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Headache with Tirz - next option to try?

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Hi folks, I have a friend who is struggling with Tirz due to constant headaches. I'd like to try them on another option and I have a few - Reta, Sema, Maz, Survo... anyone out there that can speak to headache as a debilitating side effect, and if a specific med was better for you than others? TIA!
 
Heard.
Thanks folks. I've been pushing the water as a solution but the extra voices here might be the backup I need for it to hit home with this dude. He's kinda stubborn. 😆
 
Heard.
Thanks folks. I've been pushing the water as a solution but the extra voices here might be the backup I need for it to hit home with this dude. He's kinda stubborn. 😆
Common things like low iron, low vitamin D, low potassium and number of other things can make the side-effects of insufficient hydration worse, as can more serious things like diabetes. A basic CMP blood test even without insurance should be under $50 at most places like Quest, LabCorp, etc. and is totally worth it. Could also be as simple as an electrolyte imbalance so often water alone may not be terribly helpful.
 
I got headaches for months that were treatable with Tylenol. They eventually went away. If it’s only a few months on it they may still go away with time…
 
Heard.
Thanks folks. I've been pushing the water as a solution but the extra voices here might be the backup I need for it to hit home with this dude. He's kinda stubborn. 😆
When you start eating less food its kind of important to prioritize getting enough water, fiber and protein. Its also not a bad idea to take a daily multivitamin.
 
Other have alluded to the water situation, but also..... are they eating enough? It's super easy to barely eat, if at all on GLPs. Sometimes you have to force feed even when you don't want to in order to keep your caloric intake at a safe level. I find that when I'm in too much of a carb deficit I get headaches. Used to happen to me when I would try carb free or low carb diets as well.
 
Common things like low iron, low vitamin D, low potassium and number of other things can make the side-effects of insufficient hydration worse, as can more serious things like diabetes. A basic CMP blood test even without insurance should be under $50 at most places like Quest, LabCorp, etc. and is totally worth it. Could also be as simple as an electrolyte imbalance so often water alone may not be terribly helpful.
The CMP should also have a creatinine test, which I’m guessing this guy’s level is high due to dehydration. The compounding teledoc always checked my creatinine every six months. I’ve continued that CMP panel every six months since. With periodic sales through Life Extension, Labcorp is like $45. Worth it for peace of mind!

My hydration of choice is Body Armor Lyte - strawberry banana all day long.
 
I get the headache with it too. I drink enough, eat enough and all I can come up with is low blood glucose. I have it at night when I am sleeping. I am just aware enough to know my head is hurting. It lasts for 2 to 3 days post injection. I am not diabetic or pre diabetic. My AIC was 5.2 before I started the injections.
 
I get the headache with it too. I drink enough, eat enough and all I can come up with is low blood glucose. I have it at night when I am sleeping. I am just aware enough to know my head is hurting. It lasts for 2 to 3 days post injection. I am not diabetic or pre diabetic. My AIC was 5.2 before I started the injections.
I’m prone to headaches and I’m the opposite. No more daily headaches on tirz. The only working theory I have is reduced inflammation in the body affecting my brain or vessels in the brain somehow.

I wonder if that change can trigger headaches in other people 🤷‍♂️
 
As the headaches are described as constant and debilitating , and no one has said it yet, maybe checking them out with a doctor might be a good idea. There is no real information to even guess at what is going on to cause the headaches. No information on age, health or if medical advice has been sought. Are they new?, does the person often get headaches? have they been diagnosed with any particular type of headache before etc.
If you are taking on the role of doctor and advising someone on treatment options with glp medications ( which are prescription medications for a reason ) you really need to be very certain that you understand what is going on, and if you do not know exactly what is going on to cause the headaches, then medical advice is required especially as you are talking about someone else. If it is yourself then you can decide for yourself what risks you are happy to accept , but if treating or advising someone else then I would think great care needs to be taken that you do not inadvertently cause harm. It is unlikely that there is a serious problem here but if you do not know that for certain then the only reasonable approach is to get expert advice.
The desire to share the tremendously useful effects these medications have with others is perfectly reasonable, but some degree of medical supervision is definitely preferable, and in the very unlikely event of someone having a fatal side effect, you could be liable if you provided the medication, and if you provide the medication or even just advice there is very definitely a duty of care, whether you are qualified to provide it or not.
In general tirzepatide is not known to make migraines worse and may even help but headache is listed as a side effect in about 5% of patients in the studies, and there is a large number of possible reasons it could make headaches more likely, including changes in diet and fluid intake. The simplest experiment to see if tirzepatide is responsible for the headaches, is to stop it and see if they go away, but given it's long half life it might take a few weeks. Once a explanation for the problem exists, and the person may well have a known and medically treated cause for the headaches, but there is no information here to know one way or the other, then it might be time to work out what alternative medication might be suitable.
 
As the headaches are described as constant and debilitating , and no one has said it yet, maybe checking them out with a doctor might be a good idea. There is no real information to even guess at what is going on to cause the headaches. No information on age, health or if medical advice has been sought. Are they new?, does the person often get headaches? have they been diagnosed with any particular type of headache before etc.
If you are taking on the role of doctor and advising someone on treatment options with glp medications ( which are prescription medications for a reason ) you really need to be very certain that you understand what is going on, and if you do not know exactly what is going on to cause the headaches, then medical advice is required especially as you are talking about someone else. If it is yourself then you can decide for yourself what risks you are happy to accept , but if treating or advising someone else then I would think great care needs to be taken that you do not inadvertently cause harm. It is unlikely that there is a serious problem here but if you do not know that for certain then the only reasonable approach is to get expert advice.
The desire to share the tremendously useful effects these medications have with others is perfectly reasonable, but some degree of medical supervision is definitely preferable, and in the very unlikely event of someone having a fatal side effect, you could be liable if you provided the medication, and if you provide the medication or even just advice there is very definitely a duty of care, whether you are qualified to provide it or not.
In general tirzepatide is not known to make migraines worse and may even help but headache is listed as a side effect in about 5% of patients in the studies, and there is a large number of possible reasons it could make headaches more likely, including changes in diet and fluid intake. The simplest experiment to see if tirzepatide is responsible for the headaches, is to stop it and see if they go away, but given it's long half life it might take a few weeks. Once a explanation for the problem exists, and the person may well have a known and medically treated cause for the headaches, but there is no information here to know one way or the other, then it might be time to work out what alternative medication might be suitable.
Medical advice from an Internet forum is wild! We are all here for reasons, but if I had a migraine for days and weeks; I would find an actual MD and spill the beans as I’m hoping OP has or plans to first of next week.

I am spoiled to having actual MDs as relatives admittedly, but please go find a doctor if this is your issue and same for all the crazy stuff I’ve seen people post. This isn’t a hospital! ER is kinda free (to you) if you walk a bill in the US!!
 

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