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c/maintenancephase·posted 10 months ago by u/marisol_frisk

[Question] how do you actually verify lowest effective dose

Question Clean Column ×6 Sourced ×2 Well Actually ×1

Quick one. Canada here.

regain works very differently where I live than in the threads that dominate the front page, and I keep seeing people confidently given advice that simply does not apply outside the US.

Specifics: the route I used took 6 weeks and cost roughly what I expected. The admin was worse than the cost. The thing that would have saved me the most time was knowing which document to ask for at the start.

Happy to answer questions from anyone in the same jurisdiction.

2,932 up / 321 down90% upvoted64 commentsid qzvwy36 Sep 2025

64 comments

30 in this archive, depth 4

best — the order this archive was captured in

u/britt_abubakar444 points·10 months ago

the plateau is where the learning happens

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u/maintenance_mode_maxMOD245 points·10 months ago

Retitled to remove editorialising. Put the evidence in the body.

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[deleted]173 points·10 months ago

[deleted]

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u/cold_chromatogram_only-38 points·10 months ago

Regain on a taper is expected. 22% back over 15 weeks, which matches the discontinuation data. Planned for it.

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u/santiago_lindqvist1 point·10 months ago

Weight variance within what range?

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u/kenji_vasquez1 point·10 months ago

weight moves within 13kg and that is normal

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u/dilara_nyberg1 point·10 months ago

This is the "correlation is mechanism" thing again. You changed three variables at once.

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u/nabila_espinoza1 point·10 months ago

nobody posts about this part and it is the longest part

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u/kofi_ferreira183 points·10 months ago

This is correct. Weight variance is normal at maintenance.

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u/purity_pedantanalytical149 points·10 months ago·edited

Tried the lowest-effective approach. 2.5mg worked for 9 weeks, then cravings returned. 5mg was the actual floor.

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u/marisol_friskOP67 points·10 months ago

The plateau is real and boring. 17 weeks at the same weight, then movement again. Patience was the intervention.

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u/paper_trail_paulavetting114 points·10 months ago

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

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u/piotr_grimaldi83 points·10 months ago

Maintenance for 10 months now. 0.25mg every 15 days, weight 22±10kg. Found the rhythm.

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u/marisol_friskOP69 points·10 months ago

Maintenance for 10 months now.

Yes, exactly this, and it is the bit that took me 31 weeks to accept.

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u/marisol_friskOP66 points·10 months ago·edited

Not to be pedantic but goal weight and dose stretching are being used interchangeably and they are not interchangeable in real life.

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u/vitamin_d_void93 points·10 months ago

I love that this community will spend 40 comments on a detail. That pedantry is why the numbers here matter.

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u/camila_sandvik57 points·10 months ago

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

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u/taper_off_tabitha31 points·10 months ago

regain after taper is expected, plan for it

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u/anya_rautio34 points·10 months ago

Strongly agree. Lowest effective dose is a real discovery process.

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u/anders_osei62 points·10 months ago

the 5mg dose works fine for 58 weeks of the month

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u/nnt_nate14 points·10 months ago

weight moves within 3kg and that is normal

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u/noor_vermeulen6 points·10 months ago

the lowest dose you can stay on is not the lowest dose that works

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u/enzo_danquah30 points·10 months ago

Rodent data is rodent data. Dose scaling is not linear and the models tell you what to investigate, not what to expect.

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u/lina_novak29 points·10 months ago

nobody posts about this part and it is the longest part

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u/bastian_aalto15 points·10 months ago

I am going to push back on this slightly.

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u/kaplan_meier_kim17 points·10 months ago

Strongly agree. Lowest effective dose is a real discovery process.

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u/marisol_frisk4 points·10 months ago

nobody posts about this part and it is the longest part

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u/mod_cold_roommod · c/coldchain3 points·10 months ago

Not to be pedantic but goal weight and long term are being used interchangeably and they are not interchangeable in real life.

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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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