Reached my goal weight — how do I keep it off without the drug?

2026-08-29 299 views 3 posts

Hit my goal last month and my doctor offered two paths: taper to a maintenance dose or stop entirely. Coming off scares me — last time I quit a med I regained 20 lbs in four months. For those who stopped completely: what did maintenance look like, and did the food noise come back at full volume? For those who stayed on: how low a dose is actually holding you stable?

I switched from sema to tirz about 3 months ago. Big improvement in appetite suppression and fewer side effects. Down 25 lbs since switching. Everyone's different but for me it was the right call.

I've been at 12.5mg for 11 months now. The jump from 5 to 12.5 was noticeable — more appetite suppression but also more nausea for the first two weeks. It settled down after that. I'd say go for it if you're stalling at the current dose.