I agree with key points - subjective sense of effectiveness is not the thing to chase after or look for with GLP1s; and upping the dose unnecessarily, pre-emptively, etc, is not prudent, advisable, or beneficial; and that point of progressive dosing schedule is to acclimate body to and diminish side effects of while reaching effective dose amounts thereby ensuring better results and patient compliance, etc.
Strong disagree, however, that the magic is only in appetite suppression. Real magic is impact on insulin sensitivity, blood sugar levels, fat storage mechanisms, general glucose metabolism, pleasure and reward circuits in brain stem and limbic system, etc. Many even report appetite suppresion fades after time, but those other systemic effects likely remain despite lack of appetite suppression, as the measured outcome of them (e.g. blood sugar levels A1c, etc.) remain even when appetite comes back after tolerance established.
Of course eating less means better weight loss, but the GLP1s seem to have a profound impact on what our bodies DO with whatever amount of food we do eat in addition to their impact on HOW MUCH we eat.
But, yes, strong agree overall, no need to aggressively fiddle with the dosing schedule to potentially detrimental effect when the clinical results of dosing mfg. recommended dosing schedules are already so astoundingly good.