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ForumsProgress & Lab Results[PREMIUM] From wheelchair-bound to hiking again — 89 lbs lost photo documentation

[PREMIUM] From wheelchair-bound to hiking again — 89 lbs lost photo documentation

rachel_ABQ Mon, Apr 27, 2026 at 11:17 AM 26 replies 745 viewsPage 1 of 6
rachel_ABQ
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Albuquerque, NM
Apr 27, 2026 at 11:17 AM#1

Nine weeks flat after five months of steady loss, same dose, same routine, and I cannot tell whether to wait or change something.

The narrow version of the question is how to distinguish a genuine plateau from measurement noise and creeping intake, before changing anything.

Happy to be told the question itself is wrong.

7 2nick_newbie, DadBodDave, AmyNC_wife and 4 others
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LabKate
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Jan 2024
Oregon
Apr 27, 2026 at 11:29 AM#2
rachel_ABQ 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 214 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.

6 1laura_annarbor, JenMemphis, pat_auckland and 3 others
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Dr.LeslieOBGYN
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May 2024
Dallas, TX
Apr 27, 2026 at 11:41 AM#3
LabKate said:
Plateau breaking story with a stall: I stalled at 214 lbs for 6 weeks.

LabKate has the substance of this right. The condition it depends on is worth stating. 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.

Last edited: Apr 27, 2026 at 5:41 PM
5 0james_edin, FranDenver, Dr.BariatricHTX and 2 others
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james_edin
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Sep 2024
Edinburgh, UK
Apr 27, 2026 at 11:54 AM#4
rachel_ABQ 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.

4 24oliver_london, tane_welly, Dr.PathRoch and 1 other
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Dr.EM_Chicago
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May 2024
Chicago, IL
Apr 27, 2026 at 1:00 PM#5

From the other side of the consultation, briefly. If two explanations both fit, the useful question is which one predicts something the other does not. That is answerable; arguing about which sounds more plausible is not.

Last edited: Apr 27, 2026 at 5:00 PM
3 23lisa_labSD, adam_van, Dr.SurgeonPGH
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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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