Something the ‘you look fine, stop now’ conversation usually skips: the number on the scale and the number that was actually driving your metabolic dysfunction aren’t tracking the same thing. For PCOS specifically, the question isn’t really ‘what do I weigh’ - it’s ‘what is my fasting insulin doing.’ I’ve seen people hit their aesthetic goal weight with fasting insulin still at 18-22 uIU/mL, which means the insulin resistance that caused the hyperandrogenism, the irregular cycles, the A1C drift - all of it is still present, just at a lower body weight. The tirz decision gets clearer if you split the two goals apart: - body composition endpoint: scale weight, body fat %, how clothes fit, DEXA if you have access
- metabolic endpoint: fasting insulin under 10, fasting glucose trending normal, A1C, cycle regularity recovering They usually improve together but they don’t always finish at the same time. I track mine in a medication tracker that surfaces lab correlations over time - my fasting insulin curve and my scale curve diverged noticeably around month 8, and that told me something the scale alone couldn’t have. The person saying ‘you look great, stop’ is reading your body composition endpoint. Whether your metabolic endpoint is also done is a genuinely separate question, and it’s the one your prescriber should be driving - not social feedback from people who can’t see your labs.