PharmHunterJen said:

The version of this that has an answer is narrower than the version being asked.

Adding the part of the answer the thread has not reached. There is a difference between no evidence and evidence of no effect, and this subject is one where the two get swapped freely in both directions.

Correct me if the detail matters more than I have assumed.

Closing the loop on my own question.

Reporting back after another eight months at the same dose. Still losing slowly, no new side effects, and no reason I can find to climb further.

One thing that is still open after PharmHunterJen’s answer:

Did your prescriber agree with that reading, and if not what was their objection?

Old thread, but it comes up first when you search for this, so it is worth updating. Worth stating the units and the reference range whenever you post a number here. A large fraction of the apparent disagreement in these threads is two people using different units and both being right.

robert_kc said:

Reporting back after another eight months at the same dose.

That is right, and it stops being right at the edges. The general case is well behaved; the interesting cases in this thread are all at the boundary where the general case breaks.

Worth separating that from the pharmacology, which this thread keeps folding into the same question. They behave differently and the advice does not transfer.