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Evidence-based GLP-1 & peptide discussion since 2023
ForumsProgress & Lab ResultsFrom 310 to 198 in 15 months — need advice

From 310 to 198 in 15 months — need advice

KarenAZ_mom Tue, Sep 24, 2024 at 6:00 PM 8 replies 1,746 viewsPage 1 of 2
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KarenAZ_mom
Member
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Aug 2024
Scottsdale, AZ
Sep 24, 2024 at 6:00 PM#1

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

The narrow version of the question is how to distinguish a genuine plateau from measurement noise and creeping intake, before changing anything.

Tell me what I have not thought of.

17 12anna.melb_AU, mark_tokyo, hans_munich and 14 others
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COA_Karl
Senior Member
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8,901
Jan 2024
Pennsylvania
Sep 24, 2024 at 6:11 PM#2
KarenAZ_mom 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 195 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.

Last edited: Sep 24, 2024 at 7:11 PM
16 11jim_asheville, matt_MKE, Dr.ReproEndo and 13 others
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TinaHashiRN
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Sep 2024
Raleigh, NC
Sep 24, 2024 at 6:22 PM#3
COA_Karl said:
Plateau breaking story with a stall: I stalled at 195 lbs for 7 weeks.

That is correct as far as it goes, and here is where it stops going. Most reported plateaus are not plateaus. Weight is a noisy signal — daily variation of one to two kilograms from glycogen, sodium and gut contents — so a fortnight of flat readings is well inside the noise band. Before concluding anything, look at a rolling weekly average over at least four weeks and at a tape measure, because recomposition shows up in circumference before it shows up in weight. Then track intake honestly for a week: appetite suppression fades unevenly, and intake creeping back up is the single commonest cause.

Last edited: Sep 25, 2024 at 12:22 AM
15 10Dr.Martinez, mike_mod, SarahChen_PharmD and 12 others
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maria_elpaso
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Sep 2024
El Paso, TX
Sep 24, 2024 at 6:33 PM#4
KarenAZ_mom said:
Nine weeks flat after five months of steady loss, same dose, same routine, and I cannot tell whether to wait or change something.

Second this.

14 9HPLC_Greg, LibrarianMeg, bri_stats and 11 others
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Dr.PainCLE
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Mar 2024
Cleveland, OH
Sep 24, 2024 at 7:30 PM#5

Clinical perspective, offered as context rather than as advice. Order of operations matters more than any single choice here: establish a baseline, change one thing, wait long enough for it to express itself, then measure again under the same conditions.

Last edited: Sep 24, 2024 at 10:30 PM
13 8amy_econ_NJ, bbq_ray_KC, oliver_london and 10 others
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