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c/tapering·posted 4 days ago by u/gentle_correction

[Discussion] should this community stop using the word "relapse" for regain at all

Discussion Well Actually ×8

Noticing a lot of regain posts use "relapse", borrowed pretty directly from addiction/recovery language. Genuinely asking whether that framing helps or hurts here — on one hand it captures the real difficulty, on the other it might import a moral-failure connotation that doesn't fit a condition that's substantially biological/mechanistic.

492 up / 46 down91% upvoted20 commentsid 1r36ep26 Jul 2026

20 comments

15 in this archive, depth 5

best — the order this archive was captured in

u/incretin_ivypharmacology154 points·3 days ago

as someone who thinks about the biology side of this a lot: the mechanistic reality (appetite regulation returning to a prior set point once the drug effect fades) genuinely doesn't map well onto "relapse", which implies a choice or a slip. I'd support moving away from it, though I recognize changing community language is hard and slow.

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u/gentle_correctionOPnice about it71 points·3 days ago

that's basically the argument I was reaching for but couldn't articulate as precisely, thank you

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u/taper_off_tabitha98 points·3 days ago

"regain" is the more neutral word already available and used constantly in this exact community, I think the fix might be as simple as just using that consistently instead of reaching for "relapse" out of habit.

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u/reta_and_regret54 points·3 days ago

can confirm from the inside, "relapse" is the word that made my own posts feel heavier than they needed to, "regain" feels like a fact, "relapse" feels like a verdict

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u/rulebook_rachaelMOD71 points·3 days ago

Good discussion, and a fair point about language shaping how people feel able to post. Not going to mandate word choice, but happy to gently encourage "regain" over "relapse" in the community guidelines as a suggestion rather than a rule.

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u/gentle_correctionOPnice about it33 points·3 days ago

that's a reasonable middle ground, appreciate you taking the suggestion seriously rather than either ignoring it or over-formalizing it

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u/devils_advocate_d-10 points·3 days ago

mild pushback, some people do describe their own experience using relapse-adjacent language deliberately because it captures a felt sense of compulsion they experienced, policing other people's self-description feels like a different kind of overreach

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u/incretin_ivypharmacology38 points·3 days ago

that's a fair point and nobody in this thread suggested banning the word for self-description, just suggesting "regain" as the community's default framing rather than "relapse" as the assumed default

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u/devils_advocate_d16 points·3 days ago

ok, that's a narrower ask than I initially reacted to, agreed with that version

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u/gentle_correctionOPnice about it9 points·3 days ago

glad this landed somewhere both of you are comfortable with, that's genuinely all I was hoping this thread would do

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u/karma_irrelevant5 points·3 days ago

rare to see a disagreement thread actually resolve instead of just fizzling out, nice to watch

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[removed]-4 points·3 days ago

[removed by moderator]

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u/tl_dr_tina24 points·4 days ago

tl;dr — "regain" as the default community word instead of "relapse", not a ban, just a nudge, mods are receptive

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u/quiet_reader_9911 points·4 days ago

small language change, genuinely think it'll help how posts here feel to write, saving this thread

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u/karma_irrelevant6 points·3 days ago

fwiw this is one of the more thoughtful meta-discussions this community has had, no pile-ons, actual movement on the disagreement

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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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