GLPlus Careby Golden Leaf HealthBack to the hub

You reached your goal. Now we come down slowly.

Step your weekly dose down a little at a time. This page shows each step and tells you when to move, wait or slow down.

Coming down

One small step at a time.

Your provider sets your plan. Questions? Text us.

Set up your plan

A few details and your steps appear on the right.

A few details and your steps appear below.

1Your dose now

2When you start

Have you started coming down yet?

3Your pace

About 9 to 12 weeks to 10 units, in bigger steps. Hunger may come back sooner.

4Your weightsOptional

With these, your trend shows how far you are from where you started.

What to expect

Hunger may get louder again.

That is part of coming down. Keep protein at meals, keep your strength days, and protect your sleep while your body settles at each level.

ProteinStrengthSleep and stress

After the last step

Three ways to finish.

When you reach 10 units, you choose what comes next with your care team. Any of the three is a good outcome.

Keep a small dose

Optional

Some people keep a small dose to help hold their results. Your care team sets up maintenance vials for you, and your personal refill link comes by email.

Text us for more information.
Maintenance dose

Stop completely

Text us before your last dose so we can note it in your chart.

Let us know you're stopping
  • Some weight usually comes back, and that's normal.
  • In studies, people regained about half to two-thirds of what they lost in the year after stopping, but most were still lighter than when they started.
  • Weigh in once a month and keep your protein and strength habits.
  • If you take medicine for diabetes or blood pressure, talk to us before you stop.
  • Restarting after a break begins again at a low dose.

Not sure yet

Text the care team. We'll look at your check-ins with you and decide together.

Text the care team

A few safety notes.

Missed 2 or more weekly doses? Text us before your next one.

Text us before your next step if you take medicine for diabetes or blood pressure, are pregnant or planning to be, or have side effects that worry you.

This planner follows your clinic's step-down guide. It is not a prescription. Doses are for semaglutide 5 mg/mL only. Check the label on your vial.

Important safety information

Risk of thyroid C-cell tumors. Semaglutide and tirzepatide caused thyroid C-cell tumors in rodents. It is not known whether they do in people. Do not use them if you or your family have had medullary thyroid carcinoma (MTC), or if you have MEN 2.

Do not use if you have had a serious allergic reaction to either medicine, or if you are pregnant, planning a pregnancy, or breastfeeding. Tell your provider about any history of pancreatitis, gallbladder or kidney problems, diabetic retinopathy, depression, or blood-sugar-lowering medicines.

Side effects. Common: nausea, diarrhea, vomiting, constipation and stomach pain, mostly when starting or raising a dose. Serious: pancreatitis, gallbladder problems, low blood sugar, kidney problems, allergic reactions, vision changes, fast heartbeat and suicidal thoughts. Get help right away for severe stomach pain, an allergic reaction, or thoughts of self-harm.