Before titrating up, consider: - Are you truly stalled? Wait at least 30 days of no weight loss before concluding you've plateaued. - Is it a body composition change? The scale may not move while you're losing fat and gaining/maintaining muscle. - Metabolic adaptation: Your metabolism may slow to counter a calorie deficit. Some members have found success adding a small amount of retatrutide for its metabolic-boosting glucagon activity.