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Coming off

Six months off — what actually happened, in order

Started 27 February 2026 · 8 replies · 341 hearts · read 5k times

SaraOslo, NO · 27 February 2026
5 months ago

Oslo. I stopped in the summer of 2024, was off for the best part of seven months, and restarted in the spring. People keep asking me what the off stretch was actually like, so here it is in order, and please read it as one body rather than a forecast.

Weeks one and two: nothing at all. I remember being surprised and slightly suspicious, like waiting for a bill.

Weeks three to six: appetite came back and it came back loudly. Not gradually. It was like a radio being turned back up in a room I had got used to being quiet in, and the volume was set where it had been in 2023. That fortnight was hard and I was not ready for it, because everything I had read talked about a slow return.

Months two to four: the reckoning, and the bit I would want somebody to prepare me for. Weight came back, some of it, over those months. My reflux — which had been the reason I stopped — stayed away, so the trade was real. But I had built an entire identity in the previous year out of things going in one direction, and when the direction changed I had nothing to hold on to and no vocabulary for it. That was much harder than any physical symptom.

Months five to seven: steadier. Not because anything improved but because I stopped watching hourly. I got back into swimming. My blood pressure stayed better than it had been before I ever started, which nobody predicted and which I still find quietly encouraging.

Then I restarted, differently, slower, with a prescriber who took the reflux seriously from the first appointment.

The thing I would tell my own self in week three of being off: the volume coming back up is not a moral event. It is a drug leaving your system. I spent about six weeks treating it as a personal failure and that was the only part of the whole seven months that I would call wasted.

114

BenediktFacilitatorVienna, Austria
#1

Sara, thank you, and particularly for putting the timeline in order rather than in a mood. Ordered accounts are rare and useful.

The one thing I will add for readers, because it comes up every time: the return of appetite and some return of weight after stopping is the expected pattern rather than an unusual one. That is what the withdrawal arms of the trials showed — STEP 4 for semaglutide (Rubino D, et al. JAMA. 2021) and SURMOUNT-4 for tirzepatide (Aronne LJ, et al. JAMA. 2024). What those trials cannot tell you is your own timeline, or what the loud fortnight will feel like, or what to do with an identity built on a direction of travel. That part is exactly what this circle is for.

49me too 9

StefanZurich, CH
#2

The radio analogy is the best description of it I have read, and it matches what I saw over four weeks off during a supply gap. Not a dimmer switch. A dial being put back where it was.

Worth knowing in advance for anybody facing a gap they did not choose.

41me too 8

IkeChicago, IL
#3

Chicago, compounded to brand switch, bumpy — and I had five weeks with nothing in between because of the paperwork. Everything Sara says about weeks three to six, I had in a compressed and unwanted version.

The identity bit is real and I did not see it coming at all. I had been a person with a project since the previous fall.

37me too 10

JunoBrighton, UK
#4

Sceptical and anxious and this thread is the one I have been avoiding, because the loud fortnight is exactly what I am frightened of and I would rather not know.

Reading it anyway. It is better knowing the shape than imagining it, marginally.

44me too 15

GrizelKirkcaldy, UK
#5

Six months out from stopping myself and I can confirm the volume thing almost exactly, including the suspicion in the first fortnight when nothing happened.

What I would add from a kitchen: it came back specific for me, not general. Bread. Nothing but bread for about ten days and then a normal loud appetite. Bodies are strange and nobody has ever explained that one to me.

39me too 7

JonahFacilitatorCork, Ireland
#6

One sentence in Sara’s post is doing a lot of quiet work and I want to point at it: the volume coming back up is not a moral event.

If you are coming off, or facing a gap, that sentence is worth writing somewhere you will see it. The period after stopping is one of the times when people are most at risk of trying to hold the line by restricting, precisely because the appetite is loud and frightening and that feels like something to fight. It is not a fight. If you find yourself planning one, come and talk to somebody — my circle is open and so is the resources page.

53me too 11

AnnikaStockholm, SE
#7

Almost gave up in month four and did not, so I have no off-stretch to report. What I take from this is the blood pressure line — that something stayed better afterwards.

Nobody ever mentions that things might not all snap back. That is the first hopeful and non-silly thing I have read about stopping.

36me too 6

SaraOslo, NO
#8

Annika, that was the genuine surprise of the whole thing and my doctor was as pleased about it as I was.

Juno, if it helps: knowing the shape did not make my fortnight easier, but it made me stop interpreting it. Which is most of the suffering, in my experience.

42me too 5