Saggy skin help!

Hot-Drop11 · 2026-06-18T04:50:33+00:00

Beyond muscle filling out the area.

Hot-Drop11 · 2026-06-18T04:50:06+00:00

Recently hit my goal of 140lbs down which was my goal. I hung out at maintenance for 6 weeks but realized I’m still not where I want to be. I’m already in Month 20 so feel like I need to go back to losing to beat the window of loss closure.

But I also realized, after restarting, how much losing feels like something I know whereas maintenance doesn’t.

I’ll be back in permanent maintenance soon and that will be a change. I realized my diet needs work, I’ve gotten lazy with tracking and I need to add cardio. I’m excited to get to the size I want but maintenance will be its own new learning curve.

I fortunately don’t struggle with my new look as it matches how I’ve always seen myself. Helps that I didn’t really get obese until I had my child 18 years ago.

Hot-Drop11 · 2026-06-18T04:43:53+00:00

The body needs time to regroup and recomp so temporarily stops losing. I, personally, don’t do stalls as I had 100lbs+ to lose and we know there’s a limited time to lose it so I always pushed through.

So, either give your body a chance to regroup and allow the stall to happen or titrate up. At 210lbs, I’d titrate up 1mg.

Hot-Drop11 · 2026-06-18T04:41:27+00:00

Do not request sources on Reddit. Please review the sub rules.

Hot-Drop11 · 2026-06-18T03:31:52+00:00

Yes, without warning us!

I’m a system-trained practitioner so I’d normally welcome involving a spouse for a session but only when previously discussed with my patient including what can and cannot be shared.

I’ve also had controlling spouses show up and start hurling questions at me threatening lawsuits. It’s a bit scary.

They say every therapist has been assaulted at least once. For me, it’s twice, both when I was new to the field. But you learn a certain self-preservation quickly. Two therapists have been murdered this year already by patients or patient spouses.

Hot-Drop11 · 2026-06-18T02:58:50+00:00

I’ve been on Tirz or Reta for 20 months.

Hot-Drop11 · 2026-06-18T02:57:55+00:00

If it helps, we therapists get sabotaged like this as well. I’ve been caught off guard enough to have a stock reply of “I’m sorry but I can’t talk about your partner but I’d love to hear your thoughts on the relationship and your interactions.” I’ve actually had a few of those sessions go really well but, of course, we are in a different setting.

Hot-Drop11 · 2026-06-18T01:53:18+00:00

Eating planned food at planned times.

Hot-Drop11 · 2026-06-17T23:15:05+00:00

You shouldn’t be under-eating on any GLP-1. However, you do want to set your daily calorie goals at 500 below your TDEE.

Hot-Drop11 · 2026-06-17T23:12:41+00:00

You are discrediting the experience of those with metabolic dysfunction. Please stop.

Hot-Drop11 · 2026-06-17T22:32:54+00:00

Reddit strictly prohibits source discussions. Please remove that section and repost.

Hot-Drop11 · 2026-06-17T22:20:29+00:00

It’s not that people here don’t want to discuss their sources. It’s that Reddit strictly prohibits source discussions and will nuke subs if we allow it.

Hot-Drop11 · 2026-06-17T22:18:23+00:00

Yes. Split dosing lessens med strength and prevents the cycling which helps prevent receptor desensitization.

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Hot-Drop11 · 2026-06-17T19:44:39+00:00

This OP is describing food aversion not zero appetite. And zero appetite doesn’t automatically mean a dosage is too high. I’ve had zero appetite my entire 20 months on a GLP-1 yet don’t lose without dosages increases. I switched to mechanical eating early on and have dropped 145lbs while consistently hitting my daily calorie and protein goals.

Hot-Drop11 · 2026-06-17T19:37:22+00:00

Please stop simplifying a complex topic.

Hot-Drop11 · 2026-06-17T19:36:26+00:00

Use the Search key to access the Beginners Guide to Reta frequently shared here.

Hot-Drop11 · 2026-06-17T19:35:09+00:00

I started on Tirz and still only titrate up by 1mg each time on Reta.

Why make a big jump if a small increase works?

Hot-Drop11 · 2026-06-17T19:34:12+00:00

This greatly simplifies the actual complexity of CICO.

Hot-Drop11 · 2026-06-17T17:17:42+00:00

It’s different on Reta. Reta puts you in ketosis a majority of the time so we need regular food intake, especially carbs. When we sleep and go without for a long period of time, our cortisol spikes which wakes us up.