Dr.LipidDallas 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 216 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 7 lbs in the next 2 weeks. Plateaus are temporary — they always break if you stay consistent.

LarryQC_SD said:

Plateau breaking story with a stall: I stalled at 216 lbs for 5 weeks.

Agreeing with LarryQC_SD, and the qualification matters more than the agreement. 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.

Dr.LipidDallas 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 pattern here, and in the same order. I had assumed I was the exception until I read this.

Clinical perspective, offered as context rather than as advice. It helps to ask what evidence would change your mind before you look at any. If nothing would, the discussion is not about evidence, and it is better to say so early than to spend nine posts discovering it.