Week 34, 41 lbs down, scale stalled 5 weeks - labs still moving?

2026-09-12 9645 views 43 posts

Week 34 here. Down 41 lbs, waist down 4 inches, A1c 6.2 to 5.6, fasting glucose 102 to 91.

But the scale has been flat for five weeks and appetite noise is creeping back. I keep staring at the NCT04184622 design - 2539 people, Week 0-72, placebo plus 5/10/15 mg arms - and wondering how common long plateaus are while labs keep improving.

Anyone else see bloodwork move during a weight stall, or did yours move together?

That travel rebound thing is real. I came back from 10 days away up 4 lbs and appetite louder for maybe a week. It settled without me changing anything.

Did your A1c move before the weight or after? Mine lagged by like 10 weeks.

A1c tends to lag behind. Weight comes off first — that part moves quick — and A1c plays catch-up around week 20.

41 lbs at week 34 is solid. Are you doing resistance work? My waist changed way more once I added two sessions a week.

Not the OP, but same pattern. Scale flat weeks 18-23, waist down 1.5 inches. Bodies are weird.

I'd take a 5-week flat stretch right now. Nine weeks into this cut, still dropping 1-2 lbs a week, which some weeks feels too fast.

Fast early loss had my resting HR up about 8 bpm. Sleep and hydration were part of it for me.

Resting HR up? Mine actually dropped after month 3. Funny how different the response is.

Sleep is the hidden variable. Bad sleep means more appetite noise.

Protein's the lever here. 120g+ makes a flat week a lot less annoying on the scale.

Not trying to argue, but the part people forget about that 2539-participant trial is that it ran to week 72 with placebo and 5/10/15 mg arms. Still doesn't mean anyone gets a straight line. The plateaus in the reported data cluster hard around weeks 14-19 and 27-33, and labs often keep improving right through them.

The scale is the worst dashboard unless someone's also watching A1c, waist tape, sleep, and how clothes fit. Five weeks feels like forever when appetite noise comes back, but waist measurements can keep moving for two of those weeks regardless.

Worth knowing before comparing notes with anyone: did lipids or inflammation markers change? Those are the numbers that stop the spiral — a fridge whiteboard and a tape measure, not the scale.

Waist and A1c together tell me more than daily weight. The appetite noise after travel might just be routine changes, not the med.

I've had a 7-week flat stretch around month 8, and the scale was the least useful metric. Waist dropped another inch and resting HR went from 68 to 62. What helped was measuring Sunday mornings under same conditions, not daily.

Are you comparing labs and scale from the same week, or is the bloodwork from a few weeks earlier? That mismatch messed with my head for a bit.

Labs moving while scale stalls is the weirdest mind game. I'd trust the waist tape over the bathroom scale.

My flat spell broke after I stopped forcing 5am workouts on 5.5 hours of sleep. I shifted to 7 hours and swapped one hard session for a 30-minute walk, and three weeks later the scale finally moved 2 lbs. Stress and poor sleep can make me hold water like a camel. How's your sleep and stress load right now?

Weekends were my hidden stall. I was flat for 5 weeks while eating clean Mon-Fri, then realizd my Saturday takeout was pushing sodium and carbs way up.

I cooked at home for one weekend and dropped 3 lbs by Tuesday, which was just water. Not saying that's your deal, but a 3-day food and sodium log showed me more than any trial timeline. Have you checked weekend patterns?

Clothing is a liar too—same jeans, suddenly baggy, then the scale sits there judging you.

I’m a data nerd and my stall was half tracking problem: I was weighing at 6am after 5.5 hours of sleep and comparing it to evening weights. Switched to a 7-day average and a monthly waist check, and week 31 showed flat scale but another 0.75 inches off.

Weird bit: adding a real lunch, protein plus a fist of veg, stopped my 4pm pantry dive, and my average finally dropped 2 lbs over the next 12 days. Not saying that fixes everyone, but my plateau was partly lousy data and partly under-eating then over-snacking.

What does your weekly average look like if you zoom out to 4 weeks instead of day to day?

Sleep is my underrated lever—under 6 hours for 4 nights and I retain water like a camel.