#maintenance 2025-11-22

food noise coming back at a lower dose settled again after about four weeks for me, i have it written down somewhere

i lift twice a week specifically because losing fast without it cost me more than i was willing to lose

how much regain did people get in the first 10 months after stopping

i weigh weekly at maintenance rather than daily and my range is about two kilos either side

harder than losing

resistance training two or three times a week is what the room converged on and it is not glamorous

thats STEP 1

Digest for the week of 2025-08-16 has been published.

i dropped from 15 to 7.5 for maintenance and held steady for fourteen months

if you find maintenance harder than the losing part you are in the majority in this room

coming back to this the maintenance conversation barely existed in here two years ago and now it is half the channel

the muscle question is the one i wish i had taken seriously at month two instead of month twelve

stopped 19 months ago and put 17 back on, what did people do at that point

coming back to this anyone gone off entirely and stayed off successfully

coming back after 6 months of maintenance, is anyone interested in the numbers

still at maintenance

is a maintenance dose a real clinical thing or something we invented between us

ok so i went to every ten days at a low dose and it held for me. n of 1, and i keep saying that out loud

my range is 31 and i stopped calling anything inside that a regain

does anyone lift specifically to hold onto muscle now that theyre maintaining

protein up not down

maintenance is harder than losing because there is no number going down to keep you interested

holidays at maintenance are fine, i take the dose on the day and stop thinking about it, ill dig out the number

a 10mg vial at a 2mg maintenance dose is five weeks of doses, so my monthly cost roughly halved

regain after stopping is the expected outcome, which is a horrible sentence and also what the data says

coming down too fast was my mistake. top rung to the bottom rung inside a month and it was a bad month

whats your rule for when a fluctuation becomes a regain

i was wrong about maintenance being the easy part and i had said so loudly for a year beforehand

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

how much protein were people eating at maintenance compared to while losing

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

update on the earlier thing SURMOUNT-OSA is the one where they stopped and it came back isnt it, has anyone read the actual numbers

no data on that

genuine question if i go back up after regain does it work the same the second time

slightly off topic but appetite returning is not the drug failing, it is the drug doing less because you are taking less of it
lower frequency maintenance is genuinely unstudied. anybody telling you it is proven is making that up

cost did not drop at maintenance for me because i went to a lower dose from the same vial and just used it slower

there is no trial on every ten days or every fortnight. people here do it and report on it and that is all we have

same as a bp tablet

SURMOUNT-OSA is the stopping one. weight came back on for most people once the drug stopped. that is the finding, not an opinion

everybody i have seen stop and hold it did something else as well, without exception in my time here, i think

ok so did your maintenance dose end up higher or lower than you expected it to
the maintenance conversation barely existed in here two years ago and now it is half the channel

went back up, no regrets
two or three kilos up and down is normal fluctuation. ten is a different conversation