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c/tapering·posted 10 months ago by u/vikram_asante

help me understand tapering, I have read the wiki twice

Question Receipts ×7 Long Haul ×2

help me understand tapering, I have read the wiki twice. Searched first, found three threads that contradict each other, hence the post.

Stopped for cost reasons. Appetite came back at about week 24, 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.

Would rather be corrected in public than confident in private.

3,172 up / 1,120 down74% upvoted21 commentsid hb8moc19 Sep 2025

21 comments

10 in this archive, depth 5

best — the order this archive was captured in

u/camila_marchand338 points·10 months 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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[deleted]126 points·10 months ago

[deleted]

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u/lane_watchermod · logistics71 points·10 months ago

That reads as advice to stop, which is not something anyone here should be offering.

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u/maintenance_mode_maxMOD233 points·10 months ago

Pointing the clinical part of this at somebody qualified. The experience part can stay here.

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u/rina_bergstrom285 points·10 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/vikram_asanteOP205 points·10 months ago

Have you had the conversation with a clinician yet?

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u/cormac_roos111 points·10 months ago

stopping is a plan, not an event

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u/naomi_ekstrom60 points·10 months ago

interval stretching is the most commonly described approach here

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u/maren_baptista87 points·10 months ago

watch appetite, not the scale, for the first month

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u/vikram_asanteOP33 points·10 months ago·edited

Correcting myself upthread: appetite returned at week 8 for me, not the week I posted.

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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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