Stuck in the 240’s after losing 70lbs.

From what I have seen the first pounds drop fast and then things slow down a lot. Over these last couple weeks has the scale stayed completely flat or just moved much more slowly? Also, have you noticed yourself eating more or dealing with more food noise lately?

Seventy pounds is still huge so do not forget that even while you are stuck. Plateaus happen after a stretch like that. Are you logging everything you eat right now instead of just guessing? It is easy to under-count without noticing, especially when appetite is low. Eating too little can also work against you. Around sixteen or seventeen hundred calories with plenty of protein is probably better than cutting as low as possible. Are you hitting enough protein to keep muscle? And do you have any exercise routine, even just steady walking? Clear numbers on intake and output give a useful baseline when things stall.

I agree with that. Running your numbers through a TDEE calculator can show you the right calorie, protein, fat, and carb targets.

Now that the weather is warming up, get outside and walk. Enjoy the progress you have made and use movement to push past the plateau. At some point you need to start moving more.

How much are you moving each day? On reta or any GLP-1 I would add resistance training and lift heavy to hold on to muscle. Aim for at least zero point eight grams of protein per pound of body weight. Do not let calories fall too low either. Twelve hundred is very low at your size, so I would actually suggest eating more. Even if that was just a guess, fueling properly still matters. If you are closer to two thousand calories while staying active, results should come. Try to reach ten thousand steps a day and lift three times a week with a plan.

I had to start carb cycling around workouts, seventy grams before and one-thirty after, using rice cakes, banana, and maple syrup. I also do one full carb-load day a week with all-you-can-eat sushi. It was tough after years of keto but now I eat to support lifting.

Your intake is already fairly low, but are you actually hungry or having trouble eating? Have you weighed and logged every item for a stretch to check your numbers? At your current weight even twelve hundred calories should create a deficit and produce some loss. Is there a reason you are not going higher on the reta dose? Besides appetite effects it can raise metabolism on its own, especially through the glucagon action.

I lost about twenty pounds in two months averaging three pounds a week while eating under maintenance at only one milligram of reta, keeping protein high and lifting. At eight milligrams I would focus more on exercise and building muscle than on cutting calories further. You lose muscle along with fat, so without enough protein and lifting you might hit a scale number you want but not look the way you expected.

You did not say exactly when you restarted reta. If it has been less than a month you are still titrating. The first eight-milligram shot after a long break only brings your level up to eight milligrams. After a full month at eight milligrams per week your body level is closer to sixteen milligrams. So for that first month you were actually at a lower effective dose than before the break. Much of the weight you regained off reta was probably water from inflammation. Restarting likely dumped that water quickly, which is why the scale moved fast without it being all fat loss. While things are shifting like that the scale does not reliably show fat change.

I also stalled even though I was barely eating. Two changes helped a lot. I joined a gym and started exercising, and I added tesamorelin in the evenings on workout days. My quality of life has improved with both.