switched from 1.7mg to 2.4mg and nausea got better, not worse
switched from 1.7mg to 2.4mg and nausea got better, not worse. It is the sort of thing everyone half-believes and nobody writes down. The numbers the title promised, since a headline without them is worthless: 1.7mg and 2.4mg. Everything below is context for those. Stretched from seven to ten days and then to twelve…
What dose are you holding, and for how long now?
This. The withdrawal data is not ambiguous and framing regain as a personal failure is both wrong and cruel.
regain after stopping is the expected outcome, not a personal failure
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Not convinced. Interval stretching changes your exposure profile, not just the total, and the two are not equivalent.
Push back: that is not a plateau, that is maintenance. You have arrived and you are describing it as a failure.
find the dose that holds, then stop optimising
Not convinced.
This reframing is the most useful thing on the board for anyone approaching this phase.
Two years at maintenance. The logistics are the only remaining work — ordering, storing, remembering.
Correction: that trial measured regain after withdrawal, not failure of the drug during treatment. Very different claim.
Cosigning on planning it in advance. Deciding what maintenance looks like while still losing is much easier than deciding it in a panic.
What does your weigh-in frequency look like at this point?
Stretching the interval, reducing the dose, or both?
the habits are the part that has to outlive the dose
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.
Agreed. Lowest effective dose is the actual maintenance question and it gets almost no airtime next to the escalation threads.
do not chase the last two kilos with a dose increase