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c/maintenancephase·posted 2 years ago by u/tomas_lokken

[Discussion] goal weight is doing more work than we give it credit for

Discussion Clean Column ×9 Slow Clap ×2

goal weight is doing more work than we give it credit for. Making the case below, and I expect to lose some of it in the comments.

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 9 months on 2.5mg. 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.

Screenshot none of this. Read the whole thread, including the parts where I am told I am wrong.

1,748 up / 375 down82% upvoted34 commentsid oqsu7329 Dec 2023

34 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/noor_cardoso156 points·2 years ago

None of this is a taper plan. What dose holds for you is a question for somebody with your history in front of them.

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u/dario_petrescu57 points·2 years ago

find the dose that holds, then stop optimising

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u/laila_almeida24 points·2 years ago

the lowest effective dose is a real target and nobody talks about it

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u/fatima_yildiz20 points·2 years ago

That is a range, not a trend. Two weigh-ins 23 days apart cannot distinguish them.

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u/noor_cardoso9 points·2 years ago

monthly weigh-ins are enough at this stage

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u/still_here_2026MOD95 points·2 years ago

Standing reminder that regain after stopping is a documented pharmacological outcome, and posts framing it as a moral failure get edited.

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u/usp_appendixcompendial120 points·2 years ago

Correction: that trial measured regain after withdrawal, not failure of the drug during treatment. Very different claim.

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u/brigade_detector49 points·2 years ago

maintenance is a phase, not a finish line

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u/tomas_lokkenOP27 points·2 years ago·edited

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

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u/lina_novak103 points·2 years ago

the trials that looked at withdrawal are unambiguous about what follows

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u/noor_vermeulen85 points·2 years ago

Cosigning on planning it in advance. Deciding what maintenance looks like while still losing is much easier than deciding it in a panic.

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u/arne_ndiaye28 points·2 years ago

regain after stopping is the expected outcome, not a personal failure

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u/sarcopenia_watch53 points·2 years 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/rasmus_petrescu27 points·2 years ago

plan the maintenance phase before you need it

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u/vitamin_d_void99 points·2 years ago

What maintenance actually looks like, from the people on this board who have been in it longest.

You find a dose or an interval that holds the weight with side effects you barely notice, and then you stop optimising. Weigh monthly rather than daily. Expect a couple of kilos of range and do not act on it. Keep the habits that did the work in the losing phase, because they are the part that has to outlive the dose.

The most common mistake described here is treating arrival as a plateau and pushing the dose to chase a number chosen at week one by a person who did not yet know what maintenance felt like.

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u/usp_appendixcompendial23 points·2 years 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/andres_dahlberg18 points·2 years 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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u/tomas_lokken13 points·2 years ago

Small fix — you have described interval stretching and called it a dose reduction. The exposure profiles differ.

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u/draw_up_dizzy68 points·2 years ago

the habits are the part that has to outlive the dose

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u/nils_tulloch63 points·2 years ago

The habits from the losing phase are what carry it now. That is not inspirational, it is just what happened.

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u/tomas_lokkenOP-5 points·2 years ago

Has appetite changed, or only the scale?

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u/anya_rautio1 point·2 years ago

appetite returns before the scale acknowledges anything

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u/graph_it_gary52 points·2 years 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/dilara_nyberg43 points·2 years ago

Weigh monthly now. Best change I made in the whole run and it cost nothing.

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u/teodor_duarte14 points·2 years ago

stretching the interval is not the same as reducing the dose

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u/maintenance_mode_maxmaintenance47 points·2 years ago

do not chase the last two kilos with a dose increase

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u/tomas_lokkenOP29 points·2 years ago

maintenance is where the logistics finally get boring, which is the point

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u/graph_it_gary20 points·2 years ago

I would not treat a two-kilo range as drift requiring action. That is ordinary weight variation.

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u/taper_off_tabitha14 points·2 years ago

Careful — a dose reduction plan is a conversation with someone who knows your history, not a board consensus.

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u/sarcopenia_watch3 points·2 years ago

the goal weight you picked at week 1 was a guess

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About c/maintenancephase

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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