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A common question I get is, "How do I get off GLP-1 medication when I've reached my goal weight"? A more important first question would be, "Have I changed my lifestyle habits in order not to regain weight once I stop the medication"? If you didn't make any significant changes in eating habits or exercise or your thinking, then this weight will come back, if you just depended on medication. I'll assume you changed your lifestyle. We take people down slowly from their current dose of Semaglutide or Terzepatide just as we slowly increased the dose to find their correct dose. If they are backing off by 4 or 5 units weekly from Semaglutide and suddenly notice an increase in hunger, I have them go back up a bit and stay there for a few weeks and then go back down. Nearly all of our successful weight loss patients have gotten off of the GLP-1 meds, knowing that if they start to regain, they can go back on the medication at a starting dose. I have some who have struggled for so long that they and I agree to keep them on a lower dose of GLP-1 medication indefinitely. It is designed for long term use both in Type II Diabetes and Obesity. Hope this helps.
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