Tirzepatide Possibilities??????

therealdlg

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Soooo....For some background info: I am a 42 y/o Male, 6'2" and weigh 370 pounds. Over the span of 1 year on tirzepatide, what is a realistic estimate of how much weight I could lose? Currently I am pretty sedentary with a desk job, but I actually love to work out, so that wont be a problem. And I am in the middle of planning a realistic diet i can stick with. My big problem in the past has been going hard core with the workouts and cardio to the point where it is just not sustainable and then I give up. Help please!
 
If you find a decent diet and exercise routine you cans tick with, I would imagine you could lose quite a bit. I am in a similar boat as you, 41M, 6'4", started at about 330lbs. I have been ramping up on tirz now for about a month and a half. I am eating healthier foods and doing small workouts so I don't over tax my body too quickly. I have lost 20lbs already. YMMV.
 
Soooo....For some background info: I am a 42 y/o Male, 6'2" and weigh 370 pounds. Over the span of 1 year on tirzepatide, what is a realistic estimate of how much weight I could lose? Currently I am pretty sedentary with a desk job, but I actually love to work out, so that wont be a problem. And I am in the middle of planning a realistic diet i can stick with. My big problem in the past has been going hard core with the workouts and cardio to the point where it is just not sustainable and then I give up. Help please!

There is published trial data with averages listed for various time frames.

At 370lb, assuming considerable loss is the goal, I’d consider Reta.

Weight wise, 1% week over week is a potentially sustainable goal for a considerable portion of the time, I’m coming up on half a year at that rate. Initial few week loss will likely be considerably more dropping water weight.

Diet wise, restriction diets haven’t been remotely necessary for me. Lean into protein, make sure you get carbs and fat, and enjoy life as much as practical.
 
I started tirzepatide in December 2024 at 335lbs (I'm 6'4") and by December 2025 I weighed about 244, so 91lbs or 27% less than my starting weight.

1780603761402.webp

Your starting weight is higher than I was, but if you take the 370lbs and multiply by 27%, you could easily lose about 100lbs in a year on tirzepatide.

BUT, I 100% agree with @woundcarping when he says to consider reta. If I had access to retatrutide in December 2024, I would have definitely done that rather than tirzepatide, and I love tirzepatide.
 
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Tirz makes eating better and less not a struggle, when you aren’t thinking about all the delicious food you could be eating, you make better choices. I found sticking with a few go to foods helped. Make 30 turkey meatballs and eat them through the week with some vegetable zoodles and bell peppers, I used marinara sauce premade. Just bare Chicken breasts straight from the freezer to the air fryer and a bowl of spinach blend with strawberries, and I found a low calorie dressing, Ken’s light northern.
Find things you like that are worth the effort and time to make them, to you, and stick with it. Those were some of mine. I switched up the fruits and salads, also getting Taylor farms salad kits. A baguette instead of sliced bread or French bread, things like that, and eat on a rotation. Easier to pick from 4 meals than try to decide what you want to eat every day.
 
Diet wise, restriction diets haven’t been remotely necessary for me. Lean into protein, make sure you get carbs and fat, and enjoy life as much as practical.
^^^This. I am not even remotely in your ball park size wise, but I have found that I can pretty much eat what I want. My tastes have changed for one thing, and the idea of greasy, or deep-fried food is no longer appealing. And no matter what I eat, I find I want a lot less. It took me a while to realize that making my plate like it was before was a recipe for wasting half a plate of food. So now I try to remember to make my portions in line with what I am likely to eat, not what I used to be able to eat. I get full fairly quickly and if I push myself beyond that because my taste buds are having a good time, I know I will pay later because that extra food will sit there like a ton of bricks and move out very slowly. So, the benefits are not just a reduction in food noise. There is also a re-arrangement of tastes and habits that go with this. My previous favorites no longer appeal like they used to. Except steak. I still love steak but can only eat a small one. And I only eat a few of the fries.
 
F68. Started GLP1s on June 6, 2025. So in one year: starting weight 393 pounds. Today, weight is 323 pounds. So for me: female, hormone issues, 68 years old, AFib, Gout, CKD, Venous Insufficiency, degenerative spine, losing 70 pounds in one year on mostly Tirzepatide without a single bit of calorie-counting or increased exercise is a miracle. So, a 17.8% Loss for me in one year. And trust me, the loss was the furthest thing from linear. (see image)

For YOU, as a man without these issues, I would expect you to lose at least 100 pounds over a year.

1780607318558.webp
 
Well gosh, if we're posting charts, mine had Tirz for the first ~month before switching to Reta since I thought it better fit my goals.

I've averaged .35lb/day lost according to this linear regression.
View attachment 26322

Great work! This illustrates well the difference between tirzepatide and retatrutide.... Your weight loss line is like a black diamond run at a ski resort, while my line is like the bunny trail at the same resort.
 
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The best exercise program is always the one you will do and stick to.

The best I've been able to do so far is think about it and walk a little. I mean I typically get in 5000 steps a day even if I don't leave the house.

I bought a VR headset and I got it all setup and ready to go. It looks nice sitting there on it's fancy stand with all the lights.

Getting sedentary and getting out of it is difficult for sure, I'm a living testament to it. I'm not a gym person, don't have room for a weight bench in my garage because I'm too lazy to clean it up to make room. I want to buy one of those Tonal machines to go on the wall, I'd probably use it because I like tech stuff. But more likely I will procrastinate because it's easier to sit here at my desk and watch Youtube vids about things I want to/should do. Just one more peptide...
 
6’4”, 54 y/o male, starting weight 350, current weight 220, goal weight 190. I started on Tirz in July 2024.Two months on Tirz then switched to Reta. I got down to 225 in about a year. No diet, no exercise just took the shots… Stalled at 225. Reta became less effective with appetite suppression shortly after a years time. Added Carg about 9 months ago and have been maintaining 225-220. Current stack: 12mg Reta every 7 days. 2.25mg Carg split dosed.
 
Like most everyone else here I don't have to worry about my diet. I just eat what I can and pray that it is enough to meet my needs. Assuming you're a normal responder somewhere in the middle portion of the bell curve you should expect to lose 15-30% of your body weight. Exercise is important but you should prioritize 8,000 steps a day before lifting as you're not likely to build muscle while you're in a deep deficit. You should still lift if you want to and love it but it should be secondary.
 
Good luck on your quest.

I only started GLPs after losing most of the weight from 145kg to 75kg, but have found they make keeping the weight off much easier, and of course every previous weight loss attempt had ended with me regaining the weight but 3 1/2 years later this time still normal BMI.

I think this is where GLP drugs shine, maintenance, as making a mammoth effort with diet and exercise to lose weight is hard but not as hard as keeping it off it. But losing it with GLP drugs and then staying on them basically keeps the weight off long term, not even surgery is that good in terms of long term maintenance, although it can cause even larger weight losses. The fact that keeping the weight of long term is actually realistic is a good motivator, especially if you have previously lost weight and regained it.

There really is a lot of individual variation in responses to GLP drugs, a small percentage maybe 5-10% do not lose much weight, and some lose lots even on tiny doses, and some get intolerable side effects. You really just have to start and slowly build up doses to find out how well they work for you, and hope for the best. For the vast majority these drugs are a game changer for obesity.

On average tirz causes 25ish% weight loss in a year or so and reta 29%, so reta is a bit more effective, but probably has slightly higher rates of side effects. Given you want to lose a lot of weight, reta might be the better choice, but tirz is fairly close behind in effectiveness.

I can relate to the exercise issue. Intense exercise can be profoundly aversive to someone who is unfit, basically making you feel so horrible it becomes very difficult to force yourself to keep doing it. The most effective way to start and keep going is to make it easy not hard. When I was still overweight and profoundly unfit, I just decided I had to go for a 5 minute walk every day, basically making it so easy there was no reason to avoid doing it, and almost no chance of it making me feel exhausted or ill afterwards, and I gradually built up the time over several months and turned it into a habit and eventually got to 3 hours or so a day after several months and quite a few kilos lighter which helped a lot, without the kind of aversive post exercise fatigue that I had typically had when attempting exercise. It does not matter what exercise it is , but the general concept is to lower the barrier to doing it so low that it is super easy to do and you are less likely to avoid it and have a decent chance of turning it into a long term habit. But you have to do that minimal bit every day or a certain number of times per week. I did not even try to start walking until I got to 115kg as even then my feet hurt like hell just from walking 5 minutes, sometimes it is reasonable to wait before starting up exercise if severely obese.

Eating a good diet on GLP drugs is a good idea, but they work anyway even if you don't just by making you less hungry so you eat less, they probably work better if they are not fighting against a high fat high sugar diet, but they tend to encourage you to improve diet quality anyway. Eating at least 1.5grams per kilogram of body weight of protein is a good idea to minimise loss of muscle mass while losing weight. And high protein intake is more filling per calorie than any other food which helps with hunger and weight loss.
 
im a bit younger at 34 and a bit taller at 6'4" started at 325lbs and added in tirz at around 260lbs when i hit a sticking point. i just hit 191lbs yesterday all in about 2 years total

Congrats on your 134lb weight loss. That's freaking awesome.

I'm a bit older than you, but I'm also 6'4" and started a little heavier at 335lbs, with the goal of 205, but I see you're in the low 190s and I'm at 216 as of this morning, I'm starting to wonder if 205 is going to be enough. How did you feel/look at the low 200s. Was it not enough given your frame?
 
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Such inspiring stories! I guess my worry is the difference in appetite suppression between Tirzepatide and Reta...Ive heard its not that powerful with reta..Is that true?
 
Lay off SOS. SOS= Salt, oil and sugar. Avoid processed junk food. Eat protein. Try and get 150 to 200 grams of protein daily. Just count protein. Also. Try and fast. Fast atleast 12-14 hours daily. Work up to 16 hours. Also it sounds like the gym isn’t a problem. 4 hours a week on weights. 2 hours upper body and 2 hours on the lower body. Get your steps in. Try atleast 3 times a week. Work up to 5 days. Get 2-4K steps in the beginning work up to 10k steps daily as you can. If you do all these things and take Tirzep you will be much healthier in a few months. I guarantee it.

Bill
 
Such inspiring stories! I guess my worry is the difference in appetite suppression between Tirzepatide and Reta...Ive heard its not that powerful with reta..Is that true?

Totally understand the concern, but retatrutide is just an overall more effective medication than tirzepatide for most people, and if you can tolerate it, you'll likely see better results on reta than tirz despite the claim about less appetite suppression. I've never taken reta on its own, but that's a commonly reported difference.

Reports suggest that the appetite suppression feels subtler than tirzepatide, but it doesn't seem to hurt weight loss at all. Reta works across three receptors (GLP-1, GIP, and glucagon) in a way that produces superior outcomes to tirzepatide. It's doing more metabolic work beyond just blunting appetite. Most people describe it as just naturally eating less, without that hard "I forgot food exists" off-switch that tirzepatide can produce. Different mechanism, better result.

ETA: When I was starting, the choice was sema or tirz. Just like tirz is superior to sema, it's the same for reta and tirz. The only drawback I can see of starting reta first is if the increased resting heart rate thing is an issue for you.
 
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F68. Started GLP1s on June 6, 2025. So in one year: starting weight 393 pounds. Today, weight is 323 pounds. So for me: female, hormone issues, 68 years old, AFib, Gout, CKD, Venous Insufficiency, degenerative spine, losing 70 pounds in one year on mostly Tirzepatide without a single bit of calorie-counting or increased exercise is a miracle. So, a 17.8% Loss for me in one year. And trust me, the loss was the furthest thing from linear. (see image)

For YOU, as a man without these issues, I would expect you to lose at least 100 pounds over a year.

View attachment 26321
Yes, I lost 115 from august25 to may26, gained a little back have had to go off and on for surgery, dr stuff but thats a huge % of bodyweight for me in... 9 months?
 
What were the differences between Tirz and reta for you?
Brother Grogu sum'd it up as well if not better than I could.
But here we go, reta was not working for me, personally. Did I try it for long enough? Did I try different vendors in case of potency issues? This is why the decision is your's personally.
 
Such inspiring stories! I guess my worry is the difference in appetite suppression between Tirzepatide and Reta...Ive heard its not that powerful with reta..Is that true?
I find this question interesting and I see it all the time, that so many people on this forum say reta suppresses appetite or reduces food noise less than tirz, but all the studies show it causes more weight loss. I do not think the difference in appetite reduction in practice is really that huge.

Assuming the glucagon agonism boosts metabolic rate or energy expenditure 100kcal/day more than tirz, so is about 36500 kcal over a year, divided by 7700 kcal/kg of fat lost is about 5 kilos a year ( simplified a bit ) . weight loss from reta is about exactly that much more in a year , 29% vs 24/25%, assuming you are 100kg to start and 30% or more overweight. So in theory if they suppress appetite the same amount then it works out perfectly, but it is possible reta causes 200 kcal/day more energy expenditure , so it could still cause more weight loss, with less appetite reduction and higher calorie intake, but only if it increases calories used per day by more than 100 kcal.
 
Good luck on your quest.

I only started GLPs after losing most of the weight from 145kg to 75kg, but have found they make keeping the weight off much easier, and of course every previous weight loss attempt had ended with me regaining the weight but 3 1/2 years later this time still normal BMI.

I think this is where GLP drugs shine, maintenance, as making a mammoth effort with diet and exercise to lose weight is hard but not as hard as keeping it off it. But losing it with GLP drugs and then staying on them basically keeps the weight off long term, not even surgery is that good in terms of long term maintenance, although it can cause even larger weight losses. The fact that keeping the weight of long term is actually realistic is a good motivator, especially if you have previously lost weight and regained it.

There really is a lot of individual variation in responses to GLP drugs, a small percentage maybe 5-10% do not lose much weight, and some lose lots even on tiny doses, and some get intolerable side effects. You really just have to start and slowly build up doses to find out how well they work for you, and hope for the best. For the vast majority these drugs are a game changer for obesity.

On average tirz causes 25ish% weight loss in a year or so and reta 29%, so reta is a bit more effective, but probably has slightly higher rates of side effects. Given you want to lose a lot of weight, reta might be the better choice, but tirz is fairly close behind in effectiveness.

I can relate to the exercise issue. Intense exercise can be profoundly aversive to someone who is unfit, basically making you feel so horrible it becomes very difficult to force yourself to keep doing it. The most effective way to start and keep going is to make it easy not hard. When I was still overweight and profoundly unfit, I just decided I had to go for a 5 minute walk every day, basically making it so easy there was no reason to avoid doing it, and almost no chance of it making me feel exhausted or ill afterwards, and I gradually built up the time over several months and turned it into a habit and eventually got to 3 hours or so a day after several months and quite a few kilos lighter which helped a lot, without the kind of aversive post exercise fatigue that I had typically had when attempting exercise. It does not matter what exercise it is , but the general concept is to lower the barrier to doing it so low that it is super easy to do and you are less likely to avoid it and have a decent chance of turning it into a long term habit. But you have to do that minimal bit every day or a certain number of times per week. I did not even try to start walking until I got to 115kg as even then my feet hurt like hell just from walking 5 minutes, sometimes it is reasonable to wait before starting up exercise if severely obese.

Eating a good diet on GLP drugs is a good idea, but they work anyway even if you don't just by making you less hungry so you eat less, they probably work better if they are not fighting against a high fat high sugar diet, but they tend to encourage you to improve diet quality anyway. Eating at least 1.5grams per kilogram of body weight of protein is a good idea to minimise loss of muscle mass while losing weight. And high protein intake is more filling per calorie than any other food which helps with hunger and weight loss.
Good post. This is a great recipe for anyone who struggles with lifestyle changes involving exerices and dietary change. Make it easy so you don't hate it, and actually allow yourself to accomplish a daily, or at least regular, goals. And on the food side, avoid sugary, fatty and highly processed foods. GLPs generally make that much less of a challenge. For me, reta made that easy.
 
I can't comment comparatively bcuz I've never taken tirz, but in my own experience with reta, food noise virtually disappeared at even entry level doses. I've only been doing reta for three months, but I've lost 30 lbs - and that's at a low dosage of 2 to 2.5 mg every 3 or 4 days. It takes virtually no discipline to avoid my once-beloved Reese's Peanut Butter Cups and similar bars from the gods. I can walk through the snack bar aisles of grocery aisles with ease and without pause. I was already in the habit of resistance training three times a week so I didn't need to add an exercise regimen to my life, but I do find my workouts are better, perhaps less to do with the peptide and more to do with increased energy from my weight loss. I also believe that bcuz reta's weight loss comes from fat, muscle and bone, resistance training to protect muscle mass is important. Anyway... best of luck on your journey to a new you.
 
Soooo....For some background info: I am a 42 y/o Male, 6'2" and weigh 370 pounds. Over the span of 1 year on tirzepatide, what is a realistic estimate of how much weight I could lose? Currently I am pretty sedentary with a desk job, but I actually love to work out, so that wont be a problem. And I am in the middle of planning a realistic diet i can stick with. My big problem in the past has been going hard core with the workouts and cardio to the point where it is just not sustainable and then I give up. Help please
I have found that the most realistic diet I can follow is one that adds foods in, instead of subtracting them. Meaning, adding protein or veggies/fruit in where I would normally be snacking on chips or what not. I have whatever I want within my calorie allowance, and I track it. Stay in a deficit, but also plan meals I like, that are on repeat (I work in an office too) to make it as easy for myself as possible.

Also, my goal with exercise is to increase my tdee without increasing my hunger, so I mostly added some LISS in the form of more walking. I walk on my lunch break everyday, and I set realistic goals, like.....10 min walk after lunch, which I go over everyday.

My goal with Tirz is health...and yes that includes weight loss, but that is not the only marker I am interested in improving. I am very aware of my cardiovascular system function, due to familial issues with the heart....My overall health has greatly improved since starting Tirze, but I started at morbid obesity 43% BF on March 27 this year, and I have only seen about 20 pounds of weight loss. Every month, I get more dialed in, and I am so excited to see how far I can take this.

You got this, and with the support of a group like this, you will do very well. Good luck 🙂
 
I have found that the most realistic diet I can follow is one that adds foods in, instead of subtracting them. Meaning, adding protein or veggies/fruit in where I would normally be snacking on chips or what not. I have whatever I want within my calorie allowance, and I track it. Stay in a deficit, but also plan meals I like, that are on repeat (I work in an office too) to make it as easy for myself as possible.

Also, my goal with exercise is to increase my tdee without increasing my hunger, so I mostly added some LISS in the form of more walking. I walk on my lunch break everyday, and I set realistic goals, like.....10 min walk after lunch, which I go over everyday.

My goal with Tirz is health...and yes that includes weight loss, but that is not the only marker I am interested in improving. I am very aware of my cardiovascular system function, due to familial issues with the heart....My overall health has greatly improved since starting Tirze, but I started at morbid obesity 43% BF on March 27 this year, and I have only seen about 20 pounds of weight loss. Every month, I get more dialed in, and I am so excited to see how far I can take this.

You got this, and with the support of a group like this, you will do very well. Good luck 🙂
Hey, your “only 20 pounds” is still fantastic! Keep it up 👍🏻
 

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