three years of appetite return threads, summarised so you do not have to read them
Thinking out loud about this: three years of appetite return threads, summarised so you do not have to read them.
Went back on after eight months away. Nobody here made me feel bad about it, which mattered more than I expected.
Had the conversation with a clinician before stopping rather than after. Considerably easier that way round.
Stopped abruptly once and gradually once. The gradual one was easier to interpret because I could see what was changing.
Please do not ask me what dose you should be on. I genuinely do not know and neither does anyone else here.
best — the order this archive was captured in
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.
What the evidence says about stopping, written plainly because the framing does real damage.
Withdrawal studies across this class consistently show substantial regain after discontinuation. Appetite typically returns first, well before weight changes. This is a finding about the pharmacology of a chronic condition, in the same way that blood pressure rises again when an antihypertensive is stopped.
People on this board quit in shame over an entirely predictable result, and then avoid coming back because they have interpreted it as a personal failure. It is not. Knowing that in advance is the single most useful thing this board can offer anybody planning to stop.
What the evidence says about stopping, written plainly because the framing does real damage.
This is the sentence that reframes the whole board. Appetite first, scale later.
coming back later is allowed and it is common
Stretched from seven days to ten to twelve over four months. Appetite told me where the limit was each time.
Push back: that is a taper schedule aimed at another member and this board does not host those.
a fortnight of nothing is not evidence that you are fine
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.
Have you had the conversation with a clinician yet?
Do you have a written baseline from before you started changing anything?
Yes — the withdrawal literature is consistent and it is a pharmacological finding, not a moral one.
Withdrawal studies across this class consistently show substantial regain after discontinuation, with appetite typically returning before weight chang
Agreed — and the exposure lag means the first fortnight tells you almost nothing.
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.
Edited a comment framing regain as a moral failure. The documented outcome is not a character verdict.
I would not treat appetite returning as a sign of doing it wrong. It is the expected sequence.
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.
How long were you at the dose you are coming off?
Regained most of it over a year and spent that year assuming it was my fault. It was not; it is what the literature describes.
Yes — have the conversation before rather than after. That is the one piece of process advice this board can give.
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.
What is prompting the decision — cost, supply, side effects, or something else?
What is prompting the decision — cost, supply, side effects, or something else?
Adding the one process step — write down where you are before you change anything.
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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nobody here can write you a taper schedule
- 1A written baseline — dose, date, weight, waist, and how appetite feels —…7 comments in this branch · started by u/janek_ferrari
- 2What the evidence says about stopping, written plainly because the framing…6 comments in this branch · started by u/taper_off_tabitha