Eating just 800 calories each day does not strike me as particularly drastic. Plenty of research exists around extremely restricted eating plans near 400 calories daily, sometimes continuing for many months or even a full year, which used to be the standard approach for handling serious excess weight without operations back before these newer medications. Protein usually supplies most of the energy in those plans. Such tight limits can bring risks like shifts in mineral balance and greater tiredness, so regular doctor visits seem sensible. At that level weight may barely move once someone has already shed substantial amounts or stayed restricted for ages, since metabolism slows considerably, or if the person happens to be quite petite. My own daily burn fell by half after dropping from 145 kg down to 75 kg, so early on I shed around 6 kg monthly while eating 1600 to 1800 calories, yet later that same amount merely held the scale steady. Maintaining on those numbers feels far easier over time than sticking to 800, though before the medications it meant staying hungry most of the time. Putting the weight back on would also carry real dangers for me. From what you wrote about 800 being preferable to worse outcomes, it sounds like you face comparable concerns. I do not agree with pausing the medications, since nothing shows the body builds resistance to their ongoing ability to reduce weight, aside from one unrepeated mouse experiment where interrupting the drugs cut the benefit sharply. Forum members have mentioned struggling to drop more after resuming, though that often happens simply because prior losses mean the drugs mainly hold the line rather than push further downward. Should the pause-and-restart pattern prove true in people, it would not improve matters. Are you already using the 15 mg strength of tirzepatide? Stronger amounts sometimes boost metabolism enough to speed reduction or permit slightly higher intake while keeping the same pace. Retatrutide might also be useful because its glucagon action raises daily burn by roughly 100 to 200 calories. Much depends on prior attempts and how side effects have played out.