What do you consider a stall in your weight loss journey?

What's your stall look like? Thanks
Good advice above. I trend it monthly… I track every calorie on MyFitnessPal…. Started mid- April 2024 at 352 lbs with a 1200 calorie diet ….now I am 222 lbs. I would have 1-2 week periods with no weight loss….. mainly due to constipation. That has gotten better at lower body weights.


Trending it monthly my weight loss was a consistent average of 12 lbs a month after the 2nd month. I also use the MyFitnessPal app calories and weight loss to calculate what my BMR is and it is close to the online BMR calculators.
 

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I don't track calories but do loosely track in my head. I tend to eat the same thing every day with the exception of dinner. If I go >2 weeks with no loss I change something up. Usually it's eat a couple of hundred extra calories one day. If I have been on the same dose for more than about 6 weeks and feel food noise coming back I also consider increasing my dose.

I am currently at the equivalent of 10mg Tirz per week (7.2mg every 5 days). I am within 15 lbs of goal weight so if I need to go up, I'm going up, my risk of maxing at 15mg (if this is still the max) is pretty low.
 
TLDR - if you don't weigh you won't care about stalls.

I've only weighed twice in a year of Tirz. Both times at my PCP's office. The first time it had been 8mos (11wks on 2.5mg 23wks on 5mg) and I had lost 70lbs. Dr told me to quit losing weight so the second time at 11mos I wore a big hoodie and cargo pants with weights in the pockets. I was afraid she'd yank my Mounjaro script if I'd lost more. Despite the weights in my pockets the scale was still lower and she again told me to stop losing weight.

I don't know why I care if she pulls my script because even with insurance gray is 75% cheaper and I've got many year's worth in the freezer. My upcoming March physical with her is causing anxiety. I think I'm going to bite the bullet and give her an honest weight which will show at least a 12lb further loss and she won't be happy. I'll say one of my other doctors encouraged me to lose more weight and reset my goal because of all the positives (and for me there have been many! Labs, kidney disease improvement etc). It'll be a partial lie because every doctor ever told me to lose weight.

A whole life of dieting and obsessing over the scale (OCD). When I started Tirz I told myself to be realistic, no scale, no gym, no diet.
 
TLDR - if you don't weigh you won't care about stalls.

I've only weighed twice in a year of Tirz. Both times at my PCP's office. The first time it had been 8mos (11wks on 2.5mg 23wks on 5mg) and I had lost 70lbs. Dr told me to quit losing weight so the second time at 11mos I wore a big hoodie and cargo pants with weights in the pockets. I was afraid she'd yank my Mounjaro script if I'd lost more. Despite the weights in my pockets the scale was still lower and she again told me to stop losing weight.

I don't know why I care if she pulls my script because even with insurance gray is 75% cheaper and I've got many year's worth in the freezer. My upcoming March physical with her is causing anxiety. I think I'm going to bite the bullet and give her an honest weight which will show at least a 12lb further loss and she won't be happy. I'll say one of my other doctors encouraged me to lose more weight and reset my goal because of all the positives (and for me there have been many! Labs, kidney disease improvement etc). It'll be a partial lie because every doctor ever told me to lose weight.

A whole life of dieting and obsessing over the scale (OCD). When I started Tirz I told myself to be realistic, no scale, no gym, no diet.
She has you on a GLP-1 and doesn't want you losing weight?
 
She has you on a GLP-1 and doesn't want you losing weight?
I'm at a good weight now. I have a liver transplant with a "high risk" organ. Post transplant diabetes mellitus is a leading cause of rejection so I'm treated as a diabetic and check glucose daily. Prescription was for glucose control.
 
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I'm at a good weight now. I have a liver transplant with a "high risk" organ. Post transplant diabetes mellitus is a leading cause of rejection so I'm treated as a diabetic and check glucose daily. Prescription was for glucose control.
A transplant!! Wowwwwwww!! Rooting for you!!
 
I'm at a good weight now. I have a liver transplant with a "high risk" organ. Post transplant diabetes mellitus is a leading cause of rejection so I'm treated as a diabetic and check glucose daily. Prescription was for glucose control.

Ah gotcha, makes way more sense. Good luck with the transplant, hope everything continues to go well!
 
Just looking at weight can be deceiving. You can still be losing fat and the scale might not move.

Some potential confounding factors:

1) You're building lean body mass. A lot of people start doing resistance training for the first time when going on these GLP-1s, and noob gains are a real thing. If you were losing 1-2 lb a month before, a high protein diet and regular resistance training could see you gain 10-20lb of muscle in your first year and mask things on the scale.

2) You're retaining more water weight. Adding in GH secretagogues? An ipa/tesa stack is going to cause you retain more water. Lifting weights and supplement creatine? Same thing. Lots of other things that can cause it, too. Started up TRT at the same time and you don't have all your levels dialed in yet? Increasing your E2 will increase water retention. All these except the E2 are also going to increase muscle gains if you're training, as well.
 
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Just looking at weight can be deceiving. You can still be losing fat and the scale might not move.

Some confounding factors:

1) You're building lean body mass. A lot of people start doing resistance training for the first time when going on these GLP-1s, and noob gains are a real thing. If you were losing 1-2 lb a month before, a high protein diet and regular resistance training could see you gain 10-20lb of muscle in your first year and mask things on the scale.

2) You're retaining more water weight. Adding in GH secretagogues? An ipa/tesa stack is going to cause you retain more water. Lifting weights and supplement creatine? Same thing. Lots of other things that can cause it, too. Started up TRT at the same time and you don't have all your levels dialed in yet? Increasing your E2 will increase water retention. All these except the E2 are also going to increase muscle gains if you're training, as well.
Appreciate your reply and thoughtfulness that went into it. The added detail provides context a lot of us may overlook.
 

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