[Log] six months of 0.125mg bumps, the full boring spreadsheet
0.05–0.125mg increments the whole way, way smaller than the standard step sizes. My pharmacist has made a face at me more than once about it. My stomach has never once made a face back, so here we are.
Posting the full log, six months, every bump and every side-effect note, because I only ever find people describing this after the fact and never the granular version while it's happening.
best — the order this archive was captured in
this is basically my whole account's reason for existing. 0.125 increments changed my nausea situation completely compared to the standard steps. following this log closely. edit: meant 0.125 increments, originally typo'd 0.25 which would defeat the entire point.
you're actually part of why I started doing this, read your posts about it a while back
that's genuinely lovely to hear, keep the log going, this granularity is rare and useful
the syringe math on increments this small is where people mess up though, worth being extremely explicit in your log about units vs mg at each step so nobody copies a decimal error
fair, adding a units column to the spreadsheet from the next update, good catch
for anyone following along and confused why 0.05mg bumps are even measurable: it comes down to your reconstitution concentration. mg in the vial divided by mL added gives you mg/mL, and a fine enough concentration makes a 0.05mg step land on a clean, readable unit mark on a standard insulin syringe. get the concentration wrong and these small steps become guesswork.
and dead space matters more proportionally at these tiny doses too, 2-5 units of hub dead space is a much bigger fraction of a 0.05mg draw than of a 1mg draw
which is the actual argument for a more concentrated reconstitution specifically for this style of dosing, fewer total units per draw means the fixed dead-space loss eats less of the total
this is exactly what I ended up doing around month 3, reconstituted more concentrated once I noticed the dead-space math getting annoying at the smallest steps
Good log, staying descriptive rather than prescriptive throughout, which is exactly right — this is what YOU did, not a suggested schedule for anyone reading.
curious how this compares to a standard step-up in total elapsed time to reach a given dose, seems like it'd take considerably longer this way
about 2.5x longer to reach the same mg total than the label schedule, tracking that in the sheet too, will post the comparison at 12 months
fwiw "my pharmacist made a face" is a very relatable opening line, mine does the same thing
read the whole spreadsheet link before commenting, the units column addition genuinely made it much easier to follow, thanks for adding it
- 1for anyone following along and confused why 0.05mg bumps are even…4 comments in this branch · started by u/vial_math_vera