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c/maintenancephase·posted 4 months ago by u/purity_pedant

week 95 check-in — 48kg down, nausea manageable, one thing confusing me

Long Term Sourced ×6 Receipts ×2

Here it is: week 95 check-in — 48kg down, nausea manageable, one thing confusing me. One person, one log, no control group, so read it accordingly.

The numbers the title promised, since a headline without them is worthless: week 95 and 48kg. Everything below is context for those.

On stopping, since it is the question underneath most posts here.

Withdrawal studies in this class show substantial regain after discontinuation, consistently, across compounds. Appetite returns first, typically well before the scale moves. That is a statement about the pharmacology of a chronic condition, not about anybody’s character, and the framing matters because people quit in shame over an entirely predictable result.

If you are going to stop — for cost, for supply, for any reason — the useful preparation is deciding in advance what you will watch for and what your plan is when appetite comes back. Doing that in advance is much easier than doing it in a panic, and it is a conversation to have with someone who knows your history.

The two levers, described properly, because this board mixes them up constantly.

Reducing the dose lowers average exposure while keeping the weekly rhythm. Stretching the interval keeps the dose but lowers the trough between injections, which — with a week-long half-life — is why people notice appetite returning towards the end of a stretched cycle before they see anything on the scale.

The reported pattern here is stretching in small steps, a week to ten days to twelve, with appetite as the signal rather than the scale. Some people find dose reduction more comfortable. Neither is a schedule anybody here can hand you, and the fact that this phase has the least published guidance is exactly why board consensus deserves less weight than usual.

Please do not ask me what dose you should be on. I genuinely do not know and neither does anyone else here.

3,423 up / 1,180 down74% upvoted63 commentsid qpb6ni25 Mar 2026

63 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/aurel_mwangi0 points·4 months ago

Maintenance is the phase with the least published guidance and the most individual variation, which is precisely why board consensus here is worth less than usual.

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u/hassan_ostergaard1 point·4 months ago

Stretching the interval, reducing the dose, or both?

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u/rasmus_petrescu1 point·4 months ago

Been at maintenance for 21 months on 10mg. Nothing happens. That is the whole report and it took me a while to accept it as success.

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u/hedda_ekstrom1 point·4 months ago

Small fix — you have described interval stretching and called it a dose reduction. The exposure profiles differ.

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u/copay_card_cc1 point·4 months ago

maintenance is where the logistics finally get boring, which is the point

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u/nadia_trevino1 point·4 months ago

Maintenance is the phase with the least published guidance and the most individual variation, which is precisely why board consensus here is worth les

Adding one thing — decide what maintenance looks like before you arrive at it.

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u/hub_opssite staff258 points·4 months ago·edited

I would not treat a two-kilo range as drift requiring action. That is ordinary weight variation.

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u/blunt_coldbox_notes59 points·4 months ago

do not chase the last two kilos with a dose increase

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u/teodor_duarte-8 points·4 months ago

What is the plan if the drift continues for another month?

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u/anders_vermeulen144 points·4 months ago

Withdrawal studies in this class consistently show substantial regain after discontinuation. That is a pharmacological finding about a chronic condition, not a statement about anyone’s discipline.

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u/santiago_ndiaye36 points·4 months ago

a few kilos of drift is not a relapse

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u/mod_cold_roommod · c/coldchain97 points·4 months ago

What maintenance actually looks like, from the people on this board who have been in it longest.

You find a dose or an interval that holds the weight with side effects you barely notice, and then you stop optimising. Weigh monthly rather than daily. Expect a couple of kilos of range and do not act on it. Keep the habits that did the work in the losing phase, because they are the part that has to outlive the dose.

The most common mistake described here is treating arrival as a plateau and pushing the dose to chase a number chosen at week one by a person who did not yet know what maintenance felt like.

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u/purity_pedantOPanalytical35 points·4 months ago

Stretched from seven to ten days and then to twelve over about four months. Appetite told me where the limit was before the scale did.

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u/kaplan_meier_kim16 points·4 months ago

the trials that looked at withdrawal are unambiguous about what follows

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u/neha_falk12 points·4 months ago

Is the goal weight still the one you picked at the start?

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[deleted]6 points·4 months ago

[deleted]

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u/ferritin_low9 points·4 months ago

Appetite returning before the scale moves follows from the mechanism: the appetite effect is the proximal one and weight is the lagging integrated outcome.

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u/arne_ndiaye11 points·4 months ago

the lowest effective dose is a real target and nobody talks about it

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u/still_here_202646 points·4 months ago

The habits from the losing phase are what carry it now. That is not inspirational, it is just what happened.

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u/nnt_nate22 points·4 months ago

The habits from the losing phase are what carry it now.

This reframing is the most useful thing on the board for anyone approaching this phase.

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u/salma_almeida36 points·4 months ago

the habits are the part that has to outlive the dose

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u/purity_pedantOPanalytical26 points·4 months ago

seven days to ten to twelve is the sequence people here describe

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u/usp_appendixcompendial40 points·4 months ago·edited

Drifted up 9kg over a winter and panicked. It came back off without any change, which is apparently just what weight does.

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About c/maintenancephase

The part nobody posts about: what happens at goal weight. Finding a lowest effective dose, dose-interval stretching, regain risk data, muscle retention, the psychology of not having a number to chase, and staying on indefinitely versus tapering.

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