this post was submitted on 27 Sep 2025
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Off topic... But with today's technology I don't understand how people still have to take preset dosages. Like why can't we titrate and find the perfect dose and the company sells that dose to us... The pill dose increments aren't one size fits all...
That would mean each person gets a custom pill, right?
Also I'm not a psychologist but from a control theory perspective, there might not be an optimal dose? The optimum might be an interval of doses, and/or the optimum might change with time. And then the consequences of using a suboptimal, preset dose might be at least a good solution. We could probably quantify this mathematically...but stepping away from a control theory perspective: I live this experience so at least in my case, the preset dosages have worked fine.
This exists and is actually the way pharmacy used to work.
Long story short, economies of scale led to today's system.
https://en.m.wikipedia.org/wiki/Compounding
I immediately thought of compounding pharmacies.
I would settle for it being seen as okay to vary your own dose. I'm on quite a high dose, and very much need it. But there are some situations (on holiday and just having a lazy poolside day) where I could take less. But despite being up with various doctors it doesn't seem like an option to them.
Fortunately, I've ended up with some different doses because of the meds shortage (getting 2 packs of 20mg instead of 1 pack of 40mg) which let's me do it myself, but seems crazy how little flexibility there is for a dose level that was entirely decided by me trying them and saying which one worked best.
We can’t be trusted with such responsibility for our own health. Every single one of us would immediately overdose.
~/s~