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c/maintenancephase·submitted 5 months ago by u/mass_spec_maggie

[Discussion] can we stop arguing about dose stretching until somebody posts a number

Discussionbranch of 9 comments

Question in the title, detail here: can we stop arguing about dose stretching until somebody posts a number. Drifted up 6kg over a winter and panicked. It came back off without any change, which is apparently just what weight does. Two years at maintenance. The logistics are the only remaining work — ordering,…

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9 comments, started 5 months ago
u/priya_weiss108 points·5 months ago

Interval stretching changes the exposure profile: with a week-long half-life, moving to ten or twelve days lowers trough concentration more than it lowers average exposure. That is why appetite return is often the first thing noticed.

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u/rafael_krastev25 points·5 months ago

Interval stretching changes the exposure profile: with a week-long half-life, moving to ten or twelve days lowers trough concentration more than it lo

Agreed — and appetite is the leading indicator. The scale is the lagging one.

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u/anders_vermeulen32 points·5 months ago

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

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u/hedda_ekstrom18 points·5 months ago

Has appetite changed, or only the scale?

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u/incretin_ivypharmacology12 points·5 months ago

Correction: that trial measured regain after withdrawal, not failure of the drug during treatment. Very different claim.

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u/gradient_goblin12 points·5 months ago

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

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u/milos_vestergaard4 points·5 months ago

the trials that looked at withdrawal are unambiguous about what follows

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u/cold_chromatogram_only28 points·5 months ago

Agreed — and appetite is the leading indicator.

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

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u/paloma_stanescu21 points·5 months ago

appetite returns before the scale acknowledges anything

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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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