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Evidence-based GLP-1 & peptide discussion since 2023
ForumsPsychological & BehavioralThe psychology of plateaus — anyone have experience?

The psychology of plateaus — anyone have experience?

Dr.ObesityMed Tue, Jan 27, 2026 at 11:04 AM 5 replies 891 viewsPage 1 of 1
Dr.ObesityMed
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Jan 27, 2026 at 11:04 AM#1

Thirteen weeks at the same dose with no change on the scale, and I have gone from assuming it was the drug to assuming it was me and back several times.

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

Not looking for reassurance. Looking for the part I have got wrong.

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Dr.SportsMedIN
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Jan 27, 2026 at 11:14 AM#2
Dr.ObesityMed said:
Thirteen weeks at the same dose with no change on the scale, and I have gone from assuming it was the drug to assuming it was me and back several…

Plateau breaking story with a stall: I stalled at 204 lbs for 6 weeks. Tried everything — calorie cycling, increased exercise, more water. Nothing worked.

What finally broke the plateau: increasing protein to 150g/day. Lost 5 lbs in the next 2 weeks. Plateaus are temporary — they always break if you stay consistent.

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nancy_portland
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Jan 27, 2026 at 11:24 AM#3
Dr.SportsMedIN said:
Plateau breaking story with a stall: I stalled at 204 lbs for 6 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.

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jason_sac26
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Jan 27, 2026 at 11:34 AM#4
Dr.ObesityMed said:
Thirteen weeks at the same dose with no change on the scale, and I have gone from assuming it was the drug to assuming it was me and back several…

This matches mine closely enough to be worth saying so out loud.

Last edited: Jan 27, 2026 at 1:34 PM
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ingrid_STO
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Jan 27, 2026 at 12:25 PM#5

From the other side of the consultation, briefly. The useful move here is to separate what is established from what is widely repeated. Those two sets overlap less than the confident tone of most write-ups suggests, and the second set is where nearly all the disagreement on this board comes from.

Ask again with the specifics and you will get a better answer than this one.

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