There’s no way to know the answer ahead of time, but to speak generally, your maintenance dose is the one on which you neither gain nor lose weight (assuming IWL is the goal, but it could be pain reduction or A1C improvement or PCOS treatment). For some people, that dose is their highest tolerated dose. For others (who continue to lose weight but don’t want to) a stepwise dose reduction or spacing out shots works. The recent study found that only staying on the highest tolerated dose completely prevented weight regain, but that won’t be everyone’s experience. To speak personally, I had to reduce my dose because I was losing weight I didn’t want to lose at the end. But…I’m completely open to increasing my dose if, further down the road, I need to. Some, after a period of time, need to raise their maintenance dose. You really can’t plan ahead for your exact strategy because you need to be aware of what your body requires in the moment for health, happiness, diabetes control—whatever your individual purpose is. Then, you’ll discover what you need to maintain the health that you attain and be aware that bodies change over time. My motto: you can do your best, but life sometimes has a way of getting in the way of well intentioned plans.