I've been microdosing compounded semaglutide through Noom's microdosing program since October 2025. I started at .2 mg and have worked my way up to .6 mg, which is the max for this program. My weight loss was consistent at .5-1 lb a week until March 2026, when I plateaued at 144. Since then I've started oral minoxidil (a very small dose for hair loss, it's working great!!) and have gained maybe 1-2 pounds of water weight. Most days I weigh in around 146. Despite maxing out my dose, my weight will not budge.
- Height: 5'6"
- Starting weight (Oct 2025): 156 lbs
- Current weight: 146 lbs
- Goal weight: 135 lbs
- Length of plateau: Almost 8 weeks
My eating habits have stayed the same (in terms of what I eat), and I've shifted calories down to try to break through the plateau, but nothing. If anything, I worry I'm not eating enough now for my activity level. At the beginning, when I was taking only .3 or .4 mg, I was eating 2-3 "cheat" meals a week and having a drink or two on the weekends and still losing, and now I'm back to being super strict 7 days a week. I strength train 4x a week and have for many years, so I don't think it's the case of building muscle but losing fat, so the scale doesn't change. My pants fit very much like I would expect them to at 146 and I'm not losing any inches.
I don't love the idea of increasing my dose (I don't have any side effects except for the hair loss, it's just expensive!) but I will if needed. I'm open to changing providers if they have a better price for increased dosages. Also open to changing meds.
If anyone else has faced a long plateau at this stage, I'd love to hear if/how you overcame it!