Plateaus show up regularly when heading toward a target weight. The system pushes back hard against shedding each extra bit of mass. Once I'd dropped around half of what I planned to lose, everything slowed down inside to hang onto the remaining amount. I tried cutting back on what I ate each day or doing extra movement like longer walks, riding a bike or using the stair machine to use up more. Taking a higher amount of the medication didn't always change things, from what I noticed myself.
Seeking opinions on my situation. For five months now I've used tirz. The first two months at 2.5mg it worked great, no food noise, and I dropped 16 pounds. Then at 5mg it helped for a month after noise returned. When noise came back again I increased to 7.5mg next month, but the appetite control wasn't as strong as before. Splitting the dose didn't change anything, weight stayed put and noise returned. At 10mg it's the same story. Scale isn't moving and hunger isn't suppressed like early on. I'm still carrying about 21 extra pounds. Should I try 12.5mg next, hold at 10mg longer, switch to reta, or add something?