[Discussion] we are measuring long term at the wrong time and calling it noise
we are measuring long term at the wrong time and calling it noise, and I am aware this is a minority view on this board.
Chased the last three kilos with a dose increase and got a fortnight of sulphur burps and no change in the number.
Wrote down what maintenance would look like at about week 93, before I needed it. Having decided in advance made the transition boring.
The habits from the losing phase are what carry it now. That is not inspirational, it is just what happened.
Please do not ask me what dose you should be on. I genuinely do not know and neither does anyone else here.
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.
Drifted up 10kg over a winter and panicked. It came back off without any change, which is apparently just what weight does.
Removed the taper schedule aimed at another member. Describe your own; do not write theirs.
Removed the taper schedule aimed at another member.
This reframing is the most useful thing on the board for anyone approaching this phase.
That is a range, not a trend. Two weigh-ins 11 days apart cannot distinguish them.
appetite returns before the scale acknowledges anything
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Is the goal weight still the one you picked at the start?
Correction: that trial measured regain after withdrawal, not failure of the drug during treatment. Very different claim.
stretching the interval is not the same as reducing the dose
stretching the interval is not the same as reducing the dose
copay_card_cc is right that stretching and reducing are different levers. Worth separating in every one of these threads.
copay_card_cc is right that stretching and reducing are different levers.
Disagreeing with this bit: a two-kilo range is not drift and treating it as a problem creates one.
plan the maintenance phase before you need it
What dose are you holding, and for how long now?
the lowest effective dose is a real target and nobody talks about it
the goal weight you picked at week 1 was a guess
the trials that looked at withdrawal are unambiguous about what follows
do not chase the last two kilos with a dose increase
None of this is a taper plan. What dose holds for you is a question for somebody with your history in front of them.
None of this is a taper plan.
Agreed — and appetite is the leading indicator. The scale is the lagging one.
Agreed — and appetite is the leading indicator.
Adding one thing — decide what maintenance looks like before you arrive at it.
Small fix — you have described interval stretching and called it a dose reduction. The exposure profiles differ.
Not convinced. Interval stretching changes your exposure profile, not just the total, and the two are not equivalent.
regain after stopping is the expected outcome, not a personal failure
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.
This. The withdrawal data is not ambiguous and framing regain as a personal failure is both wrong and cruel.
- 1appetite returns before the scale acknowledges anything13 comments in this branch · started by u/kofi_ferreira