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Evidence-based GLP-1 & peptide discussion since 2023
ForumsSide Effects & ManagementWhen to stop GLP-1 — need advice Page 2

When to stop GLP-1 — need advice

pam_stl Mon, Oct 20, 2025 at 2:04 AM 39 replies 1,952 viewsPage 2 of 8
Dr.KarenChen
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Oct 20, 2025 at 2:58 PM#6
RetaRick_CA said:
The practical protocol is dull and it works: smaller meals, stop eating at the first sign of fullness rather than at the end of the plate, drop the…

I dislike how confidently this board tells people to push through. Incidence figures around 20 to 25% at the higher doses are class-typical, but the trials also had a discontinuation column, and "manageable with protocols" is not the same as manageable for everyone.

46 16julia.endo, JessicaM_2024, TomFromTexas and 43 others
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dave_SLC
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Oct 20, 2025 at 8:04 PM#7

Adding the numbers, since they settle part of this. Worth stating the units and the reference range whenever you post a number here. A large fraction of the apparent disagreement in these threads is two people using different units and both being right.

45 15NicoleRaleigh, james_edin, FranDenver and 42 others
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DeniseRN_TPA
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Oct 21, 2025 at 1:10 AM#8
Dr.KarenChen said:
I dislike how confidently this board tells people to push through.

Coming at Dr.KarenChen’s question from a different direction. Most of what circulates confidently in this community traces back to one summary of one study, and the qualifier was dropped somewhere in the third retelling.

44 14tommy_boulder, hyun_seoul, jim_asheville and 41 others
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andrew_nyc
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Oct 21, 2025 at 6:16 AM#9

Following on from DanielChem_CHI — and this may be the naive question:

Whether holding at a lower dose for longer actually reduces total side-effect burden or just spreads it out?

Last edited: Oct 21, 2025 at 11:16 AM
43 13julia.endo, JessicaM_2024, TomFromTexas and 40 others
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pam_stl
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Oct 22, 2025 at 6:47 AM#10

Reporting back.

Holding the step for six weeks instead of four did it. Same dose, same food, and the nausea that had felt like a wall turned out to be a timing problem.

43 16RegAffairsDC, BiostatsBrad, PeptideSynthNJ and 40 others
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