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ForumsDosing & ProtocolsDose escalation too fast? Recognizing over-titration symptoms — need advice Page 3

Dose escalation too fast? Recognizing over-titration symptoms — need advice

jennifer_SEA Sat, Dec 28, 2024 at 3:44 PM 12 replies 1,701 viewsPage 3 of 3
DanielChem_CHI
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Dec 28, 2024 at 7:59 PM#11
Dr.GastroMayo said:
Dose escalation too fast

This is exactly right. Dr.GastroMayo articulated what I have been trying to explain to my doctor for months. The Dose escalation too fast? aspect is the most important factor.

Last edited: Dec 28, 2024 at 9:59 PM
2 2fiona_VT, denise_HTX
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wendy_avl
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Asheville, NC
Dec 28, 2024 at 8:16 PM#12

Reading this thread on Dose escalation too fast? hits close to home. Night shift nurse — I started at 291 lbs and felt like I would tried everything.

7 months on tirz and I am a different person. Not just the 66 lbs lost — my energy, my mood, my relationship with food. All transformed.

If you are on the fence about Dose escalation too — take the leap. It was the best health decision I have ever made. ❤️

48 5DoseLogDan, SleepFixSam, PurityPaulOR and 45 others
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A1cHero_PHX
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Dec 28, 2024 at 8:33 PM#13

MASHdoc_SA — that is really helpful context on Dose escalation too fast?. Follow-up question: what labs did your doctor order to monitor this?

I am in a similar situation (just started) and trying to set realistic expectations.

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Dr.RenalNash
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Dec 28, 2024 at 8:50 PM#14

To answer wendy_avl's question specifically:

From a clinical standpoint, Dose escalation too fast? is an area where we have good evidence.

The short answer: baseline labs + quarterly monitoring is the standard of care.

The longer answer involves understanding the mechanism of action at the receptor level, which I am happy to elaborate on if helpful.

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NurseKim_ATL
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Dec 28, 2024 at 9:07 PM#15

Bookmarked 📌 The Dose escalation too info in this thread is essential. Coming back to this for sure.

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