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c/tapering·posted 9 months ago by u/marisol_kravchenko

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

Results Clean Column ×1 The Quiet One ×3

three years of tapering threads, summarised so you do not have to read them. It is the sort of thing everyone half-believes and nobody writes down.

Stopped for cost reasons. Appetite came back at about week 21, well before the scale moved, exactly as this board said it would.

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

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.

Not medical advice, obviously, and nothing here is approved for human use. One person with a spreadsheet.

2,617 up / 170 down94% upvoted47 commentsid iz68u619 Oct 2025

47 comments

26 in this archive, depth 5

best — the order this archive was captured in

u/helga_vermeulen402 points·9 months ago·edited

Nothing on this board is a taper schedule, and no member can write one for another. What can be shared is what people watched and what they observed.

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u/marta_weiss283 points·9 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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u/chain_confirm_cpayments138 points·9 months ago

Withdrawal studies across this class consistently show substantial regain after discontinuation, with appetite typically returning before weight chang

Disagreeing with this bit: stretching and reducing are different things and the post treats them as one.

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u/yara_bakken105 points·9 months ago

Appetite is the proximal effect and weight is the lagging integrated outcome, which is why watching appetite gives you an earlier and more honest signal.

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u/neha_krastev131 points·9 months ago

appetite comes back before the weight does

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u/valeria_cardoso81 points·9 months ago

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

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u/janek_ferrari66 points·9 months ago

Push back: that is a taper schedule aimed at another member and this board does not host those.

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u/valeria_girard193 points·9 months ago

stopping is a plan, not an event

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u/priya_weiss131 points·9 months ago

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

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u/ahmed_cardoso165 points·9 months 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/vial_math_verasyringe math80 points·9 months ago

Preparing to stop, as described by people here who have done it.

Write down where you are first: dose, date, weight, waist, and an honest note about how appetite feels. That page is what makes the following six months interpretable rather than a fog of impressions.

Decide in advance what you are watching for and over what period — appetite in the first month, weight over three, and a specific threshold at which you would want to revisit the decision. Have the conversation with a clinician before rather than after.

None of that is a schedule. It is a way of arriving at whatever happens next with information rather than with a vague sense of how it is going.

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u/meera_oyelaran34 points·9 months ago

have the conversation with a clinician before, not after

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u/dizzy_on_standing9 points·9 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/hana_lehtinen7 points·9 months ago

Do you have a written baseline from before you started changing anything?

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u/nayeli_fonseca-20 points·9 months ago

Stopped abruptly once and gradually once. The gradual one was easier to interpret because I could see what was changing.

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u/marisol_kravchenkoOP1 point·9 months ago

Correcting myself upthread: appetite returned at week 6 for me, not the week I posted.

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u/marisol_kravchenkoOP80 points·9 months ago

Have you had the conversation with a clinician yet?

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u/adaeze_brandt62 points·9 months ago

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

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u/rekha_teixeira107 points·9 months ago

a fortnight of nothing is not evidence that you are fine

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u/nora_ramos68 points·9 months 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/marisol_kravchenkoOP32 points·9 months ago

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

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u/quiet_reader_9985 points·9 months ago

Cosigning that cost and supply are legitimate reasons. Most of the stopping threads here are one of those two.

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u/fabio_lehtinen55 points·9 months ago

Agreed that returning later is common and it is treated here as ordinary rather than as a defeat.

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u/adaeze_weiss40 points·9 months ago

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

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u/piotr_bruun30 points·9 months ago

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

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u/britta_boateng18 points·9 months ago·edited

The habits are what carried it for a while.

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

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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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