In my experience side effects definitely relate to peak levels, happening about 24 hours after a dose - which is how long it takes for peak blood levels after a dose, more or less .
With Semaglutide the effect on nausea was extremely unsubtle, the only way I could ever get above 0.5mg/week was dosing 0.22mg per 2 days and increases as small as 0.02mg per dose were enough to make nausea worse, which seems ridiculous but the effect was completely repeatable. Changed to tirzepatide 6 months ago , stayed on 2nd daily doses out of habit mostly. Way less side effects at 4.5mg per 2 days = 15.75mg/week.
With retatrutide I am taking 1.4mg every 2 days, on top of tirzepatide, even very small increases in dose like 0.2mg are enough to cause skin sensory symptoms, so I cannot go higher in dose.
I am in an unusual situation only starting them a year after losing 90% of the weight, and aiming for the highest dose I can tolerate without too many unpleasant side effects to maximise hunger control to make it easier to maintain a 54% weight loss.
Split dosing is super useful to help control side effects if you do not want to reduce doses, and is useful for adjusting doses up and down more quickly, as each individual smaller dose will wear off faster than a single larger dose if it is causing problems. And useful if you are trying to find an exact maximum dose that you can tolerate which is not a common issue.