[Discussion] the goal weight advice in here is 2 years out of date
the goal weight advice in here is 2 years out of date, which sounds obvious until you try to state the evidence for it.
Pulling the figures out of the title: 2 years. All of it is written down as it happened rather than reconstructed.
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.
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.
Not medical advice, obviously, and nothing here is approved for human use. One person with a spreadsheet.
best — the order this archive was captured in
Appetite returning before the scale moves follows from the mechanism: the appetite effect is the proximal one and weight is the lagging integrated outcome.
Weigh monthly now. Best change I made in the whole run and it cost nothing.
Right — appetite returns before the scale moves, which is the early signal people miss.
appetite returns before the scale acknowledges anything
Right — appetite returns before the scale moves, which is the early signal people miss.
bastian_aalto is right that stretching and reducing are different levers. Worth separating in every one of these threads.
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.
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.
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.
Correction: that trial measured regain after withdrawal, not failure of the drug during treatment. Very different claim.
Yes — interval stretching and dose reduction are different levers and people use the words interchangeably.
None of this is a taper plan. What dose holds for you is a question for somebody with your history in front of them.
Push back: that is not a plateau, that is maintenance. You have arrived and you are describing it as a failure.
Correcting myself: 5 months at maintenance, not the figure I posted. I keep rounding it up.
Disagree with chasing the last stretch by going up. You are trading a real side-effect cost for a number you chose arbitrarily.
the lowest effective dose is a real target and nobody talks about it
This. The withdrawal data is not ambiguous and framing regain as a personal failure is both wrong and cruel.
- 1None of this is a taper plan. What dose holds for you is a question for…6 comments in this branch · started by u/zeynep_mbeki