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c/maintenancephase·posted 2 years ago by u/hedda_ekstrom

24 months in and lowest effective dose is still the thing I get wrong

Long Term Clean Column ×6 Cold Box ×2 Long Haul ×2

Long-ish post, sorry. tl;dr at the bottom.

I have been tracking maintenance against eGFR for 3 weeks because I could not find anyone who had. The correlation is weaker than I expected, which is itself mildly interesting given how confidently people link the two in here.

Caveats up front: one person, one lab, one assay, no control, and I changed my training in the middle of it, which was stupid.

tl;dr: probably real, definitely smaller than the threads imply, and not worth reorganising your week around.

5,948 up / 340 down95% upvoted44 commentsid 1nphx313 Mar 2024

44 comments

29 in this archive, depth 4

best — the order this archive was captured in

u/hassan_ostergaard-10 points·2 years ago
i changed my mind reading this, which never happens
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u/copay_card_cc308 points·2 years ago

Inter-lab variance on this kind of assay is routinely 1–2 points. Different column, different gradient, different integration.

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u/gradient_goblin97 points·2 years ago·edited

Inter-lab variance on this kind of assay is routinely 1–2 points.

Disagree on that part. 93.7% and 99.3% on the same vial is normal.

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u/oskar_malinowski74 points·2 years ago

Slight fix: the number was 99.0, not 98.9. Decimal point, but a fairly consequential one.

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u/hugo_norgaard26 points·2 years ago

the lowest dose you can stay on is not the lowest dose that works

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u/erez_baptista241 points·2 years ago

Did you stretch the dose interval?

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u/nabila_espinoza187 points·2 years ago

regain is not a moral failing

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u/incretin_ivypharmacology56 points·2 years ago·edited

regain is not a moral failing

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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u/gradient_goblin50 points·2 years ago

regain is not a moral failing

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u/viktor_erdogan64 points·2 years ago

the 0.5mg dose works fine for 45 weeks of the month

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u/constipation_clubside effects65 points·2 years ago

How long at maintenance?

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u/hedda_ekstromOP40 points·2 years ago

the plateau is where the learning happens

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u/fabio_kuipers163 points·2 years ago

Did you stretch the dose interval?

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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u/elise_ramos56 points·2 years ago

state how long you have been at maintenance, week 18 is not maintenance

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[deleted]21 points·2 years ago

[deleted]

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u/rohan_cardoso5 points·2 years ago

food noise returns but not always immediately

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u/hedda_ekstromOP16 points·2 years ago

The plateau is real and boring. 10 weeks at the same weight, then movement again. Patience was the intervention.

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u/laila_almeida46 points·2 years ago

state how long you have been at maintenance, week 18 is not maintenance

Adding to this: goal weight is doing more work than the comment implies.

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u/santiago_ndiaye47 points·2 years ago

food noise returns but not always immediately

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u/rohan_cardoso178 points·2 years ago

the 5mg dose works fine for 89 weeks of the month

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u/salma_almeida78 points·2 years ago

Yeah, maintenance is the boring part and the important part.

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u/ilias_nakamura51 points·2 years ago
nope. mine was the opposite.
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u/mod_cold_roommod · c/coldchain38 points·2 years ago

How long at maintenance?

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u/hassan_ostergaard27 points·2 years ago

lowest effective dose is maintenance, find it or stay higher

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u/copay_card_cc23 points·2 years ago

The plateau is real and boring. 65 weeks at the same weight, then movement again. Patience was the intervention.

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u/erez_baptista17 points·2 years ago

food noise returns but not always immediately

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u/marisol_frisk4 points·2 years ago

food noise returns but not always immediately

Disagree on that part. 96.8% and 96.2% on the same vial is normal.

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u/constipation_clubside effects4 points·2 years ago

This is correct. Weight variance is normal at maintenance.

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u/sanne_delgado2 points·2 years ago

lowest effective dose is lowest effective dose, find it or stay higher

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About c/maintenancephase

The part nobody posts about: what happens at goal weight. Finding a lowest effective dose, dose-interval stretching, regain risk data, muscle retention, the psychology of not having a number to chase, and staying on indefinitely versus tapering.

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