Reta plateau at week 10 - dose up?

A brutal first week like that is exactly why people need to stick with it - once you get past the initial phase the body adapts and it becomes sustainable. 20 lbs from 1mg with minimal muscle loss is a good early number. What dose are you on now and what's the trajectory been?
 
The rule-of-thumb is a rough guide - 'stay if losing' makes sense, but 'stay anyway if side effects' even without loss deserves a closer look. If side effects are at the level they're affecting quality of life and the scale isn't moving, holding through that combination longer doesn't serve either goal.
 
Starting April 6th as well. The jump from 1mg to 2mg is where most people feel it - .5mg steps are definitely easier on the system. 30 lbs and a plateau at week 10 is still a strong result. How's appetite at current dose?
 
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