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c/maintenancephase·submitted 19 days ago by u/purity_pedant

[Discussion] we have no vocabulary for success that is not a number going down

Discussionbranch of 6 comments

Something I keep coming back to: we have no vocabulary for success that is not a number going down. 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. Maintenance is the…

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6 comments, started 17 days ago
u/sarcopenia_watch52 points·17 days ago

Chased the last three kilos with a dose increase and got a fortnight of early fullness and no change in the number.

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u/fatima_yildiz27 points·17 days ago

Push back: that is not a plateau, that is maintenance. You have arrived and you are describing it as a failure.

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u/teodor_duarte6 points·17 days ago

Been at maintenance for 18 months on 5mg. Nothing happens. That is the whole report and it took me a while to accept it as success.

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u/purity_pedantOPanalytical4 points·16 days ago

Correcting myself: 20 months at maintenance, not the figure I posted. I keep rounding it up.

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u/nhs_waitlist_nUK32 points·16 days 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/nils_tulloch23 points·16 days ago

Two years at maintenance. The logistics are the only remaining work — ordering, storing, remembering.

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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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