Experts Advocate Gradual Tapering of GLP-1 Weight Loss Drugs to minimize Regain, Side Effects
APPLETON, WI – Healthcare professionals are emphasizing a measured, two-month tapering schedule when discontinuing GLP-1 medications for weight loss, aiming to mitigate potential rebound weight gain and unpleasant side effects, according to guidance from ThedaCare Weight Wellness Solutions.
Dr. Duffy of ThedaCare explains that individuals on GLP-1s typically lose one to two pounds per week under medical supervision. Though,rapid initial weight loss can lead to issues like hair loss,saggy skin,and muscle mass reduction. Abruptly stopping the medication often results in regaining 50% to 80% of lost weight due to a surge in appetite coupled with a lagging metabolism.
“We help people taper off their treatment dose over about two months so that as their appetite slowly increases so does their metabolism,” Dr. Duffy said. “We can use oral medications to help suppress appetite during this phase, too, and it’s proven to be very prosperous.”
ThedaCare’s approach includes increased support from health coaches like Allie Hatley, who focuses on creating sustainable lifestyle changes. Coaching sessions,starting weekly or bi-weekly,cover recognizing health benefits beyond weight on the scale,incorporating activity into daily life,navigating challenging situations like vacations or holidays,and challenging negative thought patterns.
“We want these changes to feel realistic and sustainable, not overwhelming,” Hatley stated. “A person should feel supported and not alone.”
Dr. Duffy stresses that GLP-1s are not a cure for obesity, a chronic condition often requiring ongoing management. Options include continuing GLP-1s, transitioning to option medications, or relying on a comprehensive care team. Setbacks are common, and the team is prepared to intervene when needed.
Hatley encourages a curious, non-judgmental approach to any weight regain. “Let’s shift into curiosity mode and treat it as a slip-up, not a defeat,” she said. “I always say, if you have a flat tire, you fix the tire. You don’t slash the other three. Let’s make that fix and keep going.”
Individuals seeking weight loss assistance are advised to consult their primary care physician or contact ThedaCare’s bariatrics team for solutions.
