How do you decide when to move up a dose?

[whyamisuddenlygettingolder]

I'm on my 3rd 2.5 pen and need to decide what to order next. I am consistently and happily losing a couple of pounds a week, which is great. I am definitely a bit hungrier than I was, and don't think I feel full in the same way after meals as I did at the start, which could be a sign to move up? But I am still losing weight, it's not horrible, and I'm wary of moving up if I don't need to. How do people decide? Is it very obvious if you need to move up?

I’m never quite sure, but at your stage I did move up and took 3.75 for a few weeks. Now on 5.

I moved up to 5mg after the first pen but then stayed on 5mg for the next four pens. I moved up when the weight loss stopped and I was struggling not to eat between meals.

i have never experienced the complete appetite suppression that people talk about. I have always been able to finished my meals and always feel hungry for each meal. I just do t constantly feel the hunger and don’t need to eat between meals.

i am hoping this means it will be easier for me to eventually come off the medicine.

I am 5lbs away from goal now and weight loss has really slowed - probably a pound a week. But that’s okay and I won’t be going up again.

I'm just moving up to 3.75 with a 5 after being on 2.5 for 6 weeks. I regretted in hindsight buying a 2.5 for the second month as the cost is so similar and think you may end up being in a similar situation if you stay with the 2.5 for another month.

Thanks all. I wish I could see a couple of weeks into the future!

I have done 3 pens on 10 including bonus doses and have another 10 in the fridge to start Sunday.
Kind of regret having ordered another 10 as I find that my portion sizes have increased the last few weeks and some food noise has crept back in.
I am getting hungry before lunch to the point where I want to eat early.
I still have 4-5 stone to lose and my weight loss has slowed down to 1lb a week if I am lucky.
Which is too little to be honest given how much weight I still have to lose. I want to see 1.5-2 a week.
So I am seriously considering moving up to 11.25 or 12.5 on my 10 pen by doing a full dose and part dose by counting clicks.
It will be a bit of a faff but I am good at maths so confident that I will work out the correct dose.
It will basically mean that I won't have a bonus dose out of the pen but would rather that than stall my progress.

I waited until my weight loss slowed down for a few weeks then stepped up a dose. I'm on my second 7.5 pen and started in November. I've tried to listen to my body's response and judge it on that.