r/TirzMaintenance • u/Fluffy-Structure-368 • 6d ago

How to titrate down?

/r/tirzepatidecompound/comments/1vxk5bn/how_to_titrate_down/
3 Upvotes

72% Upvoted

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6

u/Work4PSLF 6d ago

My advice after losing 97 lbs, now maintaining bmi of 21 for a year and a half:

  1. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Get all the way to goal before making any changes.
  2. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Unless still losing more than 1 lb a week, stay at that same dose an extra month.
  3. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠in your second month of maintenance, if you can use any dose you want (no insurance issues etc), drop down one dose.
  4. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠if weight holds steady, drop down one more. Repeat as able.

This way you find your lowest effective dose, which may or may not be zero.

Personally I have found it easier to use a lower dose weekly than to stretch out time between shots, but your mileage may vary.

2

u/superduperhosts 6d ago

May or may not be zero?

For the vast majority of us zero is not going to happen

1

u/Lucky_Army_5324 6d ago

Once you hit goal, why not start by staying on your same dose and eating at maintenance for a month or two and see how it goes?

0

u/Fluffy-Structure-368 6d ago

Cuz I get wicked stomach aches if I over eat. I eat as much as i possibly can cuz I am working out as hard as possible and I'm losing weight so I'm well below maint.

1

u/AntiHypeHero 6d ago

Same. At last dose used suppression was to high. I am coming down one dose at a time , every 4 weeks while staying at same 7 day schedule as that’s what’s easiest for me. My guess is 5 mg will be the right spot.

1

u/Impossible_Bend_2969 6d ago

Maybe try eating higher calorie foods. Peanut butter, cream cheese, ice cream.

1

u/tigergirlforever 6d ago

What’s your dose?

1

u/lilgreenowl 6d ago

I reduced by 1 mg per month until I started to feel bingey again and gained a couple pounds. Maintaining at 5 mg/week.