Maintenance - How are you maintaining?

Just getting into maintenance by moving from 10 mg down to 7.5 mg of tirz and stretching it to every other week. Appetite has returned, which helps because intake was too low earlier.

If the dose that reached the goal is still tolerable, it may be worth holding there for a while to observe what happens next. Adjustments can be made later if weight trends start to shift slowly.

Match the dose to results while staying under the side-effect limit. The amount needed just to hold weight steady will usually be lower than the amount that produced the loss. On maintenance the relevant sides are things like daily quality of life or how much effort is still required to manage hunger and food thoughts. The practical method is to weigh regularly, track a simple moving average, and allow some buffer so small daily swings do not trigger constant changes. A fourteen-day average from daily weigh-ins cuts down the noise. After enough time a dose and schedule that simply works should appear and can be kept until something alters the equation. Current cut is 20 mg Reta plus 2.5 mg Tirz plus 1 mg Elora each week. An August trial suggests dropping Reta to 8 mg per week at the start of maintenance. Depending on how sides feel, Reta may be reduced or removed while Tirz or Elora is adjusted. Mid-November is the rough target for reaching maintenance, subject to how the last abdominal fat responds.

Already in maintenance and keeping the same amounts: 7.5 mg tirz every six days, then 2 mg reta three days after that. This routine has held for a couple of months with no further loss and no urge to change yet. The aim now is to add muscle and reduce the remaining loose skin on the inner arms and thighs, which has been slow to tighten.

Six months into maintenance on the same dose used for the final stretch of loss. One shot per week works fine and keeps the schedule simple. Scale weight has been fairly steady, and the small additional drop has been almost all fat, so body composition has improved. The current dose probably will not stay fixed forever, but any reduction will be gradual and only when it becomes necessary.

At goal weight and planning to hold 5 mg tirz on Mondays plus 5 mg reta on Thursdays. Instead of lowering the GLP doses, the plan is to raise daily food intake. More calories were already possible during the loss phase but not desired. The GLPs act as a firm floor and there is reluctance to let that protection slip and allow food noise to return.

Admires the confidence that an inexpensive unofficial supply of Reta will stay reliable for maintenance across the next twenty years until a generic version appears.

Close to goal and still working out the right maintenance level. The highest dose reached was 3 mg Reta; currently 2 mg once a week looks like it may be the right amount. One milligram was hoped for, but realism is needed because returning food noise would be hard to ignore.

Maintenance has kept the reta dose unchanged so far, with daily calories increased instead. A small reduction in reta has just begun so tirz can be added, with the longer-term goal of using more tirz than reta each week.

Down forty pounds but still ninety short of goal, so maintenance is still months away. Past losses have always led to strong rebounds, which is the main worry. Weight loss stops if calories fall below 1200, so an alternate-day fasting pattern was adopted: maintenance calories one day, fast the next. Some form of fasting once or twice a week will probably stay necessary along with whatever GLP ends up being most effective.

Been holding steady for fifteen months now. Still taking Tirz at ten milligrams every seven or eight days, two milligrams of Sema on the same schedule, and two milligrams of Cagri likewise. The three together feel great so I have no interest in changing anything except maybe stretching the gap by a day. I keep thinking about stopping the Cagri but haven't been able to do it. Intake runs around fourteen to sixteen hundred calories daily, mostly keto style. Workouts have gone up quite a bit: swim a mile twice a week, walk three miles twice a week, body pump three times a week, and now adding stage two cardio into the body pump sessions. Seventy female, started at two hundred fifty, currently one thirty eight to one forty, five foot four. Dropped from size twenty to a four or six. Loving every bit of it.

Hard to follow what he is saying sometimes. I answer one of his gloomy forecasts and then he moves on to something else entirely… meh

It depends on the situation. If weight is still coming off when maintenance starts then the dose probably needs to come down while calories go up until balance is reached. If weight has already leveled off then that dose and food level are probably the right ones. I would keep the same frequency either way. I already split into two shots a week because otherwise the hunger gets rough right before the next one.

You don't need faith, just your own twenty-year supply.

All of this. Been on fifteen milligrams of Tirz since August twenty twenty five. Eating more yet the scale still edges down a little. If too much comes off I will lower the dose. Staying weekly and never stacked, down twenty seven percent.

Only reta, started at the beginning of the year. In maintenance myself for about six weeks. Dropped from ten milligrams to eight, then six, then tried four. Four felt awful so now I move between six and eight depending on the Friday scale reading. Up a pound or two then down a pound or two, basically holding steady. Eating a little more, nothing extreme, and a few extra beers now and then. The stubborn belly fat keeps shrinking slowly though, and the sit ups plus weight lifting are probably helping.

Maintenance since May twenty twenty five. Started with one milligram reta and point one two five cagri. Titrated reta up to three milligrams with point two five cagri for maintenance. Stopped the cagri in November twenty twenty five after dropping about fifteen extra pounds past goal without meaning to. Still on three milligrams reta once a week and weight has stayed stable.

I've been following this approach myself. Reached my goal weight about a year ago. After that I changed to a different medication because of the cost and adjusted the amount based on how I felt and what the scale showed. Not long ago my weight crept up a few kilos and I wasn't satisfied with the current one but couldn't pay for the earlier option so I tried another through different channels and that got me back where I want to be. I see this as something that will need to continue long term.