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ForumsProgress & Lab Results[PREMIUM] 18-month transformation — 127 lbs lost — full photo set

[PREMIUM] 18-month transformation — 127 lbs lost — full photo set

JakeSmashed95 Sun, May 17, 2026 at 3:07 AM 25 replies 641 viewsPage 1 of 5
JakeSmashed95
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May 17, 2026 at 3:07 AM#1

Nine weeks flat after five months of steady loss, same dose, same routine, and I cannot tell whether to wait or change something.

What I am after is how to distinguish a genuine plateau from measurement noise and creeping intake, before changing anything.

I have searched first, so if this is covered somewhere point me at it and I will read it.

16 11Dr.PainCLE, mike_mealprep, NicoleRaleigh and 13 others
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TrialNerd_Beth
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Jan 2024
Bethesda, MD
May 17, 2026 at 3:45 AM#2
JakeSmashed95 said:
Nine weeks flat after five months of steady loss, same dose, same routine, and I cannot tell whether to wait or change something.

Plateau breaking story with a stall: I stalled at 210 lbs for 7 weeks. Tried everything — calorie cycling, increased exercise, more water. Nothing worked.

What finally broke the plateau: a brief dose increase followed by return to maintenance. Lost 12 lbs in the next 3 weeks. Plateaus are temporary — they always break if you stay consistent.

15 10PharmHunterJen, TomTeleRx, DoseLogDan and 12 others
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Dr.BariatricHTX
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May 17, 2026 at 4:23 AM#3
TrialNerd_Beth said:
Plateau breaking story with a stall: I stalled at 210 lbs for 7 weeks.

That is correct as far as it goes, and here is where it stops going. Most reported plateaus are not plateaus. Weight is a noisy signal — daily variation of one to two kilograms from glycogen, sodium and gut contents — so a fortnight of flat readings is well inside the noise band. Before concluding anything, look at a rolling weekly average over at least four weeks and at a tape measure, because recomposition shows up in circumference before it shows up in weight. Then track intake honestly for a week: appetite suppression fades unevenly, and intake creeping back up is the single commonest cause.

14 9Dr.EM_Chicago, pete_RVA, CarlaRPh_TPA and 11 others
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pete_RVA
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May 17, 2026 at 5:01 AM#4
JakeSmashed95 said:
Nine weeks flat after five months of steady loss, same dose, same routine, and I cannot tell whether to wait or change something.

Second this. I had assumed I was the exception until I read this.

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Dr.DermMIA
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May 17, 2026 at 8:44 AM#5

Clinical perspective, offered as context rather than as advice. Start from the measurement rather than the conclusion. Almost every disagreement here turns out to be two people measuring different things and comparing the numbers anyway.

12 7SurmountFan_IN, PeptideChemSF, A1cHero_PHX and 9 others
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Amazing transformation! Starting at 287 lbs, I'm now at 162 lbs after 18 months on semaglutide 2.4mg/wk. These photos show my progress at months 3, 6, 9, 12, 15, and 18. The body recomposition has been incredible — DEXA shows 23% body fat, down from 42%...

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