[Discussion] we are measuring lowest effective dose at the wrong time and calling it noise
The title is the argument: we are measuring lowest effective dose at the wrong time and calling it noise. Here is the rest of it. 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…
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.
the lowest effective dose is a real target and nobody talks about it
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.
maintenance is a phase, not a finish line
I would not treat a two-kilo range as drift requiring action. That is ordinary weight variation.
This. The withdrawal data is not ambiguous and framing regain as a personal failure is both wrong and cruel.