Framework

The Precision Dosing Model

Standard GLP-1 protocols escalate doses on a fixed schedule regardless of individual response. Dr. Ellis argues this is backwards. The goal is to find the lowest dose that suppresses appetite just enough to create a 500–750 calorie deficit — not to eliminate hunger entirely. Think dimmer switch, not on/off toggle.

How it works

  1. 1Losing at most one pound per week is the target zone
  2. 2Losing muscle at a 2:1 ratio to fat is the most common and overlooked failure mode
  3. 3High doses increase cost, increase side effects, and increase desistance rates

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