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Single comment threadYou are looking at one branch of three years of appetite return threads, summarised so you do not have to read them — 28 comments in the full submission. View in context.
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c/tapering·submitted 1 year ago by u/taper_off_tabitha

three years of appetite return threads, summarised so you do not have to read them

Trial Databranch of 7 comments

Thinking out loud about this: three years of appetite return threads, summarised so you do not have to read them. Went back on after eight months away. Nobody here made me feel bad about it, which mattered more than I expected. Had the conversation with a clinician before stopping rather than after. Considerably…

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7 comments, started 1 year ago
u/janek_ferrari12 points·1 year ago

A written baseline — dose, date, weight, waist, and how appetite feels — taken before any change is what makes the following months interpretable rather than a series of impressions.

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u/nayeli_fonseca6 points·1 year ago

How long were you at the dose you are coming off?

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u/ilias_kaufmann18 points·1 year 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/rina_bergstrom12 points·1 year 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/preservative_free_p6 points·1 year 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/marta_marchand8 points·1 year ago

What is prompting the decision — cost, supply, side effects, or something else?

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u/maintenance_mode_maxmaintenance0 points·1 year ago

What is prompting the decision — cost, supply, side effects, or something else?

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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