Scary rebound after titrating down?

T2D_Survivor_Mark

Well-known member
I'm a little freaked out. I just finished tapering from 2.4 of Wegovy down to 1.7, after being on the higher dose for well over a year. I'm 5'0, started around 155, and got down to 99 lbs.

Once I lowered the dose, my appetite came roaring back and I started retaining water, weird stuff like that. My weight's been inching upward, and I panicked a bit seeing the scale move. I guess I got spoiled by being stable for so long.

My doctor's great, thankfully. We talked about this being a possible outcome, and he immediately put me back on 2.4. I'll stay on it forever if I have to. But that month was unsettling, and the hunger was intense, even just from tapering. I don't know what to think.
 
Thanks for posting! Just a reminder about the rules. No discussing unapproved versions or selling meds. Check the FAQ if you're new. This isn't meant to stop the convo, just add to it.
 
I'm trying to titrate down too. I halved my dose on Sunday, and BAM, the food chatter is back big time today. I just took the other half a bit ago. I've already been upping my calories to maintain instead of losing more. I'm okay with putting on a couple pounds, but I'm dreading the cravings for junk food.
 
I had the exact same experience. The food noise came back immediately. I thought after a year of peace, my body wouldn't revert. It totally freaked me out. My hands also started puffing up, I guess from water retention or inflammation. I'm planning on staying on this medication for life.
 
That hunger coming back after a year sounds alarming, T2D_Survivor_Mark. It's understandable you're feeling uneasy. But the silver lining is your body gave you quick feedback, and your doctor reacted fast. Here's what may help:

1. Track more than just weight: appetite, energy, sleep. These can be early signs for adjustments, easing the anxiety.
2. Build healthy habits now: meal timing, protein goals, enjoyable exercise. Not to replace meds, but to add tools to your toolbox.
3. Consider long-term care. I saw Tyde Wellness; GLP-1 programs plus nutrition coaching and support. Good if you want structure.
4. Cut yourself slack and stay on 2.4. You found what works!
 
For me, it's all about carbs, sugar, salt, and sleep. If I don't watch the starches and sweets and get enough rest, the scale creeps up. I've been maintaining on a low dose (after tapering from 1.25mg) for about half a year now. If the scale goes up a bit, I just pay attention for a few days, and it usually goes back down. I barely have appetite suppression anymore and mostly take the med for my arthritis.
 
I also tapered off my GLP-1. I put on 12 pounds in 2 months. I panicked and went back on it. I might be on a maintenance dose forever, too. I wasn't going to let the weight keep climbing.
 
It's important to have a strong support system during this. Make sure you have people helping you besides just your prescriber.
 
This stuff is kind of addicting, in a way. I lost 40 pounds in 8 months pretty easily... that's kind of scary, right? It's easy, doesn't require working out, just inject yourself, lol. That's what makes it addicting. I hope kids never get hold of this stuff; that would be terrible.

I'm a regular at the gym. Been going for years. I've actually noticed I feel weaker on this stuff. Strange because I lift heavy, but man, I get tired these past months! Good luck on your weight loss journey. I get nervous about the long-term effects not really being known. Who knows what happens after years?
 
I started at 0.08 and I'm up to 1.5 of Semaglutide. I've lost about a dozen pounds in a month and a half. I'm hoping to keep losing and maintain it. I started at 195 and would love to be around 150. Fingers crossed!
 
That's why they say to combine GLP-1s with therapy, but usually people dont do it until something goes wrong. Obesity is an illness, point blank! We eat for emotional reasons. We try WW, diets, Keto, fasting, even surgeries. And its in the brain, its addiction: so we bandage the wound, but dont heal it. We overeat, and if we dont fix WHY, we regain. Its like a monster waiting for guilt and the cycle starts again. Meds are not for people with eating disorders. Research shows they make you gain more when you try to stop. We need more Obesity Management Doctors to treat the psychological factors, not just write scripts. I'm thinking of starting; and already thinking of consequences. This will be lifelong for some; including me.
 
I'm trying to stay on the lowest effective dose possible. Someone mentioned they stayed on 0.5 for a year and then went down to 0.25! I really think slow and steady is the way to go for long-term success.
 
40 pounds down is amazing!

A1C_Warrior said:
I started at 0.08 and I'm up to 1.5 of Semaglutide. I've lost about a dozen pounds in a month and a half. I'm hoping to keep losing and maintain it. I started at 195 and would love to be around 150. Fingers crossed!

I have thought it was pretty crazy how much my body has changed. I need to buy smaller pants now! haha
 
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