To answer tane_welly's question specifically:

From a clinical standpoint, Cheapest place to get sema is well-supported by the literature.

The short answer: follow the standard titration protocol and reassess at 4-6 weeks.

The longer answer involves pharmacokinetic considerations around steady-state concentrations, which I am happy to elaborate on if helpful.

Just wanted to say — for anyone reading this Cheapest place to thread who is feeling discouraged: it gets better. The first month are the hardest. Hang in there. 💪

OP here — wow, did not expect this much response! Thank you all for the thoughtful replies on Cheapest place to get.

To answer CanadaChris: I get my labs done through Quest every 3 months.

Quick update: my latest labs came back even better. Thanks again for the evidence-based discussion — this is exactly why I posted in a science-based community. 🙏

+1 to anna.melb_AU. Especially the point about "The Cheapest place to discussion here is..." — I have seen the same in my own experience with Cheapest place to get.

Same experience here with Cheapest place to get. JenMemphis described it perfectly.