Anonymous wrote:I have a friend on it and she's way below a healthy weight now. I'm not sure how she doesn't see it, or maybe she's struggling with the right dose/plan. IDK. Just something to add to this conversation. We work out together and I know she went from 200 to 120, but she's too thin now (She's about 5'6")

That's a normal BMI. She likely needs to work on building muscle, but dieting or medication will not do that for her.

I have a friend on it and she's way below a healthy weight now. I'm not sure how she doesn't see it, or maybe she's struggling with the right dose/plan. IDK. Just something to add to this conversation. We work out together and I know she went from 200 to 120, but she's too thin now (She's about 5'6")

I'm still working my way up to the final dose, but I have lost about 20 lbs (need to lose 50). I have not noticed a significant difference between the 1.0 dose and the 1.7 dose. My dr hopes we can titrate back down to the lowest dose over time.

I'm in a Facebook group for people taking Wegovy/Ozempic and people's maintenance mode varies. Some people go back down to the lowest dose and stay there, some people titrate back down and stop when they have the best combo of no side effects but effective appetite suppression (and this may be slightly higher than the lowest dose), some people take the lowest dose but just a shot every 10 days-2 weeks instead of weekly.

Certainly some people get off the meds altogether, but the mindset I see most often couples that strategy with "if I start gaining weight back I have cleared with my doctor that I can get back on," not just cutting the cord and jumping.

Anonymous wrote:I have posted before about starting weight watchers at the same time as starting Ozempic. I lost 50 lbs while doing both, changed jobs and now my new insurance doesn't cover Ozempic. I'm about 20 lbs away from being where I need to be. It's been about 3 months and it's significantly harder to not think about food like I could when I was on Ozempic. I haven't gained any weight back but I also haven't lost any more weight. I can definitely say that the appetite comes back once you go off.

that’s amazing you’ve kept from gaining though!

I have posted before about starting weight watchers at the same time as starting Ozempic. I lost 50 lbs while doing both, changed jobs and now my new insurance doesn't cover Ozempic. I'm about 20 lbs away from being where I need to be. It's been about 3 months and it's significantly harder to not think about food like I could when I was on Ozempic. I haven't gained any weight back but I also haven't lost any more weight. I can definitely say that the appetite comes back once you go off.

Anonymous wrote:Maintenance mode means you've lost all the weight you need to lose and now you need to keep it off.

I should have been more clear: I don’t know what maintenance mode means in the context of taking a semiglutide.

My PCP has been prescribing for awhile. She said the people who maintain after stopping the meds made lifestyle changes on the medicine and kept those up after going off.

Anonymous wrote:You are a google search away from all your answers. OOOOORRRRR... better yet....contact your doctor.

Very little info out there on how people are maintaining their weight loss. Lots of excited folks losing weight but no word of a plan to maintain.

My PCP has not had a lot of experience prescribing it for weight loss.

Anonymous wrote:You are a google search away from all your answers. OOOOORRRRR... better yet....contact your doctor.

What a ridiculous and stupid answer. The question is asking for a perspective on what a person’s experience is like after coming off the drug. I think it’s a great thread and I’m interested in seeing the answers.

Maintenance mode means you've lost all the weight you need to lose and now you need to keep it off.

Anonymous wrote:Once you start, you don't go off.

I'm not sure what maintenance mode means. I guess I got a little less vigilant about eat low-carb and my weight plateaued.

I'm down about 50 from my start. Ironically, I lost all of it before even beginning Ozempic (for type 2). Ozempic actually has not caused me to lose anything further, although I'm also not gaining, even after becoming less restrictive. To some degree the medicine takes care of that naturally -- where I might have eaten an entire Subway sandwich before, now I only want half of one. Etc.

No one ever knows what maintenance mode means.... medicine will not change your mind or your thoughts.

You are a google search away from all your answers. OOOOORRRRR... better yet....contact your doctor.

Once you start, you don't go off.

I'm not sure what maintenance mode means. I guess I got a little less vigilant about eat low-carb and my weight plateaued.

I'm down about 50 from my start. Ironically, I lost all of it before even beginning Ozempic (for type 2). Ozempic actually has not caused me to lose anything further, although I'm also not gaining, even after becoming less restrictive. To some degree the medicine takes care of that naturally -- where I might have eaten an entire Subway sandwich before, now I only want half of one. Etc.

I'm 70 pounds overweight and am so conflicted about starting on these medications mainly out of concern about how to maintain. What does maintenance look like - are you still on the medication to maintain? Did you switch to something else or wean off? How long have you been able to maintain?