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c/tapering·posted 1 year ago by u/taper_off_tabitha

help me understand appetite return, I have read the wiki twice

Trial Data Clean Column ×8

Posting this because I searched for it and got nothing useful.

Setup: 7.5mg, week 69, injection-site soreness present but not ruining anything. I changed exactly one variable — appetite return — and tracked it for 10 weeks.

Result: a difference, but a small one, and well inside what I would call noise if someone else posted it. So I am putting it here rather than presenting it as a finding. If two or three other people have done the same thing we might actually learn something.

Not medical advice, obviously. This is one person with a spreadsheet.

1,230 up / 433 down74% upvoted28 commentsid if0qga1 Sep 2024

28 comments

25 in this archive, depth 6

best — the order this archive was captured in

u/zeynep_villalobos100 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/janek_ferrari80 points·1 year ago

Disagree but this is the good kind of wrong — it is specific enough to be checked.

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u/chidi_roos63 points·1 year ago

the 2 week discontinuation arm is the data

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u/taper_off_tabitha51 points·1 year ago

Yeah, regain is not a failure.

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u/coldchain_karencold chain42 points·1 year ago

Yeah, regain is not a failure.

Adding to this: appetite return is doing more work than the comment implies.

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u/valeria_cardoso38 points·1 year 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/maintenance_mode_maxMOD27 points·1 year ago

Removed a chain here. The rule is one line long and it is not negotiable.

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u/appeal_letter_al11 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/ismael_varga-23 points·1 year ago

the people who came off and restarted without shame

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u/laila_delgado1 point·1 year ago

Second this question. I have wondered about discontinuation for 8 months and never seen a straight answer.

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u/priya_weiss21 points·1 year ago
genuinely useful, thanks
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u/ahmed_okafor15 points·1 year ago

Yeah, regain is not a failure.

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u/malin_petrescu13 points·1 year ago

Small correction: the trial was 21 weeks, not 40. Does not change your point but people will quote it.

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u/source_or_silence10 points·1 year ago

say how long you were on and at what dose before taper

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u/taper_off_tabithaOP5 points·1 year ago

say how long you were on and at what dose before taper

Disagree on that part. 97.4% and 97.6% on the same vial is normal.

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u/teodor_lokken3 points·1 year ago

STEP 1 and SURMOUNT-4 discontinuation arms show regain

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u/cormac_erdogan2 points·1 year ago

Strongly agree. The regain is expected.

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[deleted]1 point·1 year ago

[deleted]

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u/zeynep_ndiaye12 points·1 year ago

Has anyone actually got this in writing, or is it forum lore at this point?

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u/source_or_silence9 points·1 year ago

interval stretching versus dose reduction

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u/neha_krastev11 points·1 year ago

Not convinced. The evidence does not support that reading.

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u/naomi_ekstrom5 points·1 year ago

cite the discontinuation data rather than guessing regain rates

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u/janek_ferrari12 points·1 year ago·edited

Mechanistically the bit that matters is tapering. It explains most of the early profile and a decent chunk of the outcome.

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u/nayeli_fonseca6 points·1 year ago

appetite return timelines vary appetite return

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u/neha_mwangi10 points·1 year ago

This is correct. Discontinuation data is real.

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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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