#maintenance 2025-11-28

Friday34 messages8 participantstimes are UTC

Highlights from this day

comment_fatigue — how much protein were people eating at maintenance compared to while losing 21:49
split_the_cost — unrelated but is this forever or is that just how it feels at month 1 22:05
split_the_cost — there is no trial on every ten days or every fortnight. people here do it and report on it and that is all we have 22:27

slightly off topic but dropping to a maintenance dose was uneventful for me and completely miserable for somebody i talk to weekly

how much protein were people eating at maintenance compared to while losing

🤝13🔥16

thats SURMOUNT-OSA

👍14

food_noise_off 21:51

i dropped from 7.5 to 0.25 for maintenance and held steady for fourteen months

comment_fatigue 21:55

holidays at maintenance are fine, i take the dose on the day and stop thinking about it

comment_fatigue how much protein were people eating at maintenance compared to while losing

ring_size_down 21:59

regain after stopping is the expected outcome, which is a horrible sentence and also what the data says

everybody i have seen stop and hold it did something else as well, without exception in my time here, ill dig out the number

split_the_cost 22:05

unrelated but is this forever or is that just how it feels at month 1

m0  118.4
m1  113.9
m2  110.2
m3  108.8
m4  108.1  <- the stall
m5  105.0
m6  101.6
m7   99.2

protein went up during maintenance for me rather than down, which was completely counterintuitive, thats just me

for the archive lower frequency maintenance is genuinely unstudied. anybody telling you it is proven is making that up

nhs_pathway_nell 22:10

lift twice a week

tarpit_tamarchive22:13

how do people handle a two week holiday at a maintenance dose

nhs_pathway_nell 22:16

still at maintenance

tarpit_tamarchive22:17

no official dose

split_the_cost 22:22

i went to every ten days at a low dose and it held for me. n of 1, and i keep saying that out loud

there is no trial on every ten days or every fortnight. people here do it and report on it and that is all we have

Cited study

Effect of Continued Weekly Semaglutide vs Placebo on Weight Loss Maintenance (STEP 4)

JAMA · 2021

The withdrawal arm. This is the trial to read before you plan to stop.

come down slower than that

kev_measures 22:33

i lift twice a week specifically because losing fast without it cost me more than i was willing to lose

split_the_cost 22:38

is there any trial data at all on a lower frequency schedule

taper_tess 22:43

follow up i stayed at treatment dose for four months past goal and then came down slowly. that order was right for me, thats just me

mine held

food_noise_off 22:53

sorry to jump in anyone gone off entirely and stayed off successfully

Cited study

Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes (SELECT)

New England Journal of Medicine · 2023

Hard cardiovascular endpoints in people with overweight or obesity and established disease.

split_the_cost 22:54

does anyone budget for maintenance being cheaper or is it the same €185 a month

the maintenance conversation barely existed in here two years ago and now it is half the channel

🔥4

nhs_pathway_nell 22:57

thats fluctuation

🙏16

split_the_cost is there any trial data at all on a lower frequency schedule

nhs_pathway_nell 23:03

mine didnt hold

weekly not daily

am i the only one finding maintenance harder than losing was

kev_measures 23:06

the honest answer to is this forever is that nobody knows and the drug only works while you are taking it

went back up, no regrets

how do you decide youre actually at maintenance rather than just stalled

how much regain did people get in the first 23 months after stopping

kev_measures 23:17

same as a bp tablet

nhs_pathway_nell 23:24

how long did people stay at treatment dose after hitting goal