One of the most common questions people ask before starting Semaglutide or Tirzepatide is: “Will I just gain all the weight right back the moment I stop taking it?”
It’s a completely fair worry. Many people have experienced the “yo-yo dieting” cycle in the past. But medical weight loss at Ziva Wellness isn’t a quick band-aid—it’s a structured journey that includes a clear, thoughtful maintenance strategy.
Weight Loss Is a Journey with Three Stages

- The Active Phase:You gradually build up your dose, turn off food noise, and lose weight at a healthy, steady pace.
- The Stabilization Phase:Once you reach your target weight, we don’t just stop everything overnight. We lower your dose step-by-step while your body adjusts to its new “set point.”
- The Lifestyle Maintenance Phase:You transition into holding your weight steady using the healthy daily habits you built along the way—with or without a low maintenance dose.
Why the “Set Point” Matters

Your body has a weight range it gets comfortable with, called a set point. When you hold your goal weight steady for several months, your hormones, metabolism, and brain chemistry reset to recognize that new lower weight as your “normal.”
How Dr. Vini Singh Sets You Up for Success

At Ziva Wellness, we don’t just write a prescription and send you on your way. Throughout your treatment, we help you build sustainable habits around protein intake, strength, stress management, and sleep. When it’s time to taper off or move to a minimal maintenance dose, your body has the solid foundation it needs to keep the weight off for good.