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c/maintenancephase·posted 1 year ago by u/incretin_ivy

[Discussion] the regain advice in here is 21 years out of date

Discussion Well Actually ×3

Something I noticed reading old threads that I have not seen said out loud.

The advice on dose stretching in this community changed substantially around the start of last year, and nobody went back and updated the older posts. So depending on which thread the search engine hands you, you get two contradictory answers with the same confidence.

I have listed what I think the current consensus is below. Correct me — that is the point of posting it.

985 up / 348 down74% upvoted26 commentsid 1oabpl10 Dec 2024

26 comments

23 in this archive, depth 4

best — the order this archive was captured in

u/hub_opssite staff104 points·1 year ago

The plateau is real and boring. 74 weeks at the same weight, then movement again. Patience was the intervention.

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u/aurel_mwangi82 points·1 year ago

regain is not a moral failing

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[removed]59 points·1 year ago

[removed by moderator]

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u/fridge_door_no57 points·1 year ago

Regain on a taper is expected. 21% back over 40 weeks, which matches the discontinuation data. Planned for it.

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u/santiago_ndiaye14 points·1 year ago

Regain on a taper is expected.

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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u/priya_weiss-27 points·1 year ago

This is correct. Weight variance is normal at maintenance.

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u/mei_serrano1 point·1 year ago·edited

Slight fix: the number was 99.0, not 98.9. Decimal point, but a fairly consequential one.

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u/incretin_ivyOPpharmacology1 point·1 year ago

state how long you have been at maintenance, week 10 is not maintenance

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u/column_dead_volume1 point·1 year ago

the plateau is where the learning happens

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u/kasper_cabrera31 points·1 year ago

Three years on this site and the questions have not changed at all. Which is depressing or reassuring depending on the day.

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u/taper_off_tabithaMOD22 points·1 year ago

This is an urgent-care question wearing a forum question's clothes. Please contact a clinician rather than waiting for replies.

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u/kasper_cabrera18 points·1 year ago·edited

Yeah, maintenance is the boring part and the important part.

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u/oskar_malinowski7 points·1 year ago

regain after taper is expected, plan for it

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u/piotr_grimaldi36 points·1 year ago

Not to be pedantic but regain and lowest effective dose are being used interchangeably and they are not interchangeable in real life.

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u/constipation_clubside effects10 points·1 year ago

the plateau is where the learning happens

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u/incretin_ivyOPpharmacology4 points·1 year ago

the plateau is where the learning happens

Adding to this: lowest effective dose is doing more work than the comment implies.

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u/salma_almeida45 points·1 year ago

Regain on a taper is expected. 12% back over 9 weeks, which matches the discontinuation data. Planned for it.

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u/santiago_ndiaye20 points·1 year ago

The practical rule people converge on is 28 days at fridge temperature after first puncture, and that comes from the preservative, not the peptide.

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u/draw_up_dizzy6 points·1 year ago·edited

the maintenance question changes at maintenance

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u/incretin_ivyOPpharmacology3 points·1 year ago

The plateau is real and boring. 55 weeks at the same weight, then movement again. Patience was the intervention.

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u/aleksi_eriksen17 points·1 year ago

regain after taper is expected, plan for it

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u/hassan_ostergaard8 points·1 year ago

I am going to push back on this slightly.

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u/taper_off_tabitha2 points·1 year ago

The confident tone is doing a lot of work that the evidence is not.

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About c/maintenancephase

The part nobody posts about: what happens at goal weight. Finding a lowest effective dose, dose-interval stretching, regain risk data, muscle retention, the psychology of not having a number to chase, and staying on indefinitely versus tapering.

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c/maintenancephase rules
  1. State how long you have been at maintenance. "Maintenance" at week 30 is not maintenance.
  2. Regain is not a moral failing and posts implying it is get removed.
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