What clinicians keep seeing
The meds work. The habits crack.
Results plateau, side effects go unmanaged, and the habit doesn't form before the dose tapers. Patients show up to follow-ups with weight back and no playbook.
Plateaus around month 4
Without nutrition structure, weight loss flattens once the appetite signal stabilizes.
Side effects unmanaged
Nausea, fatigue and dehydration patterns get reported weeks late, if at all.
No taper plan
When the dose ends, the behavior doesn't carry. Most regain within twelve months.