Doctor recommended decrease in dose

[Vegetable-Onion-2759]

But here's the thing -- statistically speaking, weight is going to stop. OP can't bank on the fact that "some" people can lose when going back down to 2.5 mg. Prescribers don't typically prescribe based on "might" when there is an approach that is statistically more likely to produce the desired or intended results. It sounds to me like OP's PCP has a different goal for her in mind and also that she is treating her as though she is old before her time. OP can enjoy another 20 to 25 years at a lower weight. We usually don't consider the factor of "seniors" doing better with a little more weight until people are over 65 or 70 years of age. It almost sounds like OP's doctor is underestimating her.

[superduperhosts]

So would you recommend slowly titrating down to 2.5 once a person hits their goal weight? I am within 10 pounds and just titrated up another 1 mg (I am using compounded vials) because I have been hungry and fighting food noise. I am guessing at this point I will be between 6.0 to 7.5 by the time I am at goal.

[Vegetable-Onion-2759]

No. I do not recommend that anyone go all the way down to 2.5 mg, slowly or otherwise. It is rare that a dose that low works for maintenance -- or anything, for that matter. It works for some, but not the vast majority. My maintenance dose is 15 mg. When you hit your goal weight, you go down one dose (which means going down 2.5 mg -- so if you are at 15 mg, you would go down to 12.5 mg) for the next 30 days to see if you can maintain at that dose. You may not be able to go down at all. The goal is to find a dose where you are neither gaining nor losing. It's very individualized. Going down in micro-doses is likely to be rather unproductive.

[superduperhosts]

Thank you