gary_naperville said:

Nine weeks flat after five months of steady loss, same dose, same routine, and I cannot tell whether to wait or change something.

Plateau breaking story with a stall: I stalled at 201 lbs for 7 weeks. Tried everything — calorie cycling, increased exercise, more water. Nothing worked.

What finally broke the plateau: a brief dose increase followed by return to maintenance. Lost 8 lbs in the next 3 weeks. Plateaus are temporary — they always break if you stay consistent.

Dr.PainCLE said:

Plateau breaking story with a stall: I stalled at 201 lbs for 7 weeks.

Agreeing with Dr.PainCLE, and the qualification matters more than the agreement. Genuine plateaus happen too, and the mechanism is metabolic adaptation plus a smaller body. A body 20kg lighter needs meaningfully fewer calories at rest and less to move, so the deficit that produced the first phase is arithmetically smaller now. The options are the honest ones — increase the deficit slightly, increase activity, or accept the new plateau — and escalating the dose is only one of them.

Ask again with the specifics and you will get a better answer than this one.

gary_naperville said:

Nine weeks flat after five months of steady loss, same dose, same routine, and I cannot tell whether to wait or change something.

Same experience, arrived at from the opposite direction. Nothing to add that would improve it.

Adding the clinical framing, because it changes how the question reads. Start from the measurement rather than the conclusion. Almost every disagreement here turns out to be two people measuring different things and comparing the numbers anyway.