Thirteen weeks at the same dose with no change on the scale, and I have gone from assuming it was the drug to assuming it was me and back several times.
What I actually want to know is how to distinguish a genuine plateau from measurement noise and creeping intake, before changing anything.
Practical detail welcome, however dull — the duller the better.
CarlaRPh_TPA said:Thirteen weeks at the same dose with no change on the scale, and I have gone from assuming it was the drug to assuming it was me and back several…
Plateau breaking story with a stall: I stalled at 201 lbs for 7 weeks. Tried everything — calorie cycling, increased exercise, more water. Nothing worked.
What finally broke the plateau: a brief dose increase followed by return to maintenance. Lost 12 lbs in the next 3 weeks. Plateaus are temporary — they always break if you stay consistent.
SarahChen_PharmD said:Plateau breaking story with a stall: I stalled at 201 lbs for 7 weeks.
Agreeing with SarahChen_PharmD, and the qualification matters more than the agreement. Most reported plateaus are not plateaus. Weight is a noisy signal — daily variation of one to two kilograms from glycogen, sodium and gut contents — so a fortnight of flat readings is well inside the noise band. Before concluding anything, look at a rolling weekly average over at least four weeks and at a tape measure, because recomposition shows up in circumference before it shows up in weight. Then track intake honestly for a week: appetite suppression fades unevenly, and intake creeping back up is the single commonest cause.
That is the short version; the long version is somebody else's post.
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Shop Reference StandardsCarlaRPh_TPA said:Thirteen weeks at the same dose with no change on the scale, and I have gone from assuming it was the drug to assuming it was me and back several…
This matches mine closely enough to be worth saying so out loud.
Adding the clinical framing, because it changes how the question reads. Order of operations matters more than any single choice here: establish a baseline, change one thing, wait long enough for it to express itself, then measure again under the same conditions.
Amazing transformation! Starting at 287 lbs, I'm now at 162 lbs after 18 months on semaglutide 2.4mg/wk. These photos show my progress at months 3, 6, 9, 12, 15, and 18. The body recomposition has been incredible — DEXA shows 23% body fat, down from 42%...