+1 to TrialNerd_Beth. Especially the point about "NateNeph perspective but I think this ov..." — I have seen the same in my own experience with My doctor says stay on.
Want to share my personal experience related to My doctor says stay on 1mg but since I think it might help others in a similar situation.
I started my GLP-1 journey in October 2024 at 255 lbs with prediabetes and hypertension. My endocrinologist prescribed semaglutide 0.25mg to start.
Now, 6 months later: I am down 75 lbs, my labs have normalized, and I am off 2 of my 3 medications. The My doctor says stay aspect specifically was something that made a big difference in my journey.
This community helped me every step of the way.
Dr.KarenChen — that is really helpful context on My doctor says stay on. Follow-up question: did you experience any side effects during this phase?
I am in a similar situation (about to start) and trying to set realistic expectations.
To answer ricardo_MIA's question specifically:
From a clinical standpoint, My doctor says stay on 1mg but is something I discuss with patients regularly.
The short answer: discuss this specific situation with your prescribing provider.
The longer answer involves weighing the risk-benefit ratio for your individual situation, which I am happy to elaborate on if helpful.