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Coming off

Stopping weight-loss jabs because of the cost: how to plan the year after

By the Steadie team · Updated · 2 minute read

The short version

  • Many people stop a weight-loss jab because of the cost. It's a common reason, and planning makes the year after easier.
  • Agree how and when to stop with your prescriber, before you run out.
  • Use the last weeks, while appetite is still quiet, to set up protein-first meals, two strength sessions a week and a daily walk.
  • The habits with the best evidence are also some of the cheapest: home strength work, walking and budget protein foods.

Start with your prescriber

Tell your prescriber that cost is the reason, and do it before your last pen runs out. They can tell you how and when to stop safely, check anything that needs checking (especially if you take other medicines or have type 2 diabetes), and talk you through other options if you want them.

Our list of questions to ask before stopping is a good starting point.

If you take a GLP-1 for type 2 diabetes, stopping can affect your blood sugar. Talk to your diabetes team before changing anything.

What to expect

As the medicine leaves your body over a few weeks, hunger and "food noise" usually come back. In trials, people regained a good share of the weight within a year on average, though some kept most of it off. That's biology, not a lack of effort. More in what happens when you stop.

Set things up before your last dose

The weeks before you stop are the easiest time to build routines, because appetite is still low:

  • Pick three go-to breakfasts and lunches built around protein. See high-protein breakfasts.
  • Start two short strength sessions a week, if they're right for you. Twenty-five minutes at home with a chair is enough to begin. See strength training after a GLP-1.
  • Build a daily walk into something you already do, like the school run or a lunch break.
  • Decide how you'll keep an eye on things: a weekly weigh-in, how your clothes fit, or how hungry you feel.

There's a step-by-step version in building habits before you stop.

Habits that cost very little

The habits with the best evidence for keeping weight off don't need expensive kit or foods:

  • Budget protein: eggs, tinned fish, beans and lentils, frozen chicken, Greek-style yoghurt, cottage cheese and tofu. Aim for a palm-sized portion at each meal. See protein after a GLP-1.
  • Fibre for fullness: oats, wholegrains, frozen veg and tinned pulses are cheap and keep you fuller for longer.
  • Strength at home: sit-to-stands from a chair, wall press-ups and rows with a backpack need no gym.
  • Walking: free, and it does steady work between strength sessions. See walking to keep weight off.
  • Sleep: short nights turn up appetite for many people. See sleep, stress and appetite.

Ask about support

NICE says people should be offered at least a year of support after a weight-loss medicine ends. Ask your prescriber or GP what's available locally, including NHS weight-management services.

Steadie is a 12-month plan built for this year: protein-first meals, short strength sessions shown by people of all ages and sizes, three small habits a week and a calm plan if weight starts to drift. It doesn't give advice about medicines.

Common questions

Can I stop Mounjaro straight away if I can't afford it?

Talk to your prescriber first. They'll tell you how and when to stop based on your dose and health. Steadie doesn't give advice about stopping or changing doses.

Will I regain the weight if I stop because of cost?

Many people regain some weight after stopping, whatever the reason. In trials, about two-thirds came back within a year on average, but some people kept most of it off. Protein, strength exercise and regular meals give you the best chance.

What's the cheapest way to keep weight off after a jab?

Protein at every meal from budget foods like eggs, beans and tinned fish, two strength sessions a week at home, and a daily walk. None of these need a gym or special products.

Sources

  1. Wilding et al. Weight regain and cardiometabolic effects after withdrawal of semaglutide: the STEP 1 trial extension. Diabetes, Obesity and Metabolism, 2022
  2. Aronne et al. Continued treatment with tirzepatide for maintenance of weight reduction (SURMOUNT-4). JAMA, 2024
  3. BMJ Group: stopping weight-loss drugs linked to weight regain and reversal of heart health markers (review of 37 studies)
  4. NICE quality standard QS212, statement 6: wraparound care alongside medicines for weight management
  5. NICE: people need support to keep weight off after treatment ends
  6. Lundgren et al. Healthy weight loss maintenance with exercise, liraglutide, or both combined. New England Journal of Medicine, 2021
  7. British Dietetic Association: Medications for obesity, a guide to eating and living well (NICE-hosted resource)
  8. NHS: physical activity guidelines for adults aged 19 to 64

This guide is general information, not medical advice. Steadie never gives advice about medication, doses or stopping treatment: talk to your prescriber, GP or pharmacist about those. In an emergency, call 999. Read how we write guides in our editorial policy.