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c/maintenancephase·posted 4 months ago by u/fatima_asante

switched from 0.5mg to 2.4mg and the constipation got better, not worse

Meta Receipts ×1 Long Haul ×2

Long-ish post, sorry. tl;dr at the bottom.

I have been tracking maintenance against eGFR for 21 weeks because I could not find anyone who had. The correlation is weaker than I expected, which is itself mildly interesting given how confidently people link the two in here.

Caveats up front: one person, one lab, one assay, no control, and I changed my training in the middle of it, which was stupid.

tl;dr: probably real, definitely smaller than the threads imply, and not worth reorganising your week around.

1,164 up / 162 down88% upvoted64 commentsid r9ae1g9 Mar 2026

64 comments

25 in this archive, depth 4

best — the order this archive was captured in

u/ferritin_low220 points·4 months ago·edited
i wish i had read this 5 months ago
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u/ilias_nakamura182 points·4 months ago

Rodent data is rodent data. Dose scaling is not linear and the models tell you what to investigate, not what to expect.

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u/kaplan_meier_kim118 points·4 months ago

Rodent data is rodent data. Dose scaling is not linear and the models tell you what to investigate, not what to expect.

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[removed]84 points·4 months ago

[removed by moderator]

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u/fatima_asanteOP60 points·4 months ago

The plateau is real and boring. 76 weeks at the same weight, then movement again. Patience was the intervention.

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u/rafael_krastev28 points·4 months ago

Small correction: the trial was 18 weeks, not 31. Does not change your point but people will quote it.

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u/ilias_nakamura39 points·4 months ago

How long at maintenance?

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u/nnt_nate66 points·4 months ago·edited

regain is not a moral failing

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u/hub_opssite staff26 points·4 months ago

This is the "correlation is mechanism" thing again. You changed three variables at once.

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u/anders_vermeulen8 points·4 months ago

Small correction: the trial was 15 weeks, not 7. Does not change your point but people will quote it.

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u/taper_off_tabithaMOD47 points·4 months ago

Flair changed to match the content. Read the sidebar before posting next time and we are square.

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u/osman_ferrari15 points·4 months ago

Disagree. What you are describing is consistent with long term, not with what you concluded.

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u/omar_eriksen52 points·4 months ago
okay but what dose
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u/fatima_asanteOP37 points·4 months ago

Regain on a taper is expected. 11% back over 40 weeks, which matches the discontinuation data. Planned for it.

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u/neha_falk14 points·4 months ago

food noise returns but not always immediately

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u/fatima_asanteOP0 points·4 months ago

Regain on a taper is expected.

Yes, exactly this, and it is the bit that took me 43 weeks to accept.

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u/andres_dahlberg26 points·4 months ago

nobody posts about this part and it is the longest part

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u/hub_opssite staff35 points·4 months ago
this is the third time this week and i love it every time
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u/blunt_coldbox_notes41 points·4 months ago

Disagree. What you are describing is consistent with long term, not with what you concluded.

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u/aurel_mwangi27 points·4 months ago

regain after taper is expected, plan for it

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u/nabila_espinoza0 points·4 months ago

state how long you have been at maintenance, week 14 is not maintenance

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u/mass_spec_maggieMS1 point·4 months ago

regain is not a moral failing

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u/hedda_ekstrom1 point·4 months ago

regain is not a moral failing

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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u/aleksi_lehtinen1 point·4 months ago

the plateau is where the learning happens

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u/oskar_malinowski13 points·4 months ago

Mechanistically the bit that matters is lowest effective dose. It explains most of the early profile and a decent chunk of the outcome.

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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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c/maintenancephase rules
  1. State how long you have been at maintenance. "Maintenance" at week 30 is not maintenance.
  2. Regain is not a moral failing and posts implying it is get removed.
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