vialroom

#maintenance 2026-05-14

Thursday54 messages11 participantstimes are UTC
Highlights from this day
  • is_this_forever — is a maintenance dose a real clinical thing or something we invented between us 18:17
  • sasha_stacks — update on the earlier thing does anyone lift specifically to hold onto muscle now that theyre maintaining 20:51
  • otto_swirls — how do you decide youre actually at maintenance rather than just stalled 21:52
  • vacuum_vic — i put 46 back on after stopping and then went back on it. it worked the same the second time round 22:00
FS

coming back after 8 months of maintenance, is anyone interested in the numbers

🎉13

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

📉10🙏11💀1

went back up, no regrets

FS

i came off for four months, put 53 back on, and came back. no drama in it, just numbers
nobody here can tell you whether to stop. we can tell you what happened to us when we did

FS

dropping to a maintenance dose was uneventful for me and completely miserable for somebody i talk to weekly

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

FS

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

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

IT

lower frequency maintenance is genuinely unstudied. anybody telling you it is proven is making that up

IT

i weigh weekly at maintenance rather than daily and my range is about two kilos either side
SURMOUNT-1 is the stopping one. weight came back on for most people once the drug stopped. that is the finding, not an opinion

FS

im holding at 0.25 for maintenance and wondering whether i should be lower

FS

while im here anyone tried every ten days or every fortnight as a maintenance schedule

🎉2⚠️9
VV

unrelated but appetite returning is not the drug failing, it is the drug doing less because you are taking less of it, happy to be corrected

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

FS

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

i tried to come down and could not hold it, went back to treatment dose, and stopped apologising for it

💀7

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

P2

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

SS

how do people handle a two week holiday at a maintenance dose

🧊17
SS

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

P2

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

P2

food noise coming back at a lower dose settled again after about four weeks for me

👀5⚠️1🔥6
SS

how much regain did people get in the first 7 months after stopping

SS

i dropped from 2.5 to 12 for maintenance and held steady for fourteen months

m0  118.4
m1  113.9
m2  110.2
m3  108.8
m4  108.1  <- the stall
m5  105.0
m6  101.6
m7   99.2

protein went up during maintenance for me rather than down, which was completely counterintuitive

📈1

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

IT

right so is maintenance different between semaglutide and the others or is that all anecdote

IT

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

DO

nobody here can tell you whether to stop. we can tell you what happened to us when we did

DO

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

⚠️1💀2

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

📈4
SS

update on the earlier thing does anyone lift specifically to hold onto muscle now that theyre maintaining

😂11👍3🔥18

regain is expected

[edited]
RT

maintenance is harder than losing because there is no number going down to keep you interested, i have it written down somewhere

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

two or three kilos up and down is normal fluctuation. ten is a different conversation

mine didnt hold

OS

how do you decide youre actually at maintenance rather than just stalled

👀16❤️17🙏13

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

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

📉12📈1🎉3

*VendorInvestigate not the other one

VV

i put 46 back on after stopping and then went back on it. it worked the same the second time round

🙏17📉2

harder than losing