vialroom

#maintenance 2025-06-17

Tuesday14 messages3 participantstimes are UTC
Highlights from this day
  • eighteen_months — the honest answer to is this forever is that nobody knows and the drug only works while you are taking it 19:18
  • eighteen_months — i think about it the way i think about my blood pressure tablet, and that framing helped me more than anything else 19:51
  • eighteen_months — the food noise came back at the lower dose, does it settle again 20:01
  • fasting_insulin — coming down too fast was my mistake. top rung to the bottom rung inside a month and it was a bad month resistance training two or three times a week is what the room… 20:02
  • fasting_insulin — is there any trial data at all on a lower frequency schedule 20:06

harder than losing

regain is expected

EM

the honest answer to is this forever is that nobody knows and the drug only works while you are taking it

Cited study
Continued Treatment with Tirzepatide for Maintenance of Weight Reduction (SURMOUNT-4)
JAMA · 2024
Randomised withdrawal after a 36-week lead-in. Pairs with STEP 4.
EM

i set a trigger weight instead of a target. if i cross it i go up a rung. that is my entire plan

EM

went back up, no regrets

Cited study
Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes (SELECT)
New England Journal of Medicine · 2023
Hard cardiovascular endpoints in people with overweight or obesity and established disease.

i think about it the way i think about my blood pressure tablet, and that framing helped me more than anything else

no data on that

EM

the food noise came back at the lower dose, does it settle again

📈1🧪161
FI

coming down too fast was my mistake. top rung to the bottom rung inside a month and it was a bad month
resistance training two or three times a week is what the room converged on and it is not glamorous

is there any trial data at all on a lower frequency schedule

⚠️12
FI

does anyone budget for maintenance being cheaper or is it the same $120 a month