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The Maintenance Phase

Your first 90 days after injections: a checklist

The three months after your last injectable GLP-1 dose are when maintenance plans succeed or quietly unravel. Appetite typically returns during this window, and small drifts compound fast. This week-by-week checklist gives you concrete things to watch, track, and discuss with your provider — before the scale forces the conversation.

Before your last injection

The best first-90-days plan is written before day one.

• Book a transition visit with your provider. Discuss whether to taper, what monitoring makes sense, and what would prompt a change of course.
• Record your baseline. Weight, measurements, typical portions, and how often cravings show up now — you'll want a reference point.
• Decide how you'll track. A weekly weigh-in on the same day and time, plus a simple notes app for appetite changes, is enough for most people.
• Know your options. Ask your provider about maintenance-phase support, including whether prescription-only compounded, needle-free options are appropriate for you. See how the provider-review process works.

Weeks 1–2: establish the routine

Medication is still leaving your system, so appetite may feel unchanged. Don't mistake that for being done.

• Do your first weekly weigh-in and log it.
• Anchor three daily habits while motivation is high: a protein-forward breakfast, a consistent movement slot, and a regular sleep window.
• Note your current portion sizes — literally write down what a normal plate looks like right now.
• Put your week-6 and week-12 provider check-ins on the calendar today.

Weeks 3–6: watch for the early signals

This is when many patients first notice appetite shifting. The signals commonly arrive in a predictable order: cravings first, larger portions second, weight change last.

• Log any new or intensifying cravings — especially for sugar and refined carbohydrates.
• Compare your portions against the week-1 notes. Honest comparison, not judgment.
• Keep the weekly weigh-in, but don't panic over single readings; watch the three-week trend.
• If hunger is climbing noticeably, contact your provider now rather than waiting for the scheduled check-in.

Weeks 7–9: pressure-test the plan

By now the routine has met real life — a stressful week, a trip, a holiday. That's useful information.

• Identify where the plan bent: travel, evenings, weekends, eating out. Adjust the plan, not the goal.
• Review your trend line. Research on GLP-1 discontinuation suggests regain often begins within the first few months, so a slow upward drift deserves attention, not denial.
• Recommit to the three anchor habits if any slipped. Small and consistent beats ambitious and abandoned.

Weeks 10–13: the 90-day review

Close the window with a structured look back — ideally with your provider.

• Bring your logs to the week-12 check-in: weight trend, appetite notes, and where the routine struggled.
• Discuss what the next 90 days should look like. For some patients, a provider may determine that continued medication support in a different form is appropriate; for others, monitoring and habit work may be the plan.
• Set the next review date before you leave the appointment. Maintenance is ongoing care, not a graduation.

If you'd like a starting point for that provider conversation, our 60-second eligibility check is free and carries no obligation.