Upped to 1.7... side effects 😫

The slightly worse side effect window the following week after an early injection is a real pattern - the shorter interval means the receptor load is higher at the start of that cycle. It normalizes once you're back on the regular schedule.
 
36 weeks at 0.25 and still moving is the right argument for staying there - stepping up only makes sense if progress has actually stalled.
 
The flash pain at each dose increase is different from sustained throbbing - it's the body responding to the bolus peak level hitting the receptor. Moving to 10mg when 8mg is losing effectiveness is the right call if that's what the data shows. How long did you give 8mg before concluding it was working less?
 
The post-dose-increase side effects resolving is the typical pattern - the GI system needs time to adapt to each level. Holding at the new dose through the adjustment period rather than dropping back is usually what gets you to the 'oh, it went away' outcome.
 
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