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174

tapered slowly over four months instead of stopping cold, regain was 4kg not 24

Regain

Coming off deliberately after 22 months, worked with my prescriber on a gradual step-down over about four months rather than just stopping. One year post-taper: regained 4kg of the 38kg I'd lost. Not zero, not nothing, but a completely different number than the abrupt-stop stories I'd read going in, which is why I'm posting the specifics.

275 up / 101 down73% upvoted23 commentsid 1lfpq123 Jul 2026

23 comments

14 in this archive, depth 3

best — the order this archive was captured in

u/plateau_patrol187 points·6 days ago·edited

4 of 38 is roughly 10.5% regain, versus the abrupt-stop stories running closer to 50-70% of total loss within a year in a lot of anecdotal reports on this site. That's a meaningfully different outcome, even accounting for n=1. edit: fixed my own arithmetic, 4 ÷ 38 is 10.5%, I originally wrote 15% by mistake.

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u/taper_off_tabithaOP91 points·5 days ago

appreciate you doing that percentage, "4kg" alone doesn't mean much without the denominator and I should've led with the ratio myself

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u/graph_it_gary58 points·5 days ago

the ratio really is the whole story here, 4kg means something completely different depending on whether the starting loss was 10kg or 40kg

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u/hazard_ratio_halstats121 points·7 days ago

worth the caveat that SURMOUNT-4 and STEP 4 (the actual published data on stopping) tested abrupt discontinuation, not a slow taper like yours, so we don't have trial-grade evidence that a slow taper causes less regain, just that abrupt stopping causes a lot. Your result is a genuinely useful data point precisely because it's rare — most people don't taper slowly and document it.

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u/taper_off_tabithaOP62 points·6 days ago

completely agree, I'm one data point on a question the trials haven't directly answered, trying to be careful not to oversell it as proven

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u/titration_marshalMOD74 points·6 days ago

Genuinely valuable post, correctly hedged in the comments about what is and isn't proven by trial data. This is a model tapering writeup.

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u/dose_diary_danalog keeper41 points·6 days ago

would love a log of the actual four-month step-down schedule if you're willing to share it, purely as "here's what one person did" reference, not asking for a recommendation

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u/taper_off_tabithaOP27 points·6 days ago

working on writing that up properly as a separate post, will link when it's done

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[removed]-3 points·6 days ago

[removed by moderator]

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u/anecdata_annie19 points·7 days ago

one good data point on an under-studied question is worth posting even though it's not proof of anything at scale, glad this exists

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u/still_here_202611 points·6 days ago

bookmarking the actual ratio, 10.5% regain is a genuinely different mental picture than "4kg" floating alone would have given me

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u/karma_irrelevant6 points·6 days ago

fwiw this is the most useful tapering post I've read this month, appreciate the honesty about the n=1 limits

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u/gentle_correctionnice about it3 points·6 days ago

appreciate the caveats throughout, this reads like someone trying to be genuinely useful rather than just proud of a number

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u/lurker_for_years2 points·6 days ago

read this before anything else today, good place to start

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