Sounds to me like you rushed so fast to get from Point A to Point B that you didn't get to enjoy the trip. You should have spent a minimum of four weeks on each dosing step. It takes about five weeks for the level of tirzepatide in your body to reach peak levels at any specific dose. Ive spent 6+ weeks at dosage steps and I'm going up in 0.5mg increments right now. The way you went about this, you've probably lost a fraction of weight compared to what you would have lost by the time you reached 15mg the right way, at month six or later. Instead you've absolutely saturated your GLP-1 and GIP receptors, and who knows what you've done to your metabolism. And now that you rushed to the finish line so fast, you've basically got zero options, or at least zero good options. What's next? Start stacking reta so fast you have a heart attack? You need to take a step back and use your head here. Me personally I'd stop cold turkey for a receptor reset and try again the right way. Chances are you'll gain a bunch of weight back though. Also, extreme nausea isn't how these meds are intended to work