is it normal to get early fullness at week 90
is it normal to get early fullness at week 90, logged the same way every week so the comparison is at least internally fair.
Body weight varies by a couple of kilos over days in stable people through fluid, glycogen and gut content. A range is not a trend.
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.
Would rather be corrected in public than confident in private.
best — the order this archive was captured in
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.
Been at maintenance for 5 months on 0.5mg. Nothing happens. That is the whole report and it took me a while to accept it as success.
the lowest effective dose is a real target and nobody talks about it
the trials that looked at withdrawal are unambiguous about what follows
maintenance is a phase, not a finish line
What does your weigh-in frequency look like at this point?
regain after stopping is the expected outcome, not a personal failure
Did you decide what maintenance would look like before you got here?
do not chase the last two kilos with a dose increase
stretching the interval is not the same as reducing the dose
Small fix — you have described interval stretching and called it a dose reduction. The exposure profiles differ.
Careful — a dose reduction plan is a conversation with someone who knows your history, not a board consensus.
Drifted up 4kg over a winter and panicked. It came back off without any change, which is apparently just what weight does.
How long have you been at goal?
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Correction: that trial measured regain after withdrawal, not failure of the drug during treatment. Very different claim.
That is a range, not a trend. Two weigh-ins 10 days apart cannot distinguish them.
None of this is a taper plan. What dose holds for you is a question for somebody with your history in front of them.
Appetite returning before the scale moves follows from the mechanism: the appetite effect is the proximal one and weight is the lagging integrated outcome.
Disagree with chasing the last stretch by going up. You are trading a real side-effect cost for a number you chose arbitrarily.
I would not treat a two-kilo range as drift requiring action. That is ordinary weight variation.
Wrote down what maintenance would look like at about week 35, before I needed it. Having decided in advance made the transition boring.
Dose reduction and interval extension are different interventions. Halving the dose keeps the rhythm and lowers the level; stretching keeps the level and lowers the frequency, with a lower trough.
Chased the last three kilos with a dose increase and got a fortnight of sulphur burps and no change in the number.
Same. Monthly is plenty at this stage and daily weighing made me miserable for no information gain.
maintenance is where the logistics finally get boring, which is the point
find the dose that holds, then stop optimising
monthly weigh-ins are enough at this stage
the goal weight you picked at week 1 was a guess
- 1Maintenance is the phase with the least published guidance and the most…12 comments in this branch · started by u/karim_hartmann
- 2Chased the last three kilos with a dose increase and got a fortnight of…6 comments in this branch · started by u/graph_it_gary