stayed on the starting dose for the first few months since it worked so well controlling appetite. stopped binging entirely and ate way less, but the scale just wasn't moving. bumped up a level and the weight started dropping fast. but a while into that dose, effectiveness seemed to fade. portions are still way smaller than before starting this, but progress has stalled and there's still a good chunk left i want gone. got my doctor to approve moving up again recently, though a couple doses at the current level still need using up first. even if tolerance keeps building, so long as food noise stays out of the driver's seat, that's honestly enough for me