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ForumsProgress & Lab ResultsInsulin discontinued — what worked for you?

Insulin discontinued — what worked for you?

ricardo_MIA Sat, Aug 17, 2024 at 8:05 PM 18 replies 2,094 viewsPage 1 of 4
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ricardo_MIA
Member
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Sep 2024
Miami, FL
Aug 17, 2024 at 8:05 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 bit I cannot resolve on my own is how to distinguish a genuine plateau from measurement noise and creeping intake, before changing anything.

Practical detail welcome, however dull — the duller the better.

13 8JakeSmashed95, NauseaFreeNow, SteveThurs and 10 others
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anders_CPH
Senior Member
1,567
7,234
Feb 2024
Copenhagen, DK
Aug 17, 2024 at 9:23 PM#2
ricardo_MIA 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 217 lbs for 5 weeks. Tried everything — calorie cycling, increased exercise, more water. Nothing worked.

What finally broke the plateau: switching from evening to morning injection. Lost 7 lbs in the next 2 weeks. Plateaus are temporary — they always break if you stay consistent.

12 7MariaRD, AussieAnna, BethLabQueen and 9 others
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Dr.EndoEP
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Oct 2024
El Paso, TX
Aug 17, 2024 at 10:41 PM#3
anders_CPH said:
Plateau breaking story with a stall: I stalled at 217 lbs for 5 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: Aug 18, 2024 at 12:41 AM
11 6FranDenver, Dr.BariatricHTX, LindaRN_retired and 8 others
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stefan_berlin
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Oct 2024
Berlin, DE
Aug 17, 2024 at 11:59 PM#4
ricardo_MIA said:
Nine weeks flat after five months of steady loss, same dose, same routine, and I cannot tell whether to wait or change something.

This is my experience too, for whatever a second data point is worth.

10 5TirzTom, TrialTracker_MD, JennaRN and 7 others
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lisa_labSD
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Oct 2024
San Diego, CA
Aug 18, 2024 at 7:31 AM#5

Clinical perspective, offered as context rather than as advice. The distinction that resolves most of these threads is between what is true on average and what is true for one person. Both are real; they answer different questions and get quoted as if they were the same one.

9 4cory_ATX, lori_vegas, Dr.PulmRoch and 6 others
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