has anyone actually found their floor — the lowest dose that still holds the line
19 months in, at goal for about seven of those. Been slowly working with my prescriber to see how low I can go and still hold steady rather than just staying on whatever dose got me here. Curious who else has actually done this deliberately rather than just staying put out of nervousness.
best — the order this archive was captured in
did this myself starting around month 14. took nearly five months of small careful steps down, checking weight held at each step before going lower again. found a floor about 40% below my "getting there" dose that still holds.
five months for the whole process is roughly what I was expecting, glad to hear that's a normal timescale and not me being unusually slow about it
slow is correct here just like it was on the way up, "low and slow" cuts both directions
the syringe math side of this deserves a mention too, stepping down in small increments needs the same careful units-vs-mg checking as stepping up did, easy to get complacent once you think you're "done"
fair point, I definitely double check my draw less carefully now than I did in month 1, should probably not do that
78 weeks of public logging and I've got about four months of maintenance-floor data now. weight's held within a kilo the whole time on a noticeably lower dose than what I used to titrate. still a bit nervous every time I step down further though. for anyone curious what "noticeably lower" means in actual numbers: titrated up to 2.4mg, currently holding steady at 1.0mg, that's 1.0 ÷ 2.4 = about 42% of peak dose maintaining the same weight.
Good thread, this is exactly the kind of "what did you actually do" discussion this community handles well when it stays in the lane of describing outcomes rather than telling people what dose to try.
haven't gone down myself, mostly out of fear the quiet-in-my-head effect will come back if I do, which I know isn't a great reason but it's an honest one.
that's a completely valid reason honestly, "it's working, I'm scared to touch it" is a real consideration, not just nervousness for its own sake
61 weeks in, haven't tried going lower, mostly because the routine itself (Sunday 8pm) is doing psychological work for me beyond just the dose, don't want to mess with something that's working on two levels
saving this whole thread, hadn't even considered "floor hunting" was a thing people did deliberately
fwiw the units_not_mg reply above about staying careful even once you feel "done" titrating is a good general lesson
read every reply here before posting anything today, good thread to start with
worth flagging, none of the major trials (STEP program, SURMOUNT-1, SUSTAIN 6) actually tested a deliberate dose-reduction-at-maintenance protocol, they were all escalation-to-target designs, so this whole "floor hunting" practice is genuinely undocumented territory pharmacologically, not a formally studied strategy. edit: originally wrote "SURMOUNT-4" here which is about withdrawal, not maintenance dose-reduction, wrong citation, fixed.
- 1did this myself starting around month 14. took nearly five months of small…5 comments in this branch · started by u/TitrationTortoise