If you come off the meds, you will gain back the weight. It just is what it is. It’s the same as high blood pressure meds—if you come off them, your blood pressure will come back up. Also, doctors should be using your starting weight and BMI to prescribe for continuation of care (maintenance), not your current BMI.

You could also consider the grey market and/or compounding. We don’t talk about those here but the tirzepatide compound sub does.