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ForumsProgress & Lab Results[PREMIUM] My 200-lb weight loss — weekly progress photos over 18 months

[PREMIUM] My 200-lb weight loss — weekly progress photos over 18 months

JakeSmashed95 Wed, May 6, 2026 at 3:25 PM 33 replies 1,076 viewsPage 1 of 7
JakeSmashed95
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May 6, 2026 at 3:25 PM#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.

Practical detail welcome, however dull — the duller the better.

9 4Dr.PainCLE, mike_mealprep, NicoleRaleigh and 6 others
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PharmacoVig_BOS
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May 6, 2026 at 3:42 PM#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 218 lbs for 5 weeks. Tried everything — calorie cycling, increased exercise, more water. Nothing worked.

What finally broke the plateau: switching from evening to morning injection. Lost 11 lbs in the next 2 weeks. Plateaus are temporary — they always break if you stay consistent.

8 3Dr.GutHealth, amsterdam_pete, LondonLisa and 5 others
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Dr.SportsMedIN
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May 6, 2026 at 3:59 PM#3
PharmacoVig_BOS said:
Plateau breaking story with a stall: I stalled at 218 lbs for 5 weeks.

That is correct as far as it goes, and here is where it stops going. Genuine plateaus happen too, and the mechanism is metabolic adaptation plus a smaller body. A body 20kg lighter needs meaningfully fewer calories at rest and less to move, so the deficit that produced the first phase is arithmetically smaller now. The options are the honest ones — increase the deficit slightly, increase activity, or accept the new plateau — and escalating the dose is only one of them.

If somebody has the primary source to hand I would rather cite it than paraphrase it.

7 2adam_van, Dr.SurgeonPGH, rachel_ABQ and 4 others
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mark_tokyo
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May 6, 2026 at 4:15 PM#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.

Same experience, arrived at from the opposite direction. I had assumed I was the exception until I read this.

6 1HPLC_Greg, LibrarianMeg, bri_stats and 3 others
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EndoResFellow
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May 6, 2026 at 5:55 PM#5

From the other side of the consultation, briefly. Worth answering the question that was asked rather than the one behind it. The narrow version usually has an answer; the broad version usually does not, and answering the broad one is how a thread stops being useful.

5 0Dr.ObesityLA, NurseKim_ATL, paul_denver and 2 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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