Navigating Mounjaro Maintenance: Is There a Specific Dose for Long-Term Weight Management?

Introduction

The journey to a healthier weight often feels like navigating a complex maze. Many embark on this path with determination, achieving initial success, only to find themselves facing the daunting challenge of maintaining their progress. The disheartening reality of weight regain can undermine even the most dedicated efforts. For countless individuals, the traditional cycle of dieting and weight loss has been a source of frustration, highlighting the need for more sustainable and medically supported solutions. This is where modern medical advancements, like Mounjaro (tirzepatide), are reshaping the landscape of weight management, offering a new horizon for long-term success.

At TrimRx, our journey began with a shared vision: to empower individuals to embrace healthier lifestyles. We recognized the critical need to merge cutting-edge telehealth innovations with effective weight loss solutions, creating a platform that is both user-friendly and profoundly supportive. Our dedication lies in providing personalized, medically supervised care, meticulously designed to make sustainable weight loss not just a dream, but an attainable reality tailored to each unique individual. We firmly believe that enduring weight loss is best achieved through a foundation of science, empathy, and an unwavering commitment to transparency.

This article delves into a crucial aspect of this journey: understanding the Mounjaro maintenance dose and its profound role in securing lasting results. We will explore how Mounjaro works, the deliberate process of titration that leads to an individualized maintenance dose, and why sustained treatment is often key to combating weight regain. We’ll also provide insights into managing your journey, what to expect, and how comprehensive support can make all the difference. Our aim is to illuminate the path forward, demonstrating how a personalized approach, combined with the right tools and guidance, can transform your weight management experience. By the end of this post, you will have a clear understanding of what a Mounjaro maintenance dose entails and how it integrates into a holistic strategy for long-term well-being.

The Science Behind Mounjaro: A Dual-Action Approach to Weight Management

Understanding how Mounjaro works is fundamental to appreciating its role in weight loss and maintenance. Mounjaro, known generically as tirzepatide, stands out as a unique medication due to its innovative dual-agonist mechanism. It mimics the action of two naturally occurring incretin hormones: Glucagon-Like Peptide-1 (GLP-1) and Glucose-Dependent Insulinotropic Polypeptide (GIP). These hormones play pivotal roles in regulating blood sugar levels and influencing appetite.

How GLP-1 and GIP Work Together

The GLP-1 receptor agonism component of Mounjaro helps in several ways. Firstly, it stimulates insulin release from the pancreas in a glucose-dependent manner, meaning it only works when blood sugar is high, thereby reducing the risk of hypoglycemia. Secondly, it suppresses glucagon secretion, which helps prevent the liver from releasing too much glucose. Crucially for weight management, GLP-1 also slows gastric emptying, leading to a prolonged feeling of fullness, and acts on the brain to reduce appetite and food cravings.

The GIP receptor agonism adds another layer of effectiveness. GIP also contributes to glucose-dependent insulin secretion and has been shown to have direct effects on fat cells, potentially influencing fat storage and metabolism. By activating both GLP-1 and GIP receptors, Mounjaro offers a more comprehensive approach to metabolic regulation and appetite control than medications targeting only GLP-1. This synergistic action helps individuals feel more satisfied with smaller portions, experience fewer cravings, and ultimately achieve significant and sustainable weight loss.

This dual action makes Mounjaro a powerful tool in managing not only blood sugar levels for individuals with type 2 diabetes but also in addressing the complex biological factors that contribute to obesity. Our understanding at TrimRx is that leveraging such advanced medical science, combined with our compassionate and personalized care, provides a robust foundation for your success.

The Journey to Maintenance: Titration Explained

The path to finding the optimal Mounjaro maintenance dose is a deliberate, carefully managed process known as titration. Titration involves gradually increasing the medication’s strength over time. This phased approach is paramount for both safety and effectiveness, allowing your body to adjust to the medication while minimizing potential side effects.

The Starting Point: Initial Dosing

For most individuals beginning Mounjaro treatment, the journey starts with a low dose of 2.5mg, administered once weekly for the first four weeks. This initial phase is not typically intended to produce significant weight loss. Instead, its primary purpose is to allow your body to gently acclimate to the medication. This thoughtful introduction helps mitigate the likelihood of gastrointestinal side effects, such as nausea, vomiting, or diarrhea, which can sometimes occur as the body adjusts.

Gradual Increments: The Titration Phase

Following the initial four weeks, your healthcare provider will typically recommend increasing the dose to 5mg once weekly for another four weeks. From there, further increases generally occur in 2.5mg increments every four weeks, based on your body’s response and your clinician’s expert recommendation. This systematic progression can lead to doses of 7.5mg, 10mg, 12.5mg, and potentially up to the maximum dose of 15mg once weekly.

It’s important to understand that not everyone will need to reach the highest doses to achieve their weight loss goals or to find their ideal maintenance dose. The titration schedule is a flexible framework that is tailored to individual needs. Throughout this process, consistent communication with your healthcare provider is crucial. They will monitor your progress, assess any side effects, and make informed decisions about dose adjustments. This measured approach ensures that your treatment remains controlled, sustainable, and safe, aligning perfectly with our commitment to medically supervised care at TrimRx. If you’re considering this journey, our free assessment quiz is an excellent first step to determine your eligibility and discuss a personalized treatment plan with our providers.

Why Titration is Crucial for Your Well-being

Attempting to fast-track the process by starting at a higher dose or increasing it too rapidly is not recommended. Doing so significantly elevates the risk of experiencing uncomfortable and potentially severe side effects, which could disrupt your treatment or even lead to discontinuation. The slow, methodical increase in dosage provides your body with ample time to adapt, making the treatment more manageable and ultimately more effective for long-term success. Our approach at TrimRx emphasizes safety and patient comfort above all, ensuring your titration path is as smooth as possible. We work exclusively with FDA-registered and inspected pharmacies to ensure the medication you receive meets the highest standards of safety and quality.

Defining the Mounjaro Maintenance Dose

Reaching your target weight is a monumental achievement, but the journey towards a healthier you doesn’t end there. A critical next step is identifying and adhering to a Mounjaro maintenance dose. This phase is designed to help you sustain the weight loss you’ve achieved and continue reaping the metabolic benefits of the medication over the long term.

The Individualized Approach to Maintenance

There isn’t a single, universal “maintenance dose” for Mounjaro; rather, it is highly personalized. While common maintenance doses are often in the range of 5mg, 10mg, or 15mg once weekly, the specific dose for any individual is determined by a confluence of factors. This individualized approach is central to TrimRx’s philosophy, as we understand that every person’s body responds uniquely to medication and treatment protocols.

Factors Influencing Your Optimal Dose

• Individual Response to Medication: How effectively your body responds to each dose increment during the titration phase is a primary indicator. Some individuals may achieve excellent appetite control and metabolic stability at a lower dose, while others may require a higher dose to maintain these effects.
• Side Effect Profile: The presence and severity of any side effects experienced at different doses play a significant role. The goal is to find a dose that effectively supports weight management with minimal discomfort. If a higher dose leads to persistent or severe side effects, your provider may recommend reverting to a slightly lower, more tolerable dose for maintenance.
• Weight Loss Goals and Outcomes: Your initial weight loss goals and the amount of weight successfully lost are considered. The maintenance dose aims to preserve these achievements. For some, maintaining a specific weight range might require a different dose than for others.
• Overall Health and Medical History: Your complete medical profile, including any co-existing conditions (such as type 2 diabetes, where Mounjaro is also indicated for blood sugar control), will influence the optimal maintenance dose. Any other medications you are taking will also be carefully reviewed to prevent interactions. For instance, Mounjaro can interact with certain oral medications by delaying gastric emptying, necessitating careful monitoring, especially for those on hormonal contraceptives or medications with a narrow therapeutic index.

Regular consultations with your healthcare provider are absolutely essential during this phase. Through these discussions, your provider will assess your progress, review your health markers, and adjust your maintenance dose as needed to ensure ongoing effectiveness and safety. Our comprehensive service at TrimRx includes doctor consultations, medication, lab work, unlimited support, and shipping, ensuring you have continuous professional guidance throughout your entire journey.

Stabilizing Long-Term Health

The maintenance dose essentially becomes your long-term treatment plan. It works by continuing to regulate the hormonal balance achieved during the active weight loss phase, thereby supporting sustained appetite control, reducing cravings, and maintaining metabolic stability. This ongoing support is crucial because, as studies indicate, discontinuing weight loss medication after achieving goals can lead to the resurgence of previous eating habits and, unfortunately, potential weight regain. This reinforces why Mounjaro, like other GLP-1 medications, is often considered a long-term strategy for managing a chronic condition.

For individuals looking for additional support alongside their personalized prescription plan, or those not yet ready for a prescription, our GLP-1 Daily Support and Weight Loss Boost quick-access supplements are available to support overall wellness and healthy metabolism.

Why Maintenance Is Essential for Sustainable Weight Loss

Achieving significant weight loss is a remarkable accomplishment, but the true victory lies in maintaining it. For many, this has been the most challenging part of their health journey. The science increasingly shows that obesity is a complex, chronic condition, not merely a lifestyle choice. Just like other chronic conditions such as high blood pressure or type 2 diabetes, it often requires ongoing management to prevent relapse. This is where the Mounjaro maintenance dose plays an indispensable role.

Combating Weight Regain: The Body’s Natural Response

When individuals lose a substantial amount of weight, the body often responds with powerful biological counter-regulatory mechanisms. These include an increase in hunger hormones, a decrease in satiety hormones, and a metabolic slowdown. Essentially, your body perceives weight loss as a threat to its energy reserves and actively works to regain the lost weight. This biological predisposition makes sustained weight loss incredibly difficult through diet and exercise alone.

• Hormonal Balance: The maintenance dose of Mounjaro helps to counteract these natural responses by continuously modulating GLP-1 and GIP receptor activity. This sustains the feeling of fullness, reduces appetite, and minimizes cravings, making it easier to adhere to healthier eating patterns.
• Metabolic Stability: By influencing glucose metabolism and insulin sensitivity, Mounjaro helps to maintain metabolic stability, which is vital for long-term weight management. It prevents the metabolic slowdown that can often accompany significant weight loss, helping your body continue to burn calories more efficiently.

Studies have consistently shown that people who discontinue GLP-1/GIP receptor agonist medications after achieving weight loss tend to regain a significant portion, if not all, of the weight they lost. This isn’t a failure on their part, but rather a testament to the chronic nature of obesity and the powerful biological forces at play. A maintenance dose acts as a continuous support mechanism, empowering you to sustain your healthier weight.

Supporting Long-Term Lifestyle Changes

While Mounjaro is a powerful tool, it is most effective when integrated into a holistic approach that includes sustainable lifestyle changes. The maintenance dose supports these efforts by making it easier to:

• Adhere to Balanced Nutrition: By controlling appetite and cravings, Mounjaro helps individuals make healthier food choices and maintain a calorie-appropriate diet without feeling constantly deprived.
• Engage in Regular Physical Activity: Feeling better and having more energy from weight loss can motivate increased physical activity. The medication helps sustain this motivation by continuing to support overall well-being.
• Implement Behavioral Modifications: Mounjaro facilitates the adoption of new, healthy habits by reducing the constant battle against hunger. This allows individuals to focus on mindful eating, stress management, and improved sleep – all critical components of long-term health.

The maintenance phase is not about simply taking a medication; it’s about reinforcing a healthier way of life. It provides ongoing physiological support that makes sticking to healthy habits more achievable and less of a constant struggle. Our brand, TrimRx, is built on the belief that personalized, medically supervised programs transform lives by providing individuals with the tools and support needed for safe, effective, and sustainable weight loss. Our commitment to transparent service ensures our approach remains consistent, supporting you through every phase of your journey. Ready to explore a personalized approach to weight management? Take our free assessment quiz today.

Managing Your Mounjaro Maintenance Journey with Support

Embarking on a long-term weight management journey with Mounjaro requires ongoing attention and comprehensive support. This phase is about optimizing your well-being, managing any side effects, and ensuring the medication continues to be effective and safe for your unique needs.

Side Effect Management during Maintenance

While many common side effects of Mounjaro, such as nausea, vomiting, diarrhea, or constipation, often diminish as your body adjusts during the titration phase, some individuals may still experience them during maintenance. It’s crucial to proactively manage these to ensure comfort and adherence to your treatment plan.

Strategies for Mitigating Side Effects:

• Gradual Dose Adjustments: Any changes to your maintenance dose, if necessary, should always be gradual and under the strict supervision of your healthcare provider. Abrupt changes can trigger or worsen side effects.
• Dietary Modifications: Opt for smaller, more frequent meals rather than large ones. Avoid high-fat, greasy, or overly spicy foods, which can exacerbate gastrointestinal discomfort. Focus on lean proteins, fiber-rich fruits and vegetables, and whole grains.
• Hydration: Maintain excellent hydration by drinking plenty of water throughout the day, especially if you experience diarrhea or vomiting. Electrolyte solutions can also be beneficial in preventing dehydration.
• Timing of Injections: While Mounjaro can be injected at any time of day, some individuals find that adjusting the timing of their weekly injection can help manage specific side effects, such as morning nausea. Consistency, however, is key—choose a day and time you can reliably stick to each week.
• Open Communication: Regularly communicate any persistent or bothersome side effects with your healthcare provider. They can offer personalized advice, suggest symptom management strategies, or adjust your treatment plan if needed.

Monitoring Progress and Regular Consultations

Continuous monitoring is a cornerstone of effective long-term weight management. This includes not only tracking your weight but also observing changes in your dietary habits, physical activity levels, and overall health. Keeping a journal or using digital tracking tools can be invaluable for identifying trends and promptly addressing any concerns.

When to Seek Medical Advice:

• Persistent or Severe Side Effects: Do not hesitate to contact your healthcare provider if you experience prolonged nausea, severe abdominal pain, persistent vomiting, or unmanageable gastrointestinal issues.
• Unintended Weight Changes: Significant weight gain or loss that goes beyond expected outcomes warrants a conversation with your provider, as it may indicate a need for dose adjustment or a reevaluation of your treatment plan.
• Other Health Concerns: Any new or worsening symptoms, or other health concerns that you suspect might be related to your medication, should be discussed immediately.

Regular follow-up appointments with your healthcare provider are essential. These check-ins ensure that your Mounjaro maintenance dose remains effective and safe, allowing for necessary adjustments to support your long-term health goals. Our commitment at TrimRx is to provide unlimited support, ensuring you never feel alone in your journey.

Importance of Lifestyle Integration

Beyond medication, integrating healthy lifestyle choices is paramount. Mounjaro provides a powerful assist, but it’s the synergy with balanced nutrition, consistent physical activity, adequate sleep, and stress management that truly drives sustainable success. Our programs are designed to empower you with the knowledge and resources to build these habits effectively.

Medication Interactions: What You Should Know

It’s vital to discuss all medications you are currently taking with your TrimRx healthcare provider. Mounjaro can affect the absorption of other oral medications by delaying gastric emptying. This is particularly important for:

• Oral Contraceptives: For individuals using oral hormonal contraceptives, your provider may advise switching to a non-oral contraceptive method or adding a barrier method for 4 weeks after initiating Mounjaro and for 4 weeks after each dose escalation.
• Medications with a Narrow Therapeutic Index: Close monitoring is necessary for medications where a small change in dose can have significant effects, such as digoxin or levothyroxine.
• Insulin Secretagogues and Insulin: Coadministration of Mounjaro with insulin secretagogues (like sulfonylureas, e.g., glimepiride, glipizide, glyburide) or insulin can increase the risk of hypoglycemia. Your provider may need to adjust the doses of these medications.

This careful oversight of potential interactions is part of the comprehensive, medically supervised care we provide at TrimRx, ensuring your safety throughout your treatment. If you’re ready for a personalized plan, take our free assessment quiz today.

Considering Discontinuation or Restarting Mounjaro

The decision to discontinue Mounjaro maintenance, or to restart it after a break, is a significant one that should always be made in close consultation with your healthcare provider. This ensures a safe and well-planned transition, whether you are moving away from medication or returning to it.

Planning for Discontinuation

While Mounjaro is often considered a long-term treatment for a chronic condition, some individuals may, under medical guidance, choose to discontinue it after achieving their weight loss goals and maintaining them for a period. If you decide to stop taking Mounjaro, your healthcare provider will help you develop a tailored plan.

Key Considerations for Discontinuation:

• Gradual Tapering: Rather than stopping abruptly, your provider may recommend gradually reducing your Mounjaro dose over time. This tapering process can help your body adjust more smoothly and potentially minimize the rebound effects of increased appetite or potential weight regain.
• Enhanced Lifestyle Plan: Discontinuation necessitates an even stronger commitment to lifestyle changes. This includes a robust plan for balanced nutrition, consistent physical activity, effective stress management, and adequate sleep. These habits, which Mounjaro helped facilitate, become even more critical without the medication’s physiological support.
• Ongoing Monitoring: Your provider will likely recommend regular monitoring of your weight and overall health post-discontinuation to promptly address any signs of weight regain or other health concerns.
• Understanding Potential Outcomes: It is important to be aware that without the ongoing support of Mounjaro, the body’s natural compensatory mechanisms (increased hunger, slower metabolism) may resurface, making it challenging to sustain weight loss for some individuals. Studies indicate that a significant percentage of lost weight may be regained after stopping GLP-1/GIP receptor agonists.

Some individuals successfully sustain their weight loss through lifestyle changes alone after tapering off Mounjaro. Others find that continuing the medication is essential to keep the weight off and maintain their health improvements. There is no one-size-fits-all approach; the key is to make an informed choice that is right for you, in collaboration with your healthcare team.

Restarting Treatment After a Break

Life happens, and sometimes a break from medication is necessary or desired. If you decide to restart Mounjaro after a period of discontinuation, it’s important to understand the typical protocol.

• Restarting at the Lowest Dose: Patients who wish to restart Mounjaro after a break usually begin again with the lowest dose of 2.5mg weekly. This mirrors the initial titration schedule, allowing your body to re-acclimate to the medication safely and minimize side effects.
• Medical Supervision is Key: Restarting Mounjaro, like initial treatment, must occur under strict medical supervision. Your provider will guide you through the titration schedule, monitoring your response and making adjustments as needed.
• Assessment of Eligibility: Before restarting, your provider will reassess your current health status and eligibility for the medication, taking into account any changes in your medical history or weight. At TrimRx, we are flexible and understanding of individual needs. For those who can provide proof of previous Mounjaro usage, we can often continue treatment even if your BMI is in a healthy range (above 19.5), focusing on maintenance and long-term well-being. For new users without prior treatment, a BMI of 30 or higher (or 27-30 with weight-related comorbidities) is typically required.

Our brand personality at TrimRx is empathetic and supportive. We respect every individual’s unique journey and are committed to providing compassionate care. Whether you are considering starting, continuing, or restarting Mounjaro, our team is here to provide clear guidance and a personalized treatment plan. Take our free assessment quiz to explore your options and see if a medically supervised weight loss program is right for you.

TrimRx’s Approach to Your Long-Term Weight Management

At TrimRx, we are more than just a provider of weight loss solutions; we are your dedicated partner in achieving and sustaining a healthier lifestyle. Our foundation is built on merging innovative telehealth with effective, personalized, and medically supervised care, ensuring your journey is safe, effective, and tailored to your unique needs.

Personalized Plans for Enduring Success

We understand that every individual’s body, health history, and weight loss goals are distinct. This is why our approach is deeply personalized. We offer access to a range of prescription weight loss medications, including branded options like Ozempic®, Mounjaro®, Zepbound®, and Wegovy®, as well as compounded medications like Compounded Semaglutide, Oral Semaglutide, Compounded Tirzepatide, and Oral Tirzepatide. For these prescription medications, we begin with a free assessment quiz to determine your eligibility and craft a treatment plan that aligns perfectly with your body’s specific requirements and your long-term aspirations.

Our personalized plans encompass:

• Doctor Consultations: Comprehensive virtual consultations with qualified healthcare providers to assess your health, discuss your goals, and prescribe the most appropriate medication.
• Medication Management: Access to clinically proven medications, with clear guidance on titration and maintenance doses. We partner exclusively with FDA-registered and inspected pharmacies for the shipping of all weight loss medications, whether branded or compounded, ensuring the highest standards of safety and quality. It’s important to remember that while branded medications like Mounjaro® are FDA-approved, compounded medications are not.
• Lab Work: Necessary lab tests to monitor your health and ensure the safety and efficacy of your treatment.
• Unlimited Support: Continuous support from our compassionate care team, available to answer your questions, address concerns, and provide encouragement throughout your journey.
• Shipping with No Hidden Fees: Transparent service that includes all costs, ensuring you receive your medication conveniently and without unexpected charges.

Our Commitment to Safety and Transparency

Safety is paramount in everything we do. Our dedication to working with FDA-registered and inspected pharmacies ensures that you receive high-quality medications. We believe in transparent service, where our approach remains consistent regardless of dosage changes. This commitment extends to every interaction, fostering trust and empowering you with clear information about your treatment.

Beyond prescription medications, we also offer quick-access supplements designed to support your overall wellness during your weight loss journey. Our GLP-1 Daily Support and Weight Loss Boost are available for immediate purchase, offering complementary support for metabolism and satiety.

At TrimRx, we combine advanced medical science with modern technology to provide compassionate care that respects every individual’s unique journey. We are results-oriented, focusing on safe, effective weight loss, and dedicated to individualized care. Your long-term health and well-being are our highest priorities.

Conclusion

The journey of weight management is a testament to resilience and dedication, often punctuated by both triumphs and challenges. As we’ve explored, the question of “is there a maintenance dose for Mounjaro” is met with a resounding “yes,” underscoring the vital role it plays in transforming short-term successes into sustainable, long-term health victories. Mounjaro, with its innovative dual GLP-1 and GIP agonism, provides a powerful physiological tool to navigate the body’s natural resistance to weight loss, offering sustained appetite control and metabolic benefits.

The deliberate process of titration, leading to a personalized maintenance dose (commonly 5mg, 10mg, or 15mg), is not a mere formality but a crucial strategy to ensure safety, minimize side effects, and optimize efficacy. This individualized approach acknowledges that each person’s response to medication is unique, making continuous medical supervision essential. Maintaining Mounjaro therapy is often key to combating weight regain, supporting essential lifestyle changes, and managing obesity as the chronic condition it is.

At TrimRx, our core philosophy is centered on empowering you through every stage of this journey. We merge cutting-edge telehealth with empathetic, medically supervised care, providing personalized treatment plans that include doctor consultations, necessary lab work, medication from FDA-registered and inspected pharmacies, and unlimited support—all with transparent service and no hidden fees. Whether you are just beginning your weight loss journey, seeking to establish a long-term maintenance plan, or exploring options for additional wellness support, we are here to guide you with trust and innovation.

We invite you to take the next step towards a healthier, more sustainable future. To discover if a personalized prescription weight loss program with medications like Mounjaro is right for you, we encourage you to take our free assessment quiz. For immediate support for your overall wellness, explore our GLP-1 Daily Support and Weight Loss Boost supplements. Together, we can achieve lasting results and embrace a life of improved health and vitality.

Frequently Asked Questions

What is the typical Mounjaro maintenance dose range?

The typical Mounjaro maintenance dose range is usually between 5mg, 10mg, and 15mg once weekly. However, the exact maintenance dose is highly individualized. It is determined by your healthcare provider based on your response to the medication, the degree of weight loss achieved, your tolerance to side effects, and your overall health goals. The aim is to find the lowest effective dose that helps you maintain your weight loss and manage appetite with minimal discomfort.

How long do I need to stay on a Mounjaro maintenance dose?

There is no strict time limit for how long you need to stay on a Mounjaro maintenance dose. Obesity is recognized as a chronic condition that often requires long-term management. For many individuals, continuing Mounjaro as a maintenance therapy is essential to prevent weight regain and sustain metabolic improvements. Your healthcare provider will regularly assess your progress, health status, and goals to determine the most appropriate duration of treatment for you. The decision to continue or discontinue will be a collaborative one, based on your individual needs and circumstances.

Can I stay on a lower Mounjaro dose long-term for maintenance?

Yes, it is possible to stay on a lower Mounjaro dose long-term for maintenance if that dose proves effective for you. The goal of the maintenance phase is to achieve sustainable weight management with the lowest possible dose that yields desired results and minimizes side effects. Some individuals may find that a 5mg or 7.5mg dose is sufficient to maintain their weight loss and appetite control. Your healthcare provider will work with you to determine the optimal long-term dose based on your individual response, tolerance, and health objectives.

What happens if I want to stop Mounjaro after reaching my goal weight?

If you decide to stop Mounjaro after reaching your goal weight, it’s crucial to consult your healthcare provider to develop a strategic plan. While you can stop the medication, it’s important to be aware that the body’s natural hormonal responses to weight loss (increased hunger, slower metabolism) may return, potentially leading to weight regain. Your provider may recommend gradually tapering your dose to help your body adjust and will emphasize the importance of robust lifestyle strategies, including diet, exercise, and behavioral modifications, to help you sustain your results without medication.