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ForumsPublic SquareGLP-1 discontinuation: weight regain trajectory and mitigation strategies Page 4

GLP-1 discontinuation: weight regain trajectory and mitigation strategies

Dr.ObesityMed Mon, Jan 26, 2026 at 9:31 PM 16 replies 674 viewsPage 4 of 4
Dr.EndoIndy
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Indianapolis, IN
Jan 27, 2026 at 3:11 AM#16

Just wanted to say — for anyone reading this GLP-1 discontinuatio thread who is feeling discouraged: it gets better. The first few weeks are the hardest. Hang in there. 💪

5 3mia_MS2, LeilaHI, marcus_mpls and 2 others
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Dr.LipidDallas
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Dallas, TX
Jan 27, 2026 at 3:28 AM#17

As a healthcare provider, I want to add some clinical context to this discussion on GLP-1 discontinuation weight regain.

Building on what DebRD_ATL said — the evidence base here is well-established. The key publications to reference are from the FLOW program[1].

Key clinical points:

  1. Efficacy is dose-dependent and typically requires 4-5 weeks to reach steady state
  2. Side effect profile is predictable and usually manageable with standard protocols
  3. Monitoring should include baseline labs and follow-up at 3-month intervals
  4. Patient education significantly improves outcomes and adherence

Standard disclaimer: this is educational, not individualized medical advice.

References:
[1] See thread title for relevant study identification.
Last edited: Jan 27, 2026 at 5:28 AM
8 15wei_SG, cory_ATX, lori_vegas and 5 others
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BenResearch_OR
Senior Member
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Dec 2023
Oregon
Jan 27, 2026 at 3:45 AM#18
Dr.EndoIndy said:
The first few weeks are the hardest

Gonna push back on this one. GLP-1 discontinuation weight regain is not that straightforward in my experience. I have been on this for 18 months and the reality is messier than the trials suggest.

Don't get me wrong — the medication works. But adherence is harder than people admit. We should be honest about that.

20 16Dr.NateNeph, PharmD_Rodriguez, julia.endo and 17 others
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bri_stats
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May 2024
Seattle, WA
Jan 27, 2026 at 4:02 AM#19

100%. My provider said the same thing about GLP-1 discontinuatio.

50 21JessicaM_2024, TomFromTexas, mike.trainer_LA and 47 others
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emily_PDX
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Nov 2024
Portland, OR
Jan 27, 2026 at 4:19 AM#20

Reading this thread on GLP-1 discontinuation hits close to home. Dad of 2 checking in — I started at 297 lbs and felt like I would tried everything.

13 months on tirz and I am a different person. Not just the 72 lbs lost — my energy, my mood, my relationship with food. All transformed.

If you are on the fence about GLP-1 discontinuatio — take the leap. It was the best health decision I have ever made. ❤️

5 4PeptideSynthNJ, Dr.KarenChen, Dr.NateNeph and 2 others
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