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

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

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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…

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9 comments, started 9 months ago
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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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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