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ForumsProgress & Lab Results[PREMIUM] From morbid obesity to marathon finisher — what worked for you?

[PREMIUM] From morbid obesity to marathon finisher — what worked for you?

steph_laguna Fri, May 3, 2024 at 6:14 AM 14 replies 2,088 viewsPage 1 of 3
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steph_laguna
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May 3, 2024 at 6:14 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.

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

Tell me what I have not thought of.

1 21Dr.EndoEP
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sarah.morrison
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May 3, 2024 at 7:09 AM#2
steph_laguna 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 195 lbs for 7 weeks. Tried everything — calorie cycling, increased exercise, more water. Nothing worked.

What finally broke the plateau: a brief dose increase followed by return to maintenance. Lost 12 lbs in the next 3 weeks. Plateaus are temporary — they always break if you stay consistent.

50 20roxy_nash, tony_orlando, Dr.NephBHM_UK and 47 others
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InsuranceTom
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May 3, 2024 at 8:04 AM#3
sarah.morrison said:
Plateau breaking story with a stall: I stalled at 195 lbs for 7 weeks.

sarah.morrison 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: May 3, 2024 at 1:04 PM
49 19Dr.ReproEndo, lucas_SP_BR, lisa_labSD and 46 others
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CanadaChris
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May 3, 2024 at 8:59 AM#4
steph_laguna said:
Nine weeks flat after five months of steady loss, same dose, same routine, and I cannot tell whether to wait or change something.

Adding a me-too, because a thread of one person's experience is not much use.

Last edited: May 3, 2024 at 2:59 PM
48 18Dr.PulmRoch, maya_sedona, stefan_berlin and 45 others
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Dr.LeslieOBGYN
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May 3, 2024 at 2:12 PM#5

From the other side of the consultation, briefly. Order of operations matters more than any single choice here: establish a baseline, change one thing, wait long enough for it to express itself, then measure again under the same conditions.

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