Clinician answer
A plateau around month 6-9 is normal — metabolic adaptation reduces the deficit your dose creates. Three checks: are you hitting protein (0.7-1.0 g/lb body weight)? Are you lifting weights ≥2×/week to preserve muscle? Is your dose at the prescribed target? If all three are yes, this may be your sustainable maintenance.
Answered by Dr. Jane Novak, MD, MPH