switched from 1.7mg to 2.4mg and nausea got better, not worse
switched from 1.7mg to 2.4mg and nausea got better, not worse. It is the sort of thing everyone half-believes and nobody writes down.
The numbers the title promised, since a headline without them is worthless: 1.7mg and 2.4mg. Everything below is context for those.
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.
Chased the last three kilos with a dose increase and got a fortnight of early fullness and no change in the number.
If somebody has the same thing measured a different way, post it next to mine and we will see whether they agree.
best — the order this archive was captured in
Withdrawal studies in this class consistently show substantial regain after discontinuation. That is a pharmacological finding about a chronic condition, not a statement about anyone’s discipline.
None of this is a taper plan. What dose holds for you is a question for somebody with your history in front of them.
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.
Interval stretching changes the exposure profile: with a week-long half-life, moving to ten or twelve days lowers trough concentration more than it lowers average exposure. That is why appetite return is often the first thing noticed.
Weigh monthly now. Best change I made in the whole run and it cost nothing.
The habits from the losing phase are what carry it now. That is not inspirational, it is just what happened.
Right — appetite returns before the scale moves, which is the early signal people miss.
maintenance is a phase, not a finish line
Drifted up 13kg over a winter and panicked. It came back off without any change, which is apparently just what weight does.
That is a range, not a trend. Two weigh-ins 15 days apart cannot distinguish them.
What dose are you holding, and for how long now?
This. The withdrawal data is not ambiguous and framing regain as a personal failure is both wrong and cruel.
regain after stopping is the expected outcome, not a personal failure
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Not convinced. Interval stretching changes your exposure profile, not just the total, and the two are not equivalent.
Push back: that is not a plateau, that is maintenance. You have arrived and you are describing it as a failure.
find the dose that holds, then stop optimising
Not convinced.
This reframing is the most useful thing on the board for anyone approaching this phase.
Two years at maintenance. The logistics are the only remaining work — ordering, storing, remembering.
Correction: that trial measured regain after withdrawal, not failure of the drug during treatment. Very different claim.
Cosigning on planning it in advance. Deciding what maintenance looks like while still losing is much easier than deciding it in a panic.
What does your weigh-in frequency look like at this point?
Stretching the interval, reducing the dose, or both?
the habits are the part that has to outlive the dose
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.
Agreed. Lowest effective dose is the actual maintenance question and it gets almost no airtime next to the escalation threads.
do not chase the last two kilos with a dose increase
stretching the interval is not the same as reducing the dose
appetite returns before the scale acknowledges anything
- 1What dose are you holding, and for how long now?18 comments in this branch · started by u/priya_weiss
- 2Interval stretching changes the exposure profile: with a week-long…7 comments in this branch · started by u/osman_ferrari