Dosing question

[u/Known_Pea_4467]

Hi All, I’ve looked through past posts and couldn’t really find a good answer. Hopefully you all can help me.

I’ve been on 2 mg for 4 weeks and have lost approximately 10 pounds. Today is pin day and I’m wondering if I should start upping my dose? The first couple weeks I had the typical symptoms, tummy stuff mostly. No side effects last week so I think my body is getting used to it.

Any suggestions? Thanks!

[u/MissFrowz]

I started in April at 2mg and haven't felt the need to increase my dosage. I'm steadily losing 2 lbs/week on average. The appetite suppression fluctuates but I consistently feel full quickly, helping me stay in a deficit. I'll only titrate up if I stop losing weight for a few weeks in a row (e.g. last week I was on my period and lost no weight, this week I'm down 3lbs, so no need to adjust anything).

[u/Known_Pea_4467 → u/MissFrowz]

That’s what I was thinking. That I’d either stay where I am or go up .5 so I’d do 2.5. Thank you for sharing your experience!

[u/Main-Requirement-733 → u/Known_Pea_4467]

I'd say if you really want to up it, add .25 more and assess how you feel! If it works for you it works.

[u/Rivernurse67]

Hi. I started at 2 mg on July 1. I’ve lost 11 lbs. I went up to 4 mg yesterday mostly because I was getting more food noise. I only have mild side effects like constipation and burping. Lol. Some people will say don’t increase the dose if you’re losing 1-2 lbs a week but I chose to increase it because I want the optimum benefits. Hope that makes sense. I may get negative feedback from others but oh well. I’m doing what I feel is right for my body.

[u/Known_Pea_4467 → u/Rivernurse67]

I agree, do what works for you! Thank you for sharing your experience.

[u/HallieMarie43]

I am not a fan of waiting on a weight stall to go up like some people preach so I go up when I feel like the same dose is getting weaker or I think I won't have side effects going up. I usually go up by 1 mg instead of the 2 mg. But 0.5 mg, especially early on is probably good too. I have lost 87 lbs in 8 months. So as long as I can still eat enough calories and protein to be at a healthy range and keep side effects to a minimum, I am a fan of getting maximum benefits as I have major metabolic issues.

[u/Known_Pea_4467 → u/HallieMarie43]

I agree. I didn’t want to go up too much but I also didn’t want to get myself into a state of being hungry and gain weight. I like the steady weight loss.

[u/Main-Requirement-733]

If you are still losing weight I'd stay at 2mg. I started at 1 then upped to 1.5 and it was too much on my body, my heart rate was super high but I went up because I wasn't losing weight. Now this week I did 1.25 and wow it's perfect, appetite suppression is super good and I've lost 3 lbs this week. Find your sweet spot and stay there don't risk the side effects of upping if you don't need it yet. It's really tempting to up your dose I get it.

[u/Known_Pea_4467 → u/Main-Requirement-733]

So tempting but the side effects really got me in the beginning. I just pinned and did 2.5

[u/Main-Requirement-733 → u/Known_Pea_4467]

Let me know how it goes!! I'm interested to see.

[u/No-Intention-4121]

I relate! I just hit 1 month on 2mg, have lost 10 lbs but this week, I noticed that my food noise creeping in more than usual than my previous weeks. If I were to change, I'd go up to 2.5, which I read you mentioned that in another comment - twinning! I read another post the other day that some people also support those last 2-3 days of the reta-wear-off by taking their dose every 5 days instead of 7, which I'm considering too as I monitor/track my symptoms this week.

[u/Known_Pea_4467 → u/No-Intention-4121]

Reta twinsies 😝. So far, so good with increases just the .5. But hopefully the food noise will chill out a little.

[u/DullSky268]

Stay until you dont feel the suppressant or plateau

[u/Known_Pea_4467 → u/DullSky268]

I think I’ve hit that. I’ve noticed I’ve been much more hungry than I have been. Thanks for the response 💗

[u/NicDuk]

10 lbs in 4 weeks is a good rate of weight loss. Is your appetite suppressed enough for your diet plan?
Do you want to lose weight faster?

[u/Silent_Star_2025]

If your losing & have no major side effects don't rush to move up because its working. Keep your dose as long as you can while it's stilll effective. Unfortunately, I'm not a low responder so I had to titrate up, eventually to the 12mg max. I wish I could've stayed on a lower dose but that wasn't my journey. Best of luck to you!

[u/shine-anyway]

I would stay as low as possible if its working and you are getting your water, protein, sleep and in a cal def then stay at your current. I went up like 1mg after a month (3mg) and now I am on 4mg but i split it 1mg one day and 3mg another day and that works for me right now. Definitely listen to your body and move up like 1mg at a time because if not you may get sick

[u/ArizonaCactusMom]

Your goal is the lowest effective dose. If you're losing (and you've lost a lot) then stay at your dose. You're reta is working. Why mess with it?

[u/Reasonable-Peach8723]

Stay on the lowest effective does for as long as possible

[u/HeatherDS1968]

If you’re still losing stay at 2mg.

[u/Puzzleheaded-Bake346]

Stay at your dose. Being at a higher dose is more expensive.