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c/tapering·posted 2 months ago by u/zeynep_ndiaye

how much of what we believe about regain actually comes from discontinuation threads

Regain

how much of what we believe about regain actually comes from discontinuation threads. Searched first, found three threads that contradict each other, hence the post.

Stopped for cost reasons. Appetite came back at about week 23, well before the scale moved, exactly as this board said it would.

There is very little published guidance on stopping specifically, which is exactly why board consensus here should carry less weight than usual and a clinician conversation should carry more.

Interval stretching lowers the trough concentration while keeping the dose; dose reduction lowers the level while keeping the rhythm. They are different interventions with different subjective profiles.

Corrections welcome, especially the pedantic ones. Pedantry is how this board earns its reputation.

104 up / 158 down40% upvoted7 commentsid 1e241j27 May 2026

7 comments

7 in this archive, depth 3

best — the order this archive was captured in

u/zeynep_ndiaye7 points·2 months ago

A written baseline — dose, date, weight, waist, and how appetite feels — taken before any change is what makes the following months interpretable rather than a series of impressions.

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u/ismael_eriksen2 points·2 months ago

Went back on after eight months away. Nobody here made me feel bad about it, which mattered more than I expected.

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u/adaeze_brandt6 points·2 months ago

Regained most of it over a year and spent that year assuming it was my fault. It was not; it is what the literature describes.

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u/zeynep_ndiayeOP2 points·2 months ago

decide what you are watching for before you stop

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u/neha_mwangi5 points·2 months ago

the habits are what has to carry it afterwards

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u/lina_adebayo1 point·2 months ago

Cosigning that cost and supply are legitimate reasons. Most of the stopping threads here are one of those two.

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u/taper_off_tabitha1 point·2 months ago·edited

The habits are what carried it for a while. When they slipped, everything else followed, in that order.

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About c/tapering

Stopping on purpose: dose reduction versus interval stretching, what the discontinuation arms of STEP 1 and SURMOUNT-4 actually showed about regain, appetite return timelines, and the people who came off, regained, and went back on without treating it as a failure.

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