three years of lowest effective dose threads, summarised so you do not have to read them
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.
best — the order this archive was captured in
Regain on a taper is expected. 10% back over 26 weeks, which matches the discontinuation data. Planned for it.
Removed a chain here. The rule is one line long and it is not negotiable.
Slight fix: the number was 97.6, not 95.1. Decimal point, but a fairly consequential one.
Tried the lowest-effective approach. 12.5mg worked for 16 weeks, then cravings returned. 7.5mg was the actual floor.
Not to be pedantic but goal weight and maintenance are being used interchangeably and they are not interchangeable in real life.
regain after taper is expected, plan for it
the lowest dose you can stay on is not the lowest dose that works
Did you stretch the dose interval?
food noise returns but not always immediately
the plateau is where the learning happens
Strongly agree. Lowest effective dose is a real discovery process.
state how long you have been at maintenance, week 11 is not maintenance
Not to be pedantic but maintenance and goal weight are being used interchangeably and they are not interchangeable in real life.
food noise returns but not always immediately
Tried the lowest-effective approach. 12.5mg worked for 11 weeks, then cravings returned. 7.5mg was the actual floor.
Regain on a taper is expected. 13% back over 32 weeks, which matches the discontinuation data. Planned for it.
the 1.0mg dose works fine for 78 weeks of the month
state how long you have been at maintenance, week 17 is not maintenance
the lowest dose you can stay on is not the lowest dose that works
the lowest dose you can stay on is not the lowest dose that works
Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.
state how long you have been at maintenance, week 12 is not maintenance
I love that this community will spend 40 comments on a detail. That pedantry is why the numbers here matter.
The confident tone is doing a lot of work that the evidence is not.
- 1Tried the lowest-effective approach. 12.5mg worked for 16 weeks, then…9 comments in this branch · started by u/yara_antonsen
- 2Tried the lowest-effective approach. 12.5mg worked for 11 weeks, then…7 comments in this branch · started by u/cesar_oyelaran