It seems there's a complication worth noting even if I'd rather not mention it, since the initial mass ought to be taken from before any reduction happened rather than the number recorded when treatment began. That changes how much total reduction seems realistic or when plateaus are likely to appear, though the interval until one occurs might still be counted from the most recent increase. I wouldn't expect a full additional year of gradual reduction just by moving up a few milligrams though. The real problem arises because dropping from such a high starting point down to the current level required an extended stretch of restricted intake, which lowers daily energy use both through the reduced mass itself and through the ongoing calorie limit. As a result the point where intake matches output arrives earlier or at a heavier level than it would if the process had begun at a lower number. A genuine plateau happens once energy needs have dropped and appetite has risen from the lost mass, yet the medication still curbs hunger enough to avoid regaining while no longer driving further loss, and that stage often shows up around the one-year mark. Individual reactions vary quite a bit, with many here reporting reductions well beyond typical figures, and it appears both of you are seeing steady progress without noticeable side effects that would force a lower amount. Other compounds could be added later if progress slows. Holding the new weight long term will probably mean continuing the medication, and even if the scale stops moving short of the goal, keeping the pounds off remains the biggest step toward avoiding future health issues, since remaining at a lower level carries far less risk than the original higher figure.