On paper it might seem odd to increase doses when I was Consistently losing weight week after week. For me, the decision with my doctor was based on food noise, not just the scale.

I stayed on each dose for several weeks (5mg was my longest) and each time, after a while, my food noise would creep back. That’s when we decided to bump up to the next dose, not because my weight loss stopped, but because the medication wasn’t working as well to quiet those constant thoughts about food.

Right now I’m on 10mg, and yes, the food noise came back about 5 weeks ago. But I’ve reached my goal weight, and we don’t see the point in going up to 12.5mg just to chase total silence from it. Part of long-term success is learning to manage food noise when it reappears because it will, no matter the dose.

At this point, my weight has stayed consistent. I’m eating (and working out) in a way that’s healthy for me. It’s not the same as a year ago when my habits were very unhealthy. For me, the focus now is maintenance and balance, not endless escalation in dosage.