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c/semaglutide·posted 6 days ago by u/graph_it_gary

[PSA] how to actually tell noise from a real plateau instead of guessing

PSA Clean Column ×6 Receipts ×2 Slow Clap ×1

Getting asked "is this a real plateau" constantly so here's the actual method instead of vibes.

Take your daily weigh-ins, compute a 7-day rolling average (average of today + previous 6 days), and plot that line instead of the raw numbers. A real plateau is when the rolling average itself goes flat for 3+ weeks. Raw numbers being flat for a week or two is almost always just noise sitting on a still-declining trend.

SignalLikely noiseLikely real plateau
Raw daily weight flat1–2 weeksN/A on its own
7-day rolling average flatN/A on its own3+ weeks
Waist/tape measurementstill shrinkingalso flat
Clothes fitstill looseningalso stable

If only the raw scale number is flat and everything else in that table is still moving, it's noise. If the rolling average AND the tape AND the clothes are all flat for a few weeks, that's a real plateau worth actually discussing with whoever manages your prescription.

4,632 up / 255 down95% upvoted39 commentsid 1fim1d23 Jul 2026

39 comments

17 in this archive, depth 6

best — the order this archive was captured in

u/spreadsheet_gremlindata267 points·6 days ago

this table should be the sidebar honestly. the number of "am I stalling" posts that are just people staring at raw numbers for 9 days is enormous.

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u/graph_it_garyOP121 points·6 days ago

that's basically why I wrote it, this exact question three times a week for a month straight

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u/week_four_wall74 points·5 days ago

my entire account exists because of this exact phenomenon so, can confirm, it's constant

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u/plateau_patrol52 points·5 days ago

we should just merge accounts at this point, same job

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u/titration_marshalMOD178 points·6 days ago·edited

Pinning this. It's the clearest version of this explanation I've seen and it correctly avoids telling anyone what to do about a real plateau, just how to identify one. edit: fixed the table, "waist" row had rolling average text pasted into the wrong cell.

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u/hazard_ratio_halstats92 points·6 days ago

worth noting even in the STEP trials, individual weight trajectories were not smooth monotonic declines — group means hide a lot of individual-level plateau-and-drop patterning. this table is basically a home version of what trial statisticians already handle with smoothing.

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u/forest_plot_fionastats44 points·6 days ago

right, the published curves are already averaged over hundreds of people, individual noise is much louder than the population curve suggests

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u/kaplan_meier_kim27 points·5 days ago

same lesson as watching a survival curve, the smooth published line and any one patient's actual jagged path are almost different objects

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u/hazard_ratio_halstats18 points·5 days ago

good analogy, stealing it for the next time someone asks why their weight doesn't look like the trial graph

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u/intent_to_treat13 points·5 days ago

ITT vs per-protocol has the same flavor too, the population-level number and any one person's actual experience answer different questions

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u/placebo_arm_pam9 points·4 days ago

and people forget the placebo arm in these trials wasn't flat either, some of that "noise" is just being a human body over months regardless of the drug

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u/maintenance_mode_maxmaintenance61 points·6 days ago

this method holds up at maintenance too, for what it's worth, though a flat rolling average is the actual goal at that stage rather than a problem

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u/nnt_nate27 points·6 days ago

would love a version of this table with actual sample sizes attached, "likely noise" vs "likely real" without an n behind it is still a bit of a vibe even if a well-reasoned one

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u/dose_creep_dan43 points·6 days ago

wish I'd had this table three months ago before I panic-upped my dose over what was, in hindsight, entirely noise

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[removed]-2 points·6 days ago

[removed by moderator]

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u/tl_dr_tina38 points·6 days ago

tl;dr — track the 7-day average not the daily number, and only call it a real plateau if the tape measure and clothes agree with the scale

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u/quiet_reader_9919 points·6 days ago

saved, printed, taped to the fridge, no longer allowed to panic about individual days

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