To answer Dr.NateNeph's question specifically:

From a clinical standpoint, Expected approval timeline for 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.

Can confirm — exactly what happened to me.

OP here — wow, did not expect this much response! Thank you all for the thoughtful replies on Expected approval.

To answer MariaRD: 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. 🙏

Subscribing to this thread. Expected approval is exactly what I've been researching. 🙏

Slightly tangential to Expected approval but SarahChen_PharmD reminded me — has anyone else noticed changes in their alcohol tolerance?

I know it is not exactly on-topic but it seems related enough to ask here rather than starting a new thread. Apologies if this has been covered — I did search first.