When did you know it was time to increase?

Stuck on a plateau and torn between bumping the dose and just waiting it out. What broke the stall for you?

I sat at the same dose for almost three months while the scale went nowhere, then the whoosh finally came on its own. Down 62 lbs now and I only moved up when the appetite suppression clearly wore off early, not just for a stall. For me the plateau was more about tightening up my protein and water than chasing a higher number.

I sat at the same weight for almost three weeks before things started moving again, and I'm glad I waited instead of jumping up. Down 21 lbs now and the stall broke on its own once I tightened up my protein and water intake. If the appetite suppression still feels strong for you, that might be your answer too.

Down almost 70 lbs myself and I sat at the same dose through two stalls that eventually broke on their own, like three weeks each. My rule of thumb became: if the appetite suppression still feels like it's working day to day, I wait. When I genuinely stopped feeling it, that's when moving up made sense for me.

I sat at the same weight for almost five weeks on my lower dose and figured patience was losing to a plateau, so I moved up and the scale started moving again within two weeks. That said, the stall broke on its own once before too, so if the rest of your habits still feel solid I'd give it another couple weeks before deciding.

I sat at the same dose for almost three months before moving up, and the plateau only broke when I noticed the hunger cues creeping back, not just the scale stalling. Down 34 lbs now and honestly the waiting was the harder part. For me the log was what made the decision obvious.

At 17 lbs down I hit the same wall and almost bumped early, but staying patient on my current dose for another few weeks got things moving again. Turned out my stalls usually lined up with eating more casually on weekends, not the dose itself. Worth tracking what the scale did right before the plateau before deciding.

Honestly by month three the side effects basically disappeared. Cutting fatty meals the day of my shot helped the nausea. Thanks for sharing this.

Only 6 lbs in myself so I'm no plateau veteran, but reading this made me feel better about staying put on my dose. The weekend eating thing from the first reply hit home since that's exactly when my tracking gets sloppy. Guess I'll tighten that up before I even think about moving up.

Stalls happened to me twice on the way to losing 76 lbs and both times I held my dose and the scale moved again within a few weeks. I only went up when hunger came creeping back before my next shot, not because the number froze. Upping my protein and walking after dinner did more for those plateaus than any dose change.

Same experience here at 5mg down 23 lbs - my one stall lasted almost four weeks and then whoosh, three pounds gone in a week. I decided if the appetite suppression was still doing its job, I had no reason to touch anything.

I ended up titrating up twice and both times the trigger for me was appetite creeping back in the last few days before my shot, never the scale stalling. My longest plateau was five weeks and I lost nothing the whole time, then dropped four pounds without changing anything. If you're still not hungry between doses, waiting it out cost me nothing.

My doctor had me hold until side effects settled.

At my last plateau the scale sat still for almost a month even though I was down about 20 by then, and the thing that decided it for me was hunger signals, not the number. Since mine never came back between shots, I stayed put and the stall broke on its own about a week later.

Twenty-one down here and I had almost the same pattern -- sat flat for a month, no hunger between shots, then whoosh, three pounds overnight with zero changes. Appetite coming back early in the week seems to be the real signal for most folks, not the stall itself.

I'm only 5 down so no real stall yet, but watching this closely. For me the appetite thing rings true so far -- as long as I'm still uninterested in seconds at dinner, I figure my current dose is doing its job.

Only 11 down so far but I already hit a three week flat spell, and like others said hunger was the tell for me too. Mine never came back so I just rode it out and the drop picked right back up. If food noise starts creeping in before shot day, that seems like the real signal.

Lost 48 over the course of a year and a half, and every stall I panicked about broke on its own within a few weeks. The only times I moved up was when appetite clearly came roaring back a few days before my shot. If food noise is still quiet, waiting has always worked out better for me than bumping.

Down 56 and every stall I've hit broke itself if I just stayed the course. Hunger creeping back near shot day was the only thing that ever pushed me up a dose.

Same pattern here at about 50 down -- stalls I stressed over always ended up breaking within a few weeks. I only titrated when the food noise got loud again a couple days before shot day. If you're still feeling suppressed, my money's on waiting it out.