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Evidence-based GLP-1 & peptide discussion since 2023
ForumsProgress & Lab ResultsFirst month - only lost 6 lbs, is that bad? — looking for input

First month - only lost 6 lbs, is that bad? — looking for input

fiona_VT Sat, Apr 5, 2025 at 10:35 AM 13 replies 1,656 viewsPage 1 of 3
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fiona_VT
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Apr 5, 2025 at 10:35 AM#1

Writing this once so I can stop repeating it across threads. It is about a stall, and it is deliberately narrow — everything I am not confident about is marked as such.

What is actually established

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.

The condition it depends on

The early-responder data is relevant to expectations: roughly 3% loss by week four at a therapeutic dose predicts a strong result at a year. It does not mean someone below that will not respond, but it changes how long you should wait before changing something.

What I am not sure about

The narrow version of the question is how to distinguish a genuine plateau from measurement noise and creeping intake, before changing anything. If the honest answer is that nobody knows, that is a useful answer and I would rather have it.

— fiona_VT · corrections welcome and will be edited into this post with credit
20 15mark_tokyo, hans_munich, jason_sac26 and 17 others
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BariatricNurseD
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Apr 5, 2025 at 10:43 AM#2
fiona_VT said:
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…

Plateau breaking story with a stall: I stalled at 196 lbs for 8 weeks. Tried everything — calorie cycling, increased exercise, more water. Nothing worked.

What finally broke the plateau: adding HIIT cardio 2x/week. Lost 10 lbs in the next 3 weeks. Plateaus are temporary — they always break if you stay consistent.

19 14roxy_nash, tony_orlando, Dr.NephBHM_UK and 16 others
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TrialTracker_MD
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Apr 5, 2025 at 10:51 AM#3
fiona_VT said:
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…

Pushing back on fiona_VT here. The "it is your intake" reflex here gets tiring. Some people genuinely stop responding at a dose that worked, and telling them to track harder when they have already tracked is how people stop posting.

18 13maya_sedona, stefan_berlin, Dr.EM_Chicago and 15 others
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Dr.LipidDallas
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Apr 5, 2025 at 10:59 AM#4

Answering the narrow version, because the broad one does not have a single answer. 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.

17 12lori_vegas, Dr.PulmRoch, maya_sedona and 14 others
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hannah_MT
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Apr 5, 2025 at 11:42 AM#5
BariatricNurseD said:
Plateau breaking story with a stall: I stalled at 196 lbs for 8 weeks.

Same experience, arrived at from the opposite direction.

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