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c/tapering·posted 5 months ago by u/rina_bergstrom

tapering: the version I wish someone had shown me in week 1

Results

Update, and the title has the headline: tapering: the version I wish someone had shown me in week 1.

Stopped for cost reasons. Appetite came back at about week 5, 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.

Research-use-only material is not approved for human use and nothing here should be read as a recommendation to use it.

149 up / 5 down96% upvoted19 commentsid 1iru4t14 Feb 2026

19 comments

14 in this archive, depth 3

best — the order this archive was captured in

u/hana_lehtinen13 points·5 months ago

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.

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u/yara_bakken4 points·5 months ago

Wrote down where I was before changing anything. That single page made the following six months interpretable.

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u/nayeli_fonseca11 points·5 months ago

Disagree with the framing. Regain is the documented outcome after discontinuation; calling it a personal failure is both wrong and corrosive.

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u/aleksi_lehtinen6 points·5 months ago

Have you had the conversation with a clinician yet?

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u/jarno_adebayo3 points·5 months ago·edited

That is a pause rather than a stop, and the plans for the two are not the same.

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u/rafael_sjoberg5 points·5 months ago

Appetite is the proximal effect and weight is the lagging integrated outcome, which is why watching appetite gives you an earlier and more honest signal.

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u/marta_marchand2 points·5 months ago

Yes — have the conversation before rather than after. That is the one piece of process advice this board can give.

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u/rina_bergstromOP4 points·5 months ago

watch appetite, not the scale, for the first month

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u/taper_off_tabithaMOD3 points·5 months ago

Removed the taper schedule written for another member. Describe your own experience instead.

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u/lina_adebayo2 points·5 months ago

the withdrawal data is unambiguous and it is not about willpower

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u/britta_boateng3 points·5 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/britta_boateng1 point·5 months ago

decide what you are watching for before you stop

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u/marta_dziedzic1 point·5 months ago

Correction: that study measured regain after discontinuation, not loss of effect during treatment. Very different findings.

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u/rina_bergstrom1 point·5 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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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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