Personally, I love Sema. Tbf, I've never tried anything else, but my girlfriend does Tirze. I've heard that too, that semaglutide itself is technically stronger than the other two in this one particular regard -- just food noise/appetite suppression, because it's working on a single pathway vs the rest. That's also why the dose for Sema is so much lower than the rest. Adding it would be a better shot imo than adding Tirze, as it would only be doubling up on the GLP instead of GLP and GIP, if that makes sense. I feel like you'd potentially get less side effects that way. I don't know if switching completely would make sense because you'd be missing out on the triple action that Reta has. I feel like a lot of people are hating on semaglutide these days because it's no longer the new kid on the block lol. All I can say is it's incredibly effective for me, and cheaper than the alternatives, so I'm sticking with it. I have heard that a 6mg dose of Reta is about equivalent to a 1mg dose of semaglutide, in terms of its GLP effect. I don't think it'd hurt anything to give it a try, or up your dose and see if that helps instead.