I’ve lost 75 lbs in 14 mos and now getting ready to transition to a maintenance dose. What my doctor told me is, she will step me down 2.5 mg at a time until I can feel the hunger coming back. At that point she will step me back up to the next highest dose and that will be my maintenance dose.
To put it another way, I am currently at 15 mg. Starting my next box, my dose will decrease to 12.5. Then down to 10 mg the next month and so on. Once I feel like the hunger is getting to hard to fight - let’s pretend like that dose, for me, is 7.5 mg. At that point the next month she will prescribe 10 mg and that will be the dose I stay on.

Anonymous wrote:The question seems to be what does maintenance mode look like for maintaining a suppression of the "noise"? That is, for people who have reduced or stopped Ozempic, did the "noise" return? Did the hunger pangs start again? That's the part that concerns me about starting.

I’m the PP of fox for 8months now and maintaining a weight of 145. Ozempic does not change you permanently, so yes all the food noise and hunger comes back. However it’s so easy to keep motivated to ignore it (well I do mentally gymnastics to avoid over eating) when I look and feel so great. Oz enameled me to climb a mountain I thought was impossible to conquer.

If I have to go back on it it won’t be the end of the world, but for now I’m enjoying the healthy sexy happy me.

The question seems to be what does maintenance mode look like for maintaining a suppression of the "noise"? That is, for people who have reduced or stopped Ozempic, did the "noise" return? Did the hunger pangs start again? That's the part that concerns me about starting.

Anonymous wrote:

Anonymous wrote:I’m 5’9” and went from 203 to 145 on OZ. My insurance did not cover the meds. I went off it once I hit my goal. Im 8 months off and weigh between 143-150. I weight daily and never g
Let myself go over 150. I don’t carb but but I do exercise and keep an eye on my calories. Im on vyvanse for ADD which has the very pleasant side effect of eliminating all my binge eating. Clearly I have a dopamine imbalance which is the root of my problem.

Congratulations! Did you titrate down or extend the time between shots or just stop cold turkey? I really want to try it but have been burned before by other weight loss drugs though I know this one is supposed to be different.

Titrate down. You will get burned if you don’t calorie count. Nothing about ozempic changes you permanently. I weigh myself daily and if I want to eat more than 1200csl a day I have to exercise very hard. So I do. I also clock 10k steps a day and never sit more than 46min

Anonymous wrote:I’m 5’9” and went from 203 to 145 on OZ. My insurance did not cover the meds. I went off it once I hit my goal. Im 8 months off and weigh between 143-150. I weight daily and never g
Let myself go over 150. I don’t carb but but I do exercise and keep an eye on my calories. Im on vyvanse for ADD which has the very pleasant side effect of eliminating all my binge eating. Clearly I have a dopamine imbalance which is the root of my problem.

Congratulations! Did you titrate down or extend the time between shots or just stop cold turkey? I really want to try it but have been burned before by other weight loss drugs though I know this one is supposed to be different.

Anonymous wrote:

Anonymous wrote:They look sickly the people I’ve seen

The ones I know of look amazing and more importantly, seem really happy and confident. One person I know of says it improved her work confidence and she is achieving more at work as a result.

I saw my cousin last week after not seeing her since before Christmas. I thought she was sick but I didn’t know she was taking weight loss meds until she told me that day. She lost close to 80lbs. Her skin on her arms and face and neck (possibly other places but I don’t know) looks as though it was just hanging loosely on her bones. She’s trying all sorts of products to tighten her skin. The positive is she’s happy with the weight loss as it has been a struggle to keep down for most of her life. But she realizes how bad her skin is sagging and short of getting the excess skin removed, she’s trying everything her finances will allow.

Anonymous wrote:They look sickly the people I’ve seen

The ones I know of look amazing and more importantly, seem really happy and confident. One person I know of says it improved her work confidence and she is achieving more at work as a result.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

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")

Sudden weight loss makes everyone look haggard.

Is it the weight loss or the abnormally high level of muscle atrophy associated with semaglutide?

The early reports of unusual levels of muscle atrophy on Dexscans are keeping me from trying it. The haggard faces post-Ozempic are startling, worse than people who’be lost weight without it.

It’s so tempting but I don’t want to end up worse off.

I know two people on ozempic who are losing weight pretty slowly and don’t have “ozempic face.” What I can see is their pre weight gain faces emerging. Both of these people were pretty overweight so perhaps that’s it, but I think people look at Chelsea Handler and similar people who were already pretty thin and had likely had various filler injections and think that’s “ozempic face.” It’s not.

Anonymous wrote:

Anonymous wrote:I hit my goal last Nov. According to Wegovy the full strength dose is 2.4. My insurance will pay for 1 month at each strength until you get to 2.4. So I’m on 2.4.

I use it every 2-3 weeks instead of monthly. I would prefer to go back down but then I would have to pay out of pocket.

Isn't it a weekly shot? So you've been maintaining since November by continuing the 2.4? Any discussion of weaning you off?

Yes it is a weekly shot. I just space them out. No discussion of weaning off.