Is 210 a Common Plateau for People Who Started GLP-1s at 250–300 lbs?

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Linoleumfloor

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I spent some time on Wegovy, dropping from 270 down to roughly 215. After that came a stall, so I quit. When I restarted, I went from 240 to about 217, at which point my insurance cut off coverage. For the past month or two I've been on reta while drinking a half pint of vodka daily, and I still got down to around 211. Since I recently stopped drinking, I've fallen to about 207. Yet the 205-215 range keeps being the spot where I get stuck. I also notice other posts where people comment on loss graphs, and near the latest point the slope flattens toward 0, which looks like roughly the same place. Does that tend to be a shared floor? For context, I'm a 30 year old male, 6 foot tall, and my GW is 185 or lower. I carry a decent amount of muscle, especially lately, but subcutaneous fat lingers on my legs and on my stomach above the hips. I'm about to switch to grey market reta so I can raise my maintenance dosage, though I wonder whether I'll actually get the results I want or whether something metabolic is capping me. I'm just curious what others have run into. It would be great to say I lost more than expected, the way some people report (frequently while stacking, but I'm not there yet).
 
Wish that were my situation. I'm hovering in the upper 260s. I'm adding more cardio to see if I can push past this plateau. We'll see how it turns out.
 
quicksilver80 said:

Wish that were my situation. I'm hovering in the upper 260s. I'm adding more cardio to see if I can push past this plateau. We'll see how it turns out.
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At that stage, the endocrinologist who had put me on Wegovy told me to follow a 1200 calorie per day plan. I realize that sounds absurdly low, but it did the trick. Tracking with myfitnesspal helped me stay on top of it.
 
You haven't mentioned your calorie intake or activity level. Are you actually logging those things? Plus the stuff about alcohol is a red flag — it seems like your routine isn't really under control.

Work out your TDEE. Take in 1000 calories less than that number. If progress halts after 4-8 weeks, go nearer to maintenance for 1 week, then return to a deficit. Occasionally there's a lag where the scale won't budge for 1 week and then falls the following week.

A larger dose might help you, but it also seems like you need to get serious. And you also have to consider your food choices — is your diet varied and high in fiber? Are you consistent with supplements? Do you keep carbs away from your evening meal?
 
Linoleumfloor said:

quicksilver80 said:

Wish that were my situation. I'm hovering in the upper 260s. I'm adding more cardio to see if I can push past this plateau. We'll see how it turns out.
Click to expand...
At that stage, the endocrinologist who had put me on Wegovy told me to follow a 1200 calorie per day plan. I realize that sounds absurdly low, but it did the trick. Tracking with myfitnesspal helped me stay on top of it.
Click to expand...
The problem there is that I can't go hard in training while also eating barely anything, lol
 
birdwhacker said:

You haven't mentioned your calorie intake or activity level. Are you actually logging those things? Plus the stuff about alcohol is a red flag — it seems like your routine isn't really under control.

Work out your TDEE. Take in 1000 calories less than that number. If progress halts after 4-8 weeks, go nearer to maintenance for 1 week, then return to a deficit. Occasionally there's a lag where the scale won't budge for 1 week and then falls the following week.

A larger dose might help you, but it also seems like you need to get serious. And you also have to consider your food choices — is your diet varied and high in fiber? Are you consistent with supplements? Do you keep carbs away from your evening meal?
Click to expand...
I used to drink a lot, but I've stopped. Fiber is part of my routine, though protein is my main priority. My TDEE sits near 3000, but I don't really use that number. Exercise is a regular thing for me. Lately it's been mostly lifting, and I also run roughly a mile every time I lift, several days per week. My target is about 1200 calories, though I tend to exceed it. I'm thinking about deliberately eating more so I can raise my protein intake.

The reason I brought up alcohol is that I suspect daily drinking cancels out reta's effects, maybe completely.
 
Linoleumfloor said:

birdwhacker said:

You haven't mentioned your calorie intake or activity level. Are you actually logging those things? Plus the stuff about alcohol is a red flag — it seems like your routine isn't really under control.

Work out your TDEE. Take in 1000 calories less than that number. If progress halts after 4-8 weeks, go nearer to maintenance for 1 week, then return to a deficit. Occasionally there's a lag where the scale won't budge for 1 week and then falls the following week.

A larger dose might help you, but it also seems like you need to get serious. And you also have to consider your food choices — is your diet varied and high in fiber? Are you consistent with supplements? Do you keep carbs away from your evening meal?
Click to expand...
I used to drink a lot, but I've stopped. Fiber is part of my routine, though protein is my main priority. My TDEE sits near 3000, but I don't really use that number. Exercise is a regular thing for me. Lately it's been mostly lifting, and I also run roughly a mile every time I lift, several days per week. My target is about 1200 calories, though I tend to exceed it. I'm thinking about deliberately eating more so I can raise my protein intake.

The reason I brought up alcohol is that I suspect daily drinking cancels out reta's effects, maybe completely.
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Nice work. I've also gotten sober lately, more or less.

Sounds to me like a refeed is what you need. Spend 1 week eating at roughly maintenance level, then cut back to 1200 again.
 
Even if I made an effort, 3000 calories daily is beyond me lol. Still, I can raise it. Thanks for the congrats. I quit harder substances a few years back, but it ended up leaving me pretty isolated since I drifted apart from so many of the right people while using them. So I suppose I slipped into cross addiction. At this point I'm just trying to move in the right direction however I can. Not drinking hasn't been too rough, though daily drinking wasn't really something I enjoyed anyway. Congrats to you too.
 
Great job quitting drinking. That is really impressive.

It could be that the low 200s are a range your body "prefers," and it is putting up a fight to hold onto that fat. My own tirz experience began at 335 (I am 6'4"), and I hit a few spots where my body appeared unwilling to release more weight. The first was in the 260s, and the second came in the low 240s. Those are both weights I have carried for significant stretches of my life. I got past each one by increasing protein and stacking other medications. Right now I am at 217, aiming for 205, and I fully expect my body to resist these final 12 pounds. I am prepared for that struggle.

That said, the more probable explanation is that having used a glp-1 before is influencing how your body responds now that you have restarted. The encouraging part is (at least anectdotally) that when someone has prior glp-1 use, they tend to respond to higher doses of the later glp-1 medication. So moving your dose upward could help you get past that plateau. More protein would likely be helpful too. It also seems that people using reta continue losing weight for a longer period than with sema or tirz, so you probably have more time.
 
6'2", starting weight 330, now at 270. On 20mg tirz. By now I understand exactly why I hit a plateau. The whole thing comes down to a caloric deficit. Lifting and exercise belong to health. They're a separate matter from losing weight. As a matter of fact, they muddy the picture. I figured this out weeks ago. The 'everyone is different' idea muddies the picture as well. What you happen to be taking muddies it further. It's all right here on the forum, take it or leave it.
 
Can't wait until I plateau at 210 🤣 Right now I'm 265lb at 6'2". On week 3 of Reta at 1mg/wk. Spent the first 2 wks at .75mg/wk before titrating up. The scale has hardly budged, but I'm staying determined! Best of luck!
 
Linoleumfloor said:

birdwhacker said:

You haven't mentioned your calorie intake or activity level. Are you actually logging those things? Plus the stuff about alcohol is a red flag — it seems like your routine isn't really under control.

Work out your TDEE. Take in 1000 calories less than that number. If progress halts after 4-8 weeks, go nearer to maintenance for 1 week, then return to a deficit. Occasionally there's a lag where the scale won't budge for 1 week and then falls the following week.

A larger dose might help you, but it also seems like you need to get serious. And you also have to consider your food choices — is your diet varied and high in fiber? Are you consistent with supplements? Do you keep carbs away from your evening meal?
Click to expand...
I used to drink a lot, but I've stopped. Fiber is part of my routine, though protein is my main priority. My TDEE sits near 3000, but I don't really use that number. Exercise is a regular thing for me. Lately it's been mostly lifting, and I also run roughly a mile every time I lift, several days per week. My target is about 1200 calories, though I tend to exceed it. I'm thinking about deliberately eating more so I can raise my protein intake.

The reason I brought up alcohol is that I suspect daily drinking cancels out reta's effects, maybe completely.
Click to expand...
1200 is not nearly enough. There's no way to keep that up long term. Right now your body has a single instinct: famine.

So cortisol is likely sky-high, and you're stuck in a catabolic state.

If your real TDEE is 3000, then aim for 2500 and stick with that for 4-5 months.

Drop the weight, refeed, figure out your new TDEE/maintenance, then continue from there.

Keep doing that cycle until you hit your goal.
 
I began at roughly 277# and the scale has been stubborn about going under about 192#. It's been sitting there for roughly 3 weeks now. Personally, that's not a disaster — it's likely the weight I'm meant to settle at in the end. I'd love to hit 176 so I could mark a 100# drop, though at 6'2" and having carried extra weight my entire life, I suspect that number would be too low for my build. I'm still chipping away at recomposition, adding muscle while shedding fat.

I figure the body occasionally needs a reset, and mine has gone through a few of those, each lasting a few weeks.
 
DrPEPr said:

quicksilver80 said:

Wish that were my situation. I'm hovering in the upper 260s. I'm adding more cardio to see if I can push past this plateau. We'll see how it turns out.
Click to expand...

Adding more cardio likely won't do much

View: https://youtu.be/yiclzDPIyQ0?is=ghUaPRT0YlWio3my



Do resistance training.

Muscle is something you need.
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All I can really do is cut calories and keep doing cardio at a level that feels manageable. Also, I basically do resistance training every single day.
 
Yep. I know it's a bit much, but I really enjoy looking at data — here's roughly the past month, during which I sat at about 212 for over 3 weeks. My intake stayed at the same 1200-ish calories. That was this month, yet this morning I'm at 201. Just stay the course, don't overanalyze or make a pile of adjustments, keep your calories at the level they should be, and the weight will come down.





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Grogu said:

Great job quitting drinking. That is really impressive.

It could be that the low 200s are a range your body "prefers," and it is putting up a fight to hold onto that fat. My own tirz experience began at 335 (I am 6'4"), and I hit a few spots where my body appeared unwilling to release more weight. The first was in the 260s, and the second came in the low 240s. Those are both weights I have carried for significant stretches of my life. I got past each one by increasing protein and stacking other medications. Right now I am at 217, aiming for 205, and I fully expect my body to resist these final 12 pounds. I am prepared for that struggle.

That said, the more probable explanation is that having used a glp-1 before is influencing how your body responds now that you have restarted. The encouraging part is (at least anectdotally) that when someone has prior glp-1 use, they tend to respond to higher doses of the later glp-1 medication. So moving your dose upward could help you get past that plateau. More protein would likely be helpful too. It also seems that people using reta continue losing weight for a longer period than with sema or tirz, so you probably have more time.
Click to expand...

Since you're also 6'4", could it be that 204.9 is actually your target? 😉😉

(Of course, BMI cutoffs are somewhat arbitrary, but even so)
 
Spork said:

Grogu said:

Great job quitting drinking. That is really impressive.

It could be that the low 200s are a range your body "prefers," and it is putting up a fight to hold onto that fat. My own tirz experience began at 335 (I am 6'4"), and I hit a few spots where my body appeared unwilling to release more weight. The first was in the 260s, and the second came in the low 240s. Those are both weights I have carried for significant stretches of my life. I got past each one by increasing protein and stacking other medications. Right now I am at 217, aiming for 205, and I fully expect my body to resist these final 12 pounds. I am prepared for that struggle.

That said, the more probable explanation is that having used a glp-1 before is influencing how your body responds now that you have restarted. The encouraging part is (at least anectdotally) that when someone has prior glp-1 use, they tend to respond to higher doses of the later glp-1 medication. So moving your dose upward could help you get past that plateau. More protein would likely be helpful too. It also seems that people using reta continue losing weight for a longer period than with sema or tirz, so you probably have more time.
Click to expand...

Since you're also 6'4", could it be that 204.9 is actually your target? 😉😉

(Of course, BMI cutoffs are somewhat arbitrary, but even so)
Click to expand...

😂 Right, 204.9…. I'm curious what it's like to finally land in the “normal” BMI range.
 
I'm a 6 foot guy too, somewhat older than you, and I've bounced between roughly 260 and 210 a few times. I'm currently on tirz for the first time and am steadily losing again. I wonder if I'll hit a wall near that same range or continue past it, though I suspect 210-220 may be where my body and the life I want settle comfortably. Similar to you, I stay active but have no interest in tracking every calorie or living like a monk. I've also put on considerably more muscle than the last time I was at 220, so my body composition should look quite different.

Why is 185 your target? Do you have a lot of muscle / a thicker frame? For me, getting under 200 would mean either extremely low body fat or losing a good amount of the muscle I already have, and neither appeals to me. I'd just recommend carefully thinking through your goals and priorities and deciding what matters most. For my part, if I could return to age 30 and simply remain under 210 for the following decade, I'd consider that an excellent result.

I'm confident you could reach 185 if you choose to, but it might call for adjustments to your eating and lifestyle approach, both to get there and to stay there.
 
ladyj779 said:

Yep. I know it's a bit much, but I really enjoy looking at data — here's roughly the past month, during which I sat at about 212 for over 3 weeks. My intake stayed at the same 1200-ish calories. That was this month, yet this morning I'm at 201. Just stay the course, don't overanalyze or make a pile of adjustments, keep your calories at the level they should be, and the weight will come down.





View attachment 10690
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I'm just wondering what those abbreviations mean, wr and NM? I'm a very visual person and this format really appeals to me.
 
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