. Last bump I waited two extra weeks because the suppression was still holding strong, and the lower dose kept working fine. No prize for getting there faster.
I held each step until day five or six got noticeably louder on the appetite front, which ended up being weeks longer than I planned both times. Down 31 now and the slower pace cost me nothing except maybe fewer rough days after each move. If the current dose still quiets your stomach late in the week, I'd ride it.
Ask your prescriber about splitting the increase if it feels like too much at once. Grateful for this thread.
Smaller portions on shot day kept the GI stuff manageable. I stopped drinking anything carbonated and the burping calmed down.
I moved up when the food noise started creeping back around day five too, and my last climb was way smoother than the first because I'd finally learned to eat light that day. Down 48 and honestly the slower climbs have treated me well. If you're still feeling it at the end of the week, staying put another week costs you nothing.
I sat at 5 for a good while longer than planned and still lost steady, so no rush either way. My tell was the same as yours probably is - when I could finish a full plate again without thinking twice, I knew the dose had done its job. Down 67 on this med and the patience paid off more than speed ever did.
My signal was appetite creeping back before the week was up - once I could eat a normal dinner and still want more, that was my cue to climb. Also second the light eating on shot day, that's what saved my stomach on the last bump. At 44 down I've learned the med keeps working even when you wait, so there's no rush either way.