Reta: Split Doses vs. Weekly?

Start with the smallest dose and give it time before changing anything up. Rushing the increases just makes you feel awful. Most people do better on a steady pace. If .25mg per week feels good, stick there until you need to move up. Then maybe try .15mg every few days instead of one big shot. Small frequent doses beat massive weekly ones - learned that the hard way after pushing too hard early on.
 
It happens even when you're careful. Part of it is burning through methyl donors and bottoming out when they get too low. Adding NAD+ and TMG Betaine helps - roughly 100mg NAD+ twice weekly and 4000mg Betaine split morning and night.
 
Splitting the weekly dose 3-4 days apart tends to smooth the nausea significantly. A lot of people find it much more manageable than getting the full dose at once.
 
MOTS histamine response at higher doses is a consistent report. Reta being cleaner on that front tracks with what comes up here regularly.
 
Weekly is simpler to track and easier to manage socially - split dosing is mostly for GI management. If once weekly is working, stay there.
 
The split dose effectiveness question is real - smaller doses below the threshold where reta actually hits tend to show less result, and a lot of people find they need to push to where they're managing nausea rather than avoiding it. The titration cycle is the whole game once you're past the initial few weeks. The muscle-sparing data between tirz and reta is genuinely close, and tirz running cheaper with a better GI profile for some people makes it worth considering if the nausea on reta is consistently limiting your dose. Either way the principle is the same: get to the dose where you feel it working and find the tolerance level you can sustain week to week.
 
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