Accepted answer
Concretely, a plateau at four to six months is the expected shape of the curve, not a failure of it. Energy expenditure falls with mass, and the deficit closes itself unless intake falls further.
The regain trajectory after stopping is roughly a mirror of the loss trajectory, and it is not primarily a willpower phenomenon. Appetite signalling returns, energy expenditure remains suppressed relative to the original mass, and the two combine. That is an argument for a maintenance plan existing before the stop, rather than an argument against stopping.
What each body-composition method measures
| Method | Measures | Sensitive to | Least significant change |
|---|
| DEXA | Three-compartment by attenuation | Hydration, positioning | ~2–3 % regional lean |
| BIA (consumer) | Impedance, modelled | Hydration, food, temperature | Not usable at this timescale |
| Air displacement | Two-compartment by density | Lung volume, hair, clothing | ~1–2 % fat mass |
| Tape and scale | Circumference, mass | Technique | Surprisingly usable as a trend |
In practice, hydration state moves a DEXA lean-mass figure directly, because the algorithm assigns water to the lean compartment. Scanning fasted, at the same time of day, before training and without a recent high-carbohydrate day is the difference between a comparable sequence and a noisy one. Bioelectrical impedance is far more sensitive to hydration again, which is why its trend is unusable at this timescale.
SURMOUNT-4 provides the cleanest maintenance-versus-withdrawal contrast available in the class, and it is the reference for any claim about what happens after stopping[1].
A maintenance plan written before you need it is worth more than a better loss plan.