You are not thinking about food every twenty minutes because you lack willpower.
Some people want the full protocol. Some people want the quiet. The gentle lane is the lowest dose we offer, held flat, and it is built for the second group. Here is what running it actually looks like, week by week, and the questions worth asking the provider who decides whether it fits.
It starts there and it stays there. A full dose protocol also begins at 2.5 mg, then steps up over the following months toward a target. The gentle lane does not. Same starting number, entirely different plan, and the difference is the part people miss.
Also the lowest dose offered, also held flat. Your provider confirms which molecule and which lane are appropriate for you. Nothing on this page sets a dose, and nothing on this page is a promise about what it will do.
The gentle lane is not step one of a bigger plan. It is the whole plan
Almost every GLP-1 protocol you have read about starts low and climbs. That is what titration means, and it is what a full dose program is designed to do. Microdosing reads like the first rung of that ladder, and it is not a ladder at all. It is a different route with a different destination.
The dose you start on is the dose you stay on. There is no step up schedule waiting for you at week eight, because there is nowhere for it to step to.
This is the most common misread. The gentle lane is its own starting point for people who want it, not somewhere you land after finishing something else.
Full dose programs are here too, and for plenty of people that is the right call. One is not the beginner version of the other. Your provider helps you pick.
The program is intended for general wellness and cosmetic support. If your goal is a specific target on a scale, say so at your visit, because that is a conversation about a different lane.
Every treatment goes through an online visit first. Nothing here tells you what you should be on.
It starts at the lowest dose we offer. It stays there.
Eight weeks, and only one of them involves a decision
The gentle lane is unusually boring to run, which is the point. The dose does not change, so the work is not managing a protocol. It is paying attention well enough to ask a useful question at the end of it.
The visit
An online visit with a licensed provider. Say what you want out of this and what you have already tried. A provider reviews it and decides, and this is the only real decision point in the whole thing.
Same day, same dose
Pick a day and keep it. Write down three things weekly: how often food crossed your mind, how meals went, and anything you did not expect. Four lines a week is enough.
Leave it alone
This is the stretch where people want to do something. Do not. The dose is flat by design, and you cannot read a signal you keep interrupting. Keep the notes going.
Ask, if you have questions
Read your eight lines back. If they raise a question, message your provider or the Fitish team in your patient portal. That is where you ask whether the gentle lane still fits, whether a full dose program makes more sense, or just what to try next.
The one thing worth writing down every week
Not a weight. Not a measurement. One sentence on how much room food took up in your head that week. It is the least measurable thing on this page and the one people actually came for, and eight one sentence entries side by side will tell you more than anything you can put a number on, and they are what makes a message to your provider worth sending.
Three people this was built for, and one it was not
Read these honestly rather than picking the flattering one. The point of knowing which you are is that it makes the online visit five minutes shorter and considerably more useful.
Curious, and cautious about it
- You have read about GLP-1s for two years and never started
- What has held you back is the intensity, or how you have heard other people describe theirs
- You want to know what it is like before committing to something that climbs
- Put this in your intake. Say plainly that side effects are the thing that has stopped you. It changes what gets recommended.
Tired of the noise, not the size
- You are not trying to become a different shape. You are trying to stop negotiating with yourself at 3pm
- Food takes up more room in your head than you would like it to
- You want the mental quiet more than you want anything that shows up in a mirror
- Put this in your intake. Describe the noise specifically. It is the clearest signal for this lane.
Already doing the work
- The habits exist. You train, you sleep, you mostly eat the way you intend to
- You are not looking for a plan, you are looking for something that stops undoing the one you have
- You want backup, not a replacement
- Put this in your intake. Say what is already working, so nothing gets built on top of it that does not need to be.
Not this lane: looking for what comes after a full dose program
- People assume the gentle lane is where you go once a full dose program ends. That is not what it is and not how we position it
- If you are on a full dose now and thinking about what comes next, that is a clinical question for your own prescriber, not a page you read
- Coming off a full dose is usually gradual. The dose comes down month by month until you land on an active dose that works for you, and your prescriber sets that plan with you
- Put this in your intake. Say exactly what you are on now. Do not start from this page.
Neither lane is the beginner version of the other. Plenty of people are better served by a full dose program, and Fitish runs those too. The two exist for different reasons, and picking between them is what the online visit is for.
The short version of the difference
This is the compressed comparison. The full chart covers both molecules, both lanes, the week by week schedules and what each one costs, and it lives on its own page.
| What differs | The gentle lane | A full dose program |
|---|---|---|
| The dose | The lowest we offer, fixed | Starts at the lowest dose and steps up |
| Titration | None. It does not climb | Increases over months toward a target |
| Frequency | Once weekly | Once weekly |
| What it is for | Mindful eating and gentle cosmetic support | A full therapeutic protocol |
| What to expect | Subtle and gradual | More pronounced |
| Who decides | Your provider, at the visit | Your provider, at the visit |
Tick these off as you go
Tap a row once it is genuinely done, not once you have thought about doing it. Your checks save on this device, so it is still here next week. Nothing you tick is sent anywhere.
Nothing here is sent anywhere. It stays in this browser.
Before you start 4 items
| The step | What it looks like | Why it matters | |
|---|---|---|---|
| Write down what you actually want | One sentence, before anyone asks you | Answering this cold at a visit is how people end up in the wrong lane. | |
| List what you have already tried | Including the things that worked for a while | What stopped working, and when, is more useful to a provider than a list of failures. | |
| Note every medication and supplement | All of them, including the ones that feel irrelevant | This is a prescription decision, and the full list is part of making it safely. | |
| Complete the online visit | A licensed provider reviews it and decides | Nothing starts without this, and the provider may recommend a different lane entirely. |
The first four weeks 4 habits
| The habit | What it looks like | Why it matters | |
|---|---|---|---|
| Pick your day and keep it | Same day each week, set a reminder | A consistent day is the one piece of the schedule that is actually yours to control. | |
| One line a week on the food noise | How much room it took up in your head | The thing most people came for is the thing no number captures. Write it instead. | |
| Keep protein and water where they were | Do not start three things at once | Change one variable and you can read it. Change four and you have learned nothing. | |
| Log anything you did not expect | Same week it happens, not from memory later | Anything that concerns you goes to your provider straight away, not into the log to wait. |
What week eight is for 4 things
| The step | What it looks like | Why it matters | |
|---|---|---|---|
| Read your eight weekly lines back | Read side by side, in order | A gradual change is invisible week to week and obvious across eight of them. | |
| Note how meals actually changed | Portions, timing, what you stopped finishing | Behaviour is the readable signal in this lane. Describe it rather than rating it. | |
| Flag anything that bothered you | Even the small things you talked yourself out of | Anything that actually worries you goes in a message straight away, not into the log to wait for week eight. | |
| Message the portal if you have a question | Your provider or the Fitish team, in your patient portal | Staying put, switching to a full dose program or stopping are all reasonable, and all of them are clinical calls. |
What the visit asks, and where to ask back
There is no appointment to sit through. You complete an online visit, a licensed provider reviews it and decides, and after that you reach your care team by messaging in your patient portal. Here is what the visit asks, so you can start it with the useful half already written.
Gentle, full dose, or neither. A provider deciding this is not the right time is a real and reasonable outcome.
Conditions, medications, supplements, what you have tried. The complete list, not the edited one.
This is the one people answer vaguely, which is why the first row of the tracker exists.
Read the full safety information on the program page before you start, and put the questions it raises into the visit.
Messaging your provider or the Fitish team in the patient portal. Knowing how you reach someone later is part of deciding whether to begin.
The Fitish RX GLP-1 Microdosing Program is intended for general wellness and cosmetic support only and is not a weight loss or weight management program.
Fitish treatments are prescribed only after an online visit, and only when a licensed provider decides they are appropriate for you.
Educational information only. Not medical advice, and not a substitute for care from your own provider. Individual results vary.
The ones that come up every time
What is microdosing a GLP-1?
It means staying on the lowest dose offered rather than working up through a titration schedule. A full dose program starts low deliberately, to let the body adjust, and then increases over months toward a target dose. A microdose program starts at that same low dose and holds it there indefinitely. The dose is the same at week one and week fifty, and that is the defining feature rather than an incidental detail.
How do you microdose tirzepatide?
Through a provider, at 2.5 mg once weekly, held flat. The practical difference from a full dose program is that there is no schedule to follow after the first injection, because nothing changes. What you do instead is keep the day consistent and pay attention, which is what the tracker on this page is for. Your provider sets and confirms the protocol. Nothing on this page does.
How do you microdose semaglutide?
The same way, at 0.25 mg once weekly, held flat. Which molecule suits you is a clinical question and one of the things the online visit settles. The full dosing chart puts both molecules and both lanes side by side if you want to see the comparison before your visit.
Does the dose go up over time?
No. That is the whole distinction. In a microdose program the dose does not increase, which is why there is no titration schedule and no target dose to work toward. If at some point a higher dose is the right call, that is not a microdose program any more, it is a different lane and a separate clinical conversation.
Should I be on the gentle lane or a full dose program?
A provider answers that, not a page. What helps is being able to say what you are after in one sentence when the visit asks. If the honest answer is a calmer relationship with food and you have been put off by how intense you have heard this can be, the gentle lane is the conversation worth having. If you have a specific clinical goal in mind, say so, because a full dose program may serve it better and Fitish runs those too.
Is microdosing where you go after finishing a full dose program?
That is not how we position it and not what it is built for. The gentle lane is its own starting point for people who choose it, not the tail end of something else. If you are currently on a full dose program and wondering what comes next, that is a clinical conversation with the provider who is already prescribing for you.
What if nothing seems to be happening?
Give it to week eight rather than acting on it at week three. The changes in this lane are subtle and gradual by design, which makes them hard to read in real time and much easier to read across eight written entries. Then message your provider or the Fitish team in your patient portal with what you wrote. Staying put, switching to a full dose program or stopping are all reasonable, and all three are clinical calls. Anything that actually worries you goes in a message straight away rather than waiting for week eight.
Do I need a prescription and a provider?
Yes, both. GLP-1 medications are prescription only. Every Fitish treatment starts with an online visit, and it is dispensed only when a licensed provider decides it is appropriate for you. Full safety information, including the boxed warning, is on the program page, and it is worth reading before your visit rather than after.
Are you ready to level up?
Join the Fitish team. Have a question about which lane fits, or about what to put in your visit? We are happy to help you figure it out.
Start nowWhere this comes from
- The dosing figures on this page are the Fitish program's own: microdose tirzepatide at 2.5 mg once weekly and microdose semaglutide at 0.25 mg once weekly, both held flat. The GLP-1 Microdosing Program, which also carries the full safety information and the boxed warning.
- The side by side comparison on this page is the short version. The complete chart, covering both molecules, both lanes and the week by week schedules, is at the GLP-1 microdosing chart.
- Background on the gentle approach, what it is and who it suits, is at Microdosing Tirzepatide: The Gentle GLP-1 Approach.
- This page deliberately carries no research statistics. Every figure on it is a Fitish program parameter, verifiable on the program page above, rather than a trial result restated second hand.
This page is educational. It is not medical advice and it is not a substitute for care from your own provider. Prescription treatments require an online visit and are dispensed only when prescribed. The Fitish RX GLP-1 Microdosing Program is intended for general wellness and cosmetic support only and is not a weight loss or weight management program.