Titration Troubles & Tolerance?

Hong Kong Yanpep International
That kind of even distribution across doses is actually really good - means the medication worked at every level rather than needing to push high to get results. Being sensitive and staying patient with titration paid off for you. 60 lbs across three dose levels is a clean outcome.
 
The slow-and-low default is sensible for side effect management but can become excessive caution that extends time at sub-therapeutic levels. If you've been tolerating the current dose well for several weeks with no meaningful side effects, the signal to go up is already there.
 
Follow the standard four week increase schedule, monitor how things feel at each step along the way, and if it ever feels like too much, scaling back down a level is always an option.
 
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