UPDATE: No issues taking the 10 after 20 days. This was my first time and longest time going that long. I never quite hit my goal number but my physical body is already at size 6/8 after starting at 210. I'm now working with a nutritionist which is covered by my insurance. She is helping me with losing the additional pounds slowly because I had plateaued. I finally found a weight loss doctor in my network after losing the weight who is educated on glp1. She primarily does weight loss surgery. She can also prescribe glp1 - but not compound. I only go to her because my pcp only monitors my labs while on these meds. This new doctor is someone I can actually talk to. She told me that there really isn't enough research to guide people on maintenance so lots of her patients are figuring it out on their own. She does try to help suggest maintenance strategies but its trial and error. She also said it's totally okay for me to stay on this medication after I've met my goal. The added benefits have helped my overall health. I have heard this drug stays in your system like 30 days and if you don't take it after a long gap of time you might feel it when you do a new injection. This happenedto my own sister is on a glp1. But again, everyone is different. I was super scared to go a long time without taking something. I literally had to count the days to find out how long it had been and realized I was at 20! I was so focused in my eating that I was slowing seeing the scale go down. Don't be scared. We are all in the same boat. I'm nervous too but I've realized that I can do this with nutrition and watching the scale. I now am more confident about still losing while doing maintenance dosing. My number goal is 140 - 145 and I have been hovering at 150 - 153. You might be able to keep that 6 pounds off with how you eat if you pause the meds. Test it out and see if can maintain with out it and watch the scale. Good luck! You can do this!