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c/tapering·posted 1 year ago by u/aleksi_lehtinen

week 46 check-in — 37kg down, early fullness manageable, one thing confusing me

Regain Receipts ×7 Long Haul ×2

Quick one. Canada here.

discontinuation works very differently where I live than in the threads that dominate the front page, and I keep seeing people confidently given advice that simply does not apply outside the US.

Specifics: the route I used took 16 weeks and cost roughly what I expected. The admin was worse than the cost. The thing that would have saved me the most time was knowing which document to ask for at the start.

Happy to answer questions from anyone in the same jurisdiction.

1,964 up / 87 down96% upvoted37 commentsid iz33c711 Jun 2025

37 comments

17 in this archive, depth 5

best — the order this archive was captured in

u/taper_off_tabithaMOD311 points·1 year ago

Retitled to remove editorialising. Put the evidence in the body.

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u/quiet_reader_99131 points·1 year ago

Retitled to remove editorialising.

Disagree on that part. 96.8% and 96.2% on the same vial is normal.

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u/lane_watchermod · logistics29 points·1 year ago

the regain is treatment of chronic condition ending, not failure

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u/adaeze_brandt18 points·1 year ago

cite the discontinuation data rather than guessing regain rates

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u/lina_adebayo106 points·1 year ago

I am going to push back on this slightly.

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u/aleksi_lehtinenOP76 points·1 year ago

no shaming people who restart

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u/taper_off_tabitha18 points·1 year ago

say how long you were on and at what dose before taper

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u/osman_eriksen14 points·1 year ago

The confident tone is doing a lot of work that the evidence is not.

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u/valeria_girard190 points·1 year ago·edited

Yeah, regain is not a failure.

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u/cormac_roos161 points·1 year ago

Titration speed is a side-effect dial far more than an efficacy dial.

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u/anders_kuusela118 points·1 year ago

the 22 week discontinuation arm is the data

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u/chidi_vermeulen34 points·1 year ago

Did anything else change in the same window?

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u/maintenance_mode_maxmaintenance95 points·1 year ago

the people who came off and restarted without shame

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u/lane_watchermod · logistics45 points·1 year ago

Yeah, regain is not a failure.

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u/ahmed_cardoso-19 points·1 year ago

the 16 week discontinuation arm is the data

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u/border_paperwork0 points·1 year ago

This is correct. Discontinuation data is real.

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u/controversial_only60 points·1 year ago

Sceptical. If this were true we would see it reflected in the data and we do not.

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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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