Every GLP study out there shows weight loss tapering toward zero around the one-year mark or slightly beyond. How much titration speed actually factors in isn't totally clear, though it's possible that assuming dose escalation runs three to five months, loss then slows around nine months into holding the top dose. My read on this is mostly that this simply reflects how long the body takes to reach that plateau point, rather than the medication itself becoming less effective over time.
Hard to fully buy that if someone's held a lower amount, say 5 or 10mg of the dual-action drug, for a year and progress stalled completely, bumping the dose then would do absolutely nothing. Might just be somewhat less impactful than raising it earlier would've been.
One reason faster titration might make sense: after roughly a year of reduced intake, metabolic adaptation really starts kicking in, meaning daily energy burn drops lower, making further loss tougher than it was near the start, and that drop can be substantial, maybe around 20 percent, so for the same appetite suppression or same calorie intake, the gap between ex