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[Question] how do you actually verify goal weight

Question Receipts ×3 Well Actually ×1 Sourced ×2

Genuine question, and the title is the question: how do you actually verify goal weight.

Stretched from seven to ten days and then to twelve over about four months. Appetite told me where the limit was before the scale did.

Been at maintenance for 12 months on 0.25mg. Nothing happens. That is the whole report and it took me a while to accept it as success.

Appetite returning before the scale moves follows from the mechanism: the appetite effect is the proximal one and weight is the lagging integrated outcome.

Would rather be corrected in public than confident in private.

6,758 up / 2,428 down74% upvoted42 commentsid 1nqci710 Jan 2025

42 comments

28 in this archive, depth 5

best — the order this archive was captured in

u/ewan_marchand555 points·1 year ago

Maintenance is the phase with the least published guidance and the most individual variation, which is precisely why board consensus here is worth less than usual.

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u/food_noise_goneMOD295 points·1 year ago

Left up. It is a maintenance report with a duration attached and those are rarer than they should be.

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u/ewan_marchand0 points·1 year ago

Left up.

Disagreeing with this bit: a two-kilo range is not drift and treating it as a problem creates one.

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[removed]1 point·1 year ago

[removed by moderator]

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u/brigade_detector148 points·1 year ago

maintenance is a phase, not a finish line

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u/neha_falk-3 points·1 year ago

Chased the last three kilos with a dose increase and got a fortnight of muscle cramps and no change in the number.

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u/brigade_detector343 points·1 year ago

the trials that looked at withdrawal are unambiguous about what follows

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u/hedda_ekstrom504 points·1 year ago

Body weight varies by a couple of kilos over days in stable people through fluid, glycogen and gut content. A range is not a trend.

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u/paper_trail_paulavetting179 points·1 year ago

On stopping, since it is the question underneath most posts here.

Withdrawal studies in this class show substantial regain after discontinuation, consistently, across compounds. Appetite returns first, typically well before the scale moves. That is a statement about the pharmacology of a chronic condition, not about anybody’s character, and the framing matters because people quit in shame over an entirely predictable result.

If you are going to stop — for cost, for supply, for any reason — the useful preparation is deciding in advance what you will watch for and what your plan is when appetite comes back. Doing that in advance is much easier than doing it in a panic, and it is a conversation to have with someone who knows your history.

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u/maintenance_mode_maxmaintenance117 points·1 year ago·edited

Dose reduction and interval extension are different interventions. Halving the dose keeps the rhythm and lowers the level; stretching keeps the level and lowers the frequency, with a lower trough.

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u/taper_off_tabitha52 points·1 year ago·edited

Dose reduction and interval extension are different interventions.

maintenance_mode_max is right that stretching and reducing are different levers. Worth separating in every one of these threads.

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u/fatima_asante12 points·1 year ago

appetite returns before the scale acknowledges anything

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u/erez_baptista4 points·1 year ago

find the dose that holds, then stop optimising

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u/laila_almeida2 points·1 year ago

Right — appetite returns before the scale moves, which is the early signal people miss.

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u/kofi_ferreiraOP22 points·1 year ago

Is the goal weight still the one you picked at the start?

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u/kofi_ferreiraOP41 points·1 year ago

monthly weigh-ins are enough at this stage

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u/nils_tulloch95 points·1 year ago

Agreed. Lowest effective dose is the actual maintenance question and it gets almost no airtime next to the escalation threads.

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u/nhs_waitlist_nUK49 points·1 year ago

Not convinced. Interval stretching changes your exposure profile, not just the total, and the two are not equivalent.

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u/nils_tulloch23 points·1 year ago·edited

Not convinced.

Agreed — and appetite is the leading indicator. The scale is the lagging one.

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u/paloma_stanescu8 points·1 year ago

the habits are the part that has to outlive the dose

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u/vitamin_d_void40 points·1 year ago

do not chase the last two kilos with a dose increase

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u/kofi_ferreiraOP72 points·1 year ago

the goal weight you picked at week 1 was a guess

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u/mod_cold_roommod · c/coldchain52 points·1 year ago

What is the plan if the drift continues for another month?

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u/kofi_ferreira21 points·1 year ago

stretching the interval is not the same as reducing the dose

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u/blunt_coldbox_notes13 points·1 year ago

Drifted up 19kg over a winter and panicked. It came back off without any change, which is apparently just what weight does.

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u/still_here_202640 points·1 year ago

the goal weight you picked at week 1 was a guess

This reframing is the most useful thing on the board for anyone approaching this phase.

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u/draw_up_dizzy0 points·1 year ago

This reframing is the most useful thing on the board for anyone approaching this phase.

Adding one thing — decide what maintenance looks like before you arrive at it.

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u/vitamin_d_void57 points·1 year ago

Disagree with chasing the last stretch by going up. You are trading a real side-effect cost for a number you chose arbitrarily.

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The part nobody posts about: what happens at goal weight. Finding a lowest effective dose, dose-interval stretching, regain risk data, muscle retention, the psychology of not having a number to chase, and staying on indefinitely versus tapering.

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