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small win: goal weight stopped being a problem at week 20

Regain Sourced ×6 Receipts ×2 Slow Clap ×1

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.

3,917 up / 374 down91% upvoted42 commentsid rtrkj122 Feb 2025

42 comments

30 in this archive, depth 4

best — the order this archive was captured in

u/nadia_trevino399 points·1 year ago

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

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u/kasper_cabrera-13 points·1 year ago

Slight fix: the number was 96.8, not 97.9. Decimal point, but a fairly consequential one.

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u/ms_fragmenter-19 points·1 year ago

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

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u/line_bergstrom1 point·1 year ago

the 7.5mg dose works fine for 24 weeks of the month

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u/nhs_waitlist_nOPUK1 point·1 year ago

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

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u/priya_weiss464 points·1 year ago

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

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u/bastian_aalto230 points·1 year ago

dose-stretching experiences welcome, dose-stretching instructions are not

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u/oskar_malinowski77 points·1 year ago·edited

dose-stretching experiences welcome, dose-stretching instructions are not

Disagree on that part. 99.2% and 98.9% on the same vial is normal.

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u/nhs_waitlist_nOPUK47 points·1 year ago

Tried the lowest-effective approach. 15mg worked for 4 weeks, then cravings returned. 10mg was the actual floor.

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u/laila_almeida185 points·1 year ago

Dead space in the needle hub holds a small but non-trivial volume. On low-volume draws that can be several units.

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u/sena_balogun43 points·1 year ago

Edit to your parent would help — the concentration you quoted assumes one scenario and you have written another above it.

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u/kofi_ferreira14 points·1 year ago·edited

regain after taper is expected, plan for it

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u/liv_kuipers45 points·1 year ago

dose-stretching experiences welcome, dose-stretching instructions are not

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u/nhs_waitlist_nOPUK23 points·1 year ago

The plateau is real and boring. 46 weeks at the same weight, then movement again. Patience was the intervention.

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u/sarcopenia_watch277 points·1 year ago

Dead space in the needle hub holds a small but non-trivial volume.

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

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u/milos_vestergaard127 points·1 year ago

Did you stretch the dose interval?

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u/old_account_2023104 points·1 year ago

the plateau is where the learning happens

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u/nnt_nate25 points·1 year ago

food noise returns but not always immediately

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u/dario_petrescu69 points·1 year ago

weight moves within 2kg and that is normal

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u/tomas_lokken101 points·1 year ago

the maintenance question changes at maintenance

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u/paper_trail_paulavetting116 points·1 year ago

The evidence standard in c/vendorvetting gets called too strict about once a month, and every time, the thread ends with the complainant agreeing.

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u/liv_kuipers142 points·1 year ago

lowest effective dose is lowest effective dose, find it or stay higher

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u/lina_novak49 points·1 year ago

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

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u/anders_osei23 points·1 year ago

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

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u/kasper_cabrera43 points·1 year ago·edited

lowest effective dose is lowest effective dose, find it or stay higher

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

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u/zeynep_mbeki0 points·1 year ago

Tried the lowest-effective approach. 2.4mg worked for 4 weeks, then cravings returned. 1.0mg was the actual floor.

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u/hedda_ekstrom1 point·1 year ago

nobody posts about this part and it is the longest part

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u/erez_baptista1 point·1 year ago

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

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u/crosspost_bot_no1 point·1 year ago

lowest effective dose is long term, find it or stay higher

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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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