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c/tapering·submitted 1 year ago by u/valeria_girard

how much of what we believe about tapering actually comes from discontinuation threads

Questionbranch of 9 comments

Asking properly rather than in a comment on somebody else’s thread: how much of what we believe about tapering actually comes from discontinuation threads. 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…

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9 comments, started 1 year ago
u/appeal_letter_al54 points·1 year ago

Agreed. Appetite is the leading indicator and the scale is the lagging one. Watch the first, not the second.

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u/nora_ramos38 points·1 year ago

How long were you at the dose you are coming off?

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u/ines_boateng22 points·1 year ago·edited

How long were you at the dose you are coming off?

Disagreeing with this bit: stretching and reducing are different things and the post treats them as one.

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u/maintenance_mode_maxmaintenance64 points·1 year ago

Preparing to stop, as described by people here who have done it.

Write down where you are first: dose, date, weight, waist, and an honest note about how appetite feels. That page is what makes the following six months interpretable rather than a fog of impressions.

Decide in advance what you are watching for and over what period — appetite in the first month, weight over three, and a specific threshold at which you would want to revisit the decision. Have the conversation with a clinician before rather than after.

None of that is a schedule. It is a way of arriving at whatever happens next with information rather than with a vague sense of how it is going.

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u/laila_delgado19 points·1 year ago

stopping abruptly and stopping gradually are different experiences

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u/cormac_roos42 points·1 year ago

That reads as advice to stop, which is not something anyone here should be offering.

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u/skip_week_sceptic13 points·1 year ago

write down where you are before you change anything

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u/careful_gradient33 points·1 year ago

Yes — have the conversation before rather than after. That is the one piece of process advice this board can give.

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u/ilias_kaufmann0 points·1 year ago

decide what you are watching for before you stop

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About c/tapering

Stopping on purpose: dose reduction versus interval stretching, what the discontinuation arms of STEP 1 and SURMOUNT-4 actually showed about regain, appetite return timelines, and the people who came off, regained, and went back on without treating it as a failure.

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