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c/tapering·posted 2 years ago by u/coldchain_karen

the interval stretching thing finally clicked for me and I want to write it down

Regain Receipts ×9

the interval stretching thing finally clicked for me and I want to write it down — a position I have arrived at slowly and would like tested.

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.

Happy to answer the boring questions. Those are usually the ones worth asking.

641 up / 165 down80% upvoted25 commentsid ej358p17 Jul 2024

25 comments

20 in this archive, depth 6

best — the order this archive was captured in

u/pavel_halvorsen93 points·2 years 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/coldchain_karenOPcold chain59 points·2 years ago·edited

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

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u/nabila_bakken-5 points·2 years ago

Careful — interval stretching and dose reduction are different interventions and your post uses them interchangeably.

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u/taper_off_tabitha1 point·2 years ago

stopping is a plan, not an event

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u/andres_restrepo1 point·2 years ago

stopping is a plan, not an event

This is the sentence that reframes the whole board. Appetite first, scale later.

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u/coldchain_karenOPcold chain1 point·2 years ago

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

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[deleted]1 point·2 years ago

[deleted]

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u/helga_vermeulen56 points·2 years ago

Is this a pause or a stop? They are different plans.

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u/coldchain_karenOPcold chain32 points·2 years ago

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

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u/peptidemeter_pat20 points·2 years ago

What are you planning to watch for, and over what period?

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u/quarter_dose_queenlow and slow15 points·2 years 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/nora_ramos22 points·2 years ago

stopping abruptly and stopping gradually are different experiences

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u/adaeze_weiss5 points·2 years ago

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

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u/quarter_dose_queenlow and slow2 points·2 years ago

interval stretching is the most commonly described approach here

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u/maren_baptista0 points·2 years ago

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

adaeze_weiss is right that regain is a documented outcome rather than a character verdict.

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u/priya_weiss15 points·2 years ago

the habits are what has to carry it afterwards

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u/pavel_halvorsen3 points·2 years ago

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

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u/helga_vermeulen22 points·2 years ago

Stopped for cost reasons. Appetite came back at about week 3, well before the scale moved, exactly as this board said it would.

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u/marta_dziedzic31 points·2 years ago

Withdrawal studies across this class consistently show substantial regain after discontinuation, with appetite typically returning before weight changes. That is a description of the pharmacology of a chronic condition.

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u/fabio_lehtinen12 points·2 years ago

I would not treat appetite returning as a sign of doing it wrong. It is the expected sequence.

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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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