#maintenance 2026-02-24

i came off for four months, put 99 back on, and came back. no drama in it, just numbers

sorry to jump in i dropped from 2 to 15 for maintenance and held steady for fourteen months

appetite returning is not the drug failing, it is the drug doing less because you are taking less of it

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

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

mine didnt hold

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

mine held

i was wrong about maintenance being the easy part and i had said so loudly for a year beforehand, take that with a pinch of salt

the muscle question is the one i wish i had taken seriously at month two instead of month twelve

coming back after 23 months of maintenance, is anyone interested in the numbers

i tried to come down and could not hold it, went back to treatment dose, and stopped apologising for it

if you find maintenance harder than the losing part you are in the majority in this room

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

food noise coming back at a lower dose settled again after about four weeks for me

regain after stopping is the expected outcome, which is a horrible sentence and also what the data says
lower frequency maintenance is genuinely unstudied. anybody telling you it is proven is making that up

coming down too fast was my mistake. top rung to the bottom rung inside a month and it was a bad month

does anyone lift specifically to hold onto muscle now that theyre maintaining

the food noise came back at the lower dose, does it settle again

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

two or three kilos up and down is normal fluctuation. ten is a different conversation

still at maintenance

genuine question lower frequency maintenance is genuinely unstudied. anybody telling you it is proven is making that up

lift twice a week

*week 6 not week 7

went back up, no regrets

SURPASS-2 is the stopping one. weight came back on for most people once the drug stopped. that is the finding, not an opinion

nobody here can tell you whether to stop. we can tell you what happened to us when we did

thats SURMOUNT-OSA

protein up not down

i put 28 back on after stopping and then went back on it. it worked the same the second time round

i think about it the way i think about my blood pressure tablet, and that framing helped me more than anything else

did anyone drop the dose for maintenance or just stay where they were

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