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ForumsPsychological & BehavioralThe psychology of plateaus — 6 month update

The psychology of plateaus — 6 month update

NauseaFreeNow Tue, Jul 9, 2024 at 1:24 PM 25 replies 2,391 viewsPage 1 of 5
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NauseaFreeNow
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Jul 9, 2024 at 1:24 PM#1

This gets cited here weekly, usually second-hand, so it is worth setting out what it does and does not establish.

Genuine plateaus happen too, and the mechanism is metabolic adaptation plus a smaller body. A body 20kg lighter needs meaningfully fewer calories at rest and less to move, so the deficit that produced the first phase is arithmetically smaller now. The options are the honest ones — increase the deficit slightly, increase activity, or accept the new plateau — and escalating the dose is only one of them.

Where I think it is weakest: the population was selected and supported in ways a real cohort is not, so I would read the effect size as a ceiling rather than an expectation.

What I am after is how to distinguish a genuine plateau from measurement noise and creeping intake, before changing anything. Not looking for reassurance. Looking for the part I have got wrong.

Note on sourcing:
Figures above are from the primary publication rather than the press summary. If a number here disagrees with one you have, post yours and we will work out which of us is reading a secondary source.
32 10stefan_berlin, Dr.EM_Chicago, pete_RVA and 29 others
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DanielChem_CHI
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Jul 9, 2024 at 1:30 PM#2
NauseaFreeNow said:
Genuine plateaus happen too, and the mechanism is metabolic adaptation plus a smaller body.

Plateau breaking story with a stall: I stalled at 199 lbs for 8 weeks. Tried everything — calorie cycling, increased exercise, more water. Nothing worked.

What finally broke the plateau: adding HIIT cardio 2x/week. Lost 10 lbs in the next 3 weeks. Plateaus are temporary — they always break if you stay consistent.

33 11Dr.DermMIA, fiona_VT, denise_HTX and 30 others
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PeptideChemSF
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Jul 9, 2024 at 1:36 PM#3
NauseaFreeNow said:
Genuine plateaus happen too, and the mechanism is metabolic adaptation plus a smaller body.

Pushing back on NauseaFreeNow here. The "it is your intake" reflex here gets tiring. Some people genuinely stop responding at a dose that worked, and telling them to track harder when they have already tracked is how people stop posting.

Last edited: Jul 9, 2024 at 5:36 PM
34 12FDA_TrackerJim, ricardo_MIA, BrianDallas92 and 31 others
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ingrid_STO
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Jul 9, 2024 at 1:42 PM#4

This one has a reasonably settled answer, so here it is. Most reported plateaus are not plateaus. Weight is a noisy signal — daily variation of one to two kilograms from glycogen, sodium and gut contents — so a fortnight of flat readings is well inside the noise band. Before concluding anything, look at a rolling weekly average over at least four weeks and at a tape measure, because recomposition shows up in circumference before it shows up in weight. Then track intake honestly for a week: appetite suppression fades unevenly, and intake creeping back up is the single commonest cause.

Happy to go further on any of that.

35 13InsuranceTom, WendyG_ATL, SaraMom3 and 32 others
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JenPlateau
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Jul 9, 2024 at 2:12 PM#5
DanielChem_CHI said:
Plateau breaking story with a stall: I stalled at 199 lbs for 8 weeks.

Same experience, arrived at from the opposite direction.

36 14sarah_nash92, FitDadDave, RunnerRach and 33 others
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