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Evidence-based GLP-1 & peptide discussion since 2023
ForumsProgress & Lab Results[PREMIUM] From morbid obesity to marathon finisher — what worked for you?

[PREMIUM] From morbid obesity to marathon finisher — what worked for you?

steph_laguna Fri, May 3, 2024 at 6:14 AM 14 replies 2,088 viewsPage 1 of 3
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steph_laguna
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Nov 2024
Laguna Beach, CA
May 3, 2024 at 6:14 AM#1

Thirteen weeks at the same dose with no change on the scale, and I have gone from assuming it was the drug to assuming it was me and back several times.

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

Not looking for reassurance. Looking for the part I have got wrong.

1 21Dr.EndoEP
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Dr.SurgeonPGH
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Mar 2024
Pittsburgh, PA
May 3, 2024 at 7:09 AM#2
steph_laguna said:
Thirteen weeks at the same dose with no change on the scale, and I have gone from assuming it was the drug to assuming it was me and back several…

Plateau breaking story with a stall: I stalled at 217 lbs for 8 weeks. Tried everything — calorie cycling, increased exercise, more water. Nothing worked.

What finally broke the plateau: adding HIIT cardio 2x/week. Lost 6 lbs in the next 3 weeks. Plateaus are temporary — they always break if you stay consistent.

50 20TomTeleRx, DoseLogDan, SleepFixSam and 47 others
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JakeBK_lifts
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Brooklyn, NY
May 3, 2024 at 8:04 AM#3
Dr.SurgeonPGH said:
Plateau breaking story with a stall: I stalled at 217 lbs for 8 weeks.

Agreeing with Dr.SurgeonPGH, and the qualification matters more than the agreement. 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: May 3, 2024 at 10:04 AM
49 19LabKate, kate.chem, DataDave and 46 others
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hannah_MT
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Bozeman, MT
May 3, 2024 at 8:59 AM#4
steph_laguna said:
Thirteen weeks at the same dose with no change on the scale, and I have gone from assuming it was the drug to assuming it was me and back several…

Second this. The detail I would add is minor and it is already implied above.

Last edited: May 3, 2024 at 11:59 AM
48 18PurityPaulOR, MaxMetOK, MounjBrad and 45 others
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PharmHunterJen
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Illinois
May 3, 2024 at 2:12 PM#5

Adding the clinical framing, because it changes how the question reads. The useful move here is to separate what is established from what is widely repeated. Those two sets overlap less than the confident tone of most write-ups suggests, and the second set is where nearly all the disagreement on this board comes from.

Last edited: May 3, 2024 at 8:12 PM
47 17mike_mealprep, NicoleRaleigh, james_edin and 44 others
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