the appetite return question that gets asked weekly, answered properly
the appetite return question that gets asked weekly, answered properly. It is the sort of thing everyone half-believes and nobody writes down.
Stopped for cost reasons. Appetite came back at about week 13, well before the scale moved, exactly as this board said it would.
Wrote down where I was before changing anything. That single page made the following six months interpretable.
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.
Corrections welcome, especially the pedantic ones. Pedantry is how this board earns its reputation.
best — the order this archive was captured in
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.
Left up. It is honest about the reason for stopping and about the timeline.
Stretched from seven days to ten to twelve over four months. Appetite told me where the limit was each time.
Agreed. Appetite is the leading indicator and the scale is the lagging one. Watch the first, not the second.
the habits are what has to carry it afterwards
Right, and the habits from the losing phase are the part that has to outlive the dose.
Have you had the conversation with a clinician yet?
Correction: that study measured regain after discontinuation, not loss of effect during treatment. Very different findings.
Push back: that is a taper schedule aimed at another member and this board does not host those.
Appetite is the proximal effect and weight is the lagging integrated outcome, which is why watching appetite gives you an earlier and more honest signal.
decide what you are watching for before you stop
What is prompting the decision — cost, supply, side effects, or something else?
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 the conversation with a clinician before, not after
Had the conversation with a clinician before stopping rather than after. Considerably easier that way round.
This. Decide in advance what you are watching for. Deciding in the middle of it is much harder.
Disagree with the framing. Regain is the documented outcome after discontinuation; calling it a personal failure is both wrong and corrosive.
Stopped abruptly once and gradually once. The gradual one was easier to interpret because I could see what was changing.
The habits are what carried it for a while. When they slipped, everything else followed, in that order.
Went back on after eight months away. Nobody here made me feel bad about it, which mattered more than I expected.
Is this a pause or a stop? They are different plans.
With a week-long half-life, exposure declines over several weeks after the last dose rather than stopping with it. The lag is why the first fortnight is uninformative.
Yes — the withdrawal literature is consistent and it is a pharmacological finding, not a moral one.
- 1Agreed. Appetite is the leading indicator and the scale is the lagging one.…6 comments in this branch · started by u/viktor_kirchner
- 2What is prompting the decision — cost, supply, side effects, or something…6 comments in this branch · started by u/priya_weiss