Okay, let's talk about the numbers:
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I think this is the chart everyone knows. Let's start from the beginning, at weeks 4 and 8. Why did participants on a higher dose show greater weight loss even at week 4? I'm not buying that it was solely due to stronger appetite suppression. Or look at the 6-month mark / week 24, where the higher doses outperform the 1 mg dose, which plateaued at nearly 8.7% between 6 and 12 Month.
That's why I want to get as soon as possible to the 4mg / week. Pinning 2x a week 2mg. And the plan was to start today with 2mg. But I just increased the dose from 1.5mg to 1.75mg. To see, if everything is fine. And next time I will go up again 0.25mg.
There are 2 issues I see with your logic. One is that until you start taking the drug you have no idea what doses will do what in you. Effects and side effects from reta or other GLP's are really quite individual and variable, and you have to adjust dose increases based on effects and side effects, and guess at what the higher dose might or might not do based on what is happening at the current dose.
The other is that there are no plateaus anywhere on that graph, yes weight loss rates are definitely slowing down at 12 months, but the real plateau is not till well after a year on reta, and max weight loss is higher at that time 29%, not 24.2% for 12mg. Unless for some special reason you want to start losing the weight fast, I do not see any real advantage in rapid titration of doses, as it does carry higher risks of sudden severe side effects. The difference in weight loss on that graph with faster ramping of doses are at most 1-2%, so fairly small. And rapid initial weight loss can cause problems, mainly extreme fatigue and faintness, but also might make gallstones more likely.
It is worth knowing that significant side effects starting and increasing doses are very common with any GLP, At least 50% get nausea and vomiting, and there is also constipation diarrhoea, and with reta increased heart rate and weird skin sensory symptoms.
Despite that your dose increase scheme is actually pretty safeish, mainly as you are doing twice weekly dosing, as each smaller dose is less of a jump up , blood level rises are less dramatic, and it should only take half a week for levels to drop to pre dose levels, compared to a whole week if dosing is weekly , so if unpleasant side effects happen, they won't last as long. And the more graduated build up in doses is more likely to give you a better indication of what is likely to happen next time you increase the dose, which makes it easier to determine if it is a good idea or not. But there is still the build up of blood levels over 4 weeks at the same weekly dose, so side effects can still be unpredictable. And using glp plotter is always a good idea.