How should I reduce the medication when the time comes?

The reduction should be gradual, typically stepping down by one dose level each month. Monitor your weight weekly during this time. You are looking for that sweet spot dose where your weight remains stable, you have some appetite regulation support from the medication, but you are also reconnecting with natural hunger and fullness signals. It is completely normal for your weight to bounce up and down by 1 to 2kg as your body adjusts to each new dose. What you are watching for is a sustained upward trend over several weeks, which might indicate you have reduced too far and need to go back up to the previous dose.