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c/tapering·posted 7 months ago by u/cormac_roos

help me understand interval stretching, I have read the wiki twice

Question Cold Box ×1

Trying to get a straight answer on this: help me understand interval stretching, I have read the wiki twice.

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.

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.

Interval stretching lowers the trough concentration while keeping the dose; dose reduction lowers the level while keeping the rhythm. They are different interventions with different subjective profiles.

Corrections welcome, especially the pedantic ones. Pedantry is how this board earns its reputation.

724 up / 121 down86% upvoted33 commentsid jt51x328 Dec 2025

33 comments

26 in this archive, depth 5

best — the order this archive was captured in

u/piotr_bruun124 points·7 months ago

There is very little published guidance on stopping specifically, which is exactly why board consensus here should carry less weight than usual and a clinician conversation should carry more.

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u/hana_lehtinen82 points·7 months ago

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.

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u/maren_baptista0 points·7 months ago

Nothing on this board is a taper schedule, and no member can write one for another. What can be shared is what people watched and what they observed.

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u/chidi_roos-4 points·7 months ago

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.

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u/ahmed_cardoso1 point·7 months ago

the withdrawal data is unambiguous and it is not about willpower

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u/cormac_roosOP1 point·7 months ago

a fortnight of nothing is not evidence that you are fine

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u/maintenance_mode_maxMOD45 points·7 months ago

Removed the taper schedule written for another member. Describe your own experience instead.

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u/cormac_roosOP26 points·7 months ago

That is a pause rather than a stop, and the plans for the two are not the same.

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u/ismael_eriksen58 points·7 months ago

nobody here can write you a taper schedule

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[deleted]27 points·7 months ago

[deleted]

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u/maren_baptista39 points·7 months ago

Correcting myself upthread: appetite returned at week 11 for me, not the week I posted.

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u/nayeli_fonseca22 points·7 months ago

Had the conversation with a clinician before stopping rather than after. Considerably easier that way round.

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u/source_or_silence12 points·7 months ago

Had the conversation with a clinician before stopping rather than after.

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

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u/diego_szabo7 points·7 months ago

Small fix — you have described interval stretching and called it a taper. The exposure profiles differ.

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u/adaeze_brandt2 points·7 months ago

decide what you are watching for before you stop

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u/cormac_roos2 points·7 months ago

stretching to ten days then twelve is the pattern people report

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u/vial_math_verasyringe math22 points·7 months ago

This. Decide in advance what you are watching for. Deciding in the middle of it is much harder.

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u/customs_seizure_sid5 points·7 months ago

the habits are what has to carry it afterwards

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u/vikram_asante3 points·7 months ago

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

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u/liv_kuipers0 points·7 months ago

Has appetite changed yet, independent of the scale?

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u/coa_janitormod · c/coa1 point·7 months ago

Went back on after eight months away. Nobody here made me feel bad about it, which mattered more than I expected.

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u/arne_amankwah15 points·7 months ago

Push back: that is a taper schedule aimed at another member and this board does not host those.

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u/dario_vermeulen4 points·7 months ago

coming back later is allowed and it is common

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u/cormac_roosOP11 points·7 months ago

Push back: that is a taper schedule aimed at another member and this board does not host those.

This is the sentence that reframes the whole board. Appetite first, scale later.

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u/appeal_letter_al6 points·7 months ago

Yes — the withdrawal literature is consistent and it is a pharmacological finding, not a moral one.

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u/laila_delgado4 points·7 months ago

What is prompting the decision — cost, supply, side effects, or something else?

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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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