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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

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.

So the question, as narrowly as I can put it: how to distinguish a genuine plateau from measurement noise and creeping intake, before changing anything.

I would rather have one careful answer than five confident ones.

9 4Dr.PainCLE, mike_mealprep, NicoleRaleigh and 6 others
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Dr.NateNeph
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May 6, 2026 at 3:42 PM#2
JakeSmashed95 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 216 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.

Last edited: May 6, 2026 at 5:42 PM
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NeuroNate
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May 6, 2026 at 3:59 PM#3
Dr.NateNeph said:
Plateau breaking story with a stall: I stalled at 216 lbs for 8 weeks.

Agreeing with Dr.NateNeph, 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.

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mia_MS2
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May 6, 2026 at 4:15 PM#4
JakeSmashed95 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…

Same pattern here, and in the same order. The detail I would add is minor and it is already implied above.

Last edited: May 6, 2026 at 7:15 PM
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Dr.PathRoch
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May 6, 2026 at 5:55 PM#5

Clinical perspective, offered as context rather than as advice. 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.MetabolicMD, RetaRick_CA, JenPlateau 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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