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c/tapering·posted 4 months ago by u/vial_math_vera

[Discussion] can we stop arguing about interval stretching until somebody posts a number

Discussion

Asking properly rather than in a comment on somebody else’s thread: can we stop arguing about interval stretching until somebody posts a number.

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.

Stopped abruptly once and gradually once. The gradual one was easier to interpret because I could see what was changing.

Had the conversation with a clinician before stopping rather than after. Considerably easier that way round.

Would rather be corrected in public than confident in private.

220 up / 60 down78% upvoted17 commentsid 1jlsxw19 Mar 2026

17 comments

16 in this archive, depth 4

best — the order this archive was captured in

u/honest_syringe_2025-25 points·4 months ago

Do you have a written baseline from before you started changing anything?

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u/taper_off_tabitha1 point·4 months ago

Yes — the withdrawal literature is consistent and it is a pharmacological finding, not a moral one.

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u/nabila_bakken1 point·4 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/teodor_lokken1 point·4 months ago

Stretched from seven days to ten to twelve over four months. Appetite told me where the limit was each time.

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u/ismael_varga1 point·4 months ago

write down where you are before you change anything

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u/meera_oyelaran11 points·4 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/customs_seizure_sid7 points·4 months ago

the habits are what has to carry it afterwards

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u/nayeli_fonseca3 points·4 months ago

Right, and the habits from the losing phase are the part that has to outlive the dose.

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u/rafael_sjoberg6 points·4 months ago

Small fix — you have described interval stretching and called it a taper. The exposure profiles differ.

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u/vial_math_veraOPsyringe math3 points·4 months ago

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

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u/andres_restrepo1 point·4 months ago

coming back later is allowed and it is common

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u/zeynep_zielinski1 point·4 months ago

Stopped for cost reasons. Appetite came back at about week 2, well before the scale moved, exactly as this board said it would.

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u/vikram_ferreira5 points·4 months ago

With a week-long half-life, exposure declines over several weeks after the last dose rather than stopping with it. The lag is why the first fortnight is uninformative.

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u/vial_math_veraOPsyringe math0 points·4 months ago

Correcting myself upthread: appetite returned at week 7 for me, not the week I posted.

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u/ilias_kaufmann4 points·4 months ago

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.

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u/dario_stanescu2 points·4 months ago

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

Adding the one process step — write down where you are before you change anything.

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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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