Hi
@damy2604 I think the symptoms you describe of irritability can be related to the effect of GLP1 on your body, but I don’t think that’s the
cause of the problem if that makes sense.
I have a metabolic disorder and have suffered from low mood since my teens, with a few periods of debilitating chronic clinical depression. Unfortunately I also have a strong family history of low mood and addiction issues.
As most women know normal hormonal fluctuations around menstrual cycle can result in irritability, and for men mood changes can happen with the testosterone pathway. So it makes sense to me that the way these pathways interact with the systems affected by the use of GLP1s, may affect that mood element of irritability.
This made me wary and cautious about the effect of GLP1s on the seratonin pathway and dopamine centres in the brain. Much research is still to be done on this side. So low and slow like you are doing is the best strategy.
Let us also not discount the medical theory that is gaining in attention that depression is caused by an active inflammatory pathway. Again GLP1’s can help out with this.
As ever with side effects, only you know what you are willing to tolerate and for how long, it is your first time and you haven’t yet begun to see the results of Reta. The studies do show the more subjects titrate up the worse the side effects get. For me they are worth the benefits.
You are already split dosing so that would have been my recommendation. I do think the irritability will cool off, but I would also recommend you try to introduce or keep a good level of regular carbohydrate in your diet, perhaps paying close attention to this on day 3 as you mention. Keep logging your symptoms and paying attention to those more irritated days to help understand them.
Wish you all the best with it