Ok. So i want experiences.
I have tried sema. Lost 46lbs. Have stalled. Not sure if i want to add cagri or just go to Tirz. Even reta.
I would love to all yout experiences with the 3. I've hears reta is the best, but tirz is the best at appetite suppression. I feel thats what I need since im a bored snacker. So how is reta better? Hell, I even snack when im full!
Not sure the route to take
Suggestions?
I would prefer to know how overweight you are, if you are 200lbs overweight still, it is a different issue than if you only wanted to lose another 20lbs or so. Age and how long you have been overweight are relevant as well as previous attempts to lose weight.
Obviously, especially if you are older or have other medical issues, getting a medical checkup and ideally advice on treatment would be a good idea.
The dose of sema and what side effects you had from it are relevant too. If semaglutide has been working and you are not at maximum dose of 2.4mg/week and have zero side effects then just up the dose.
Otherwise switching to reta or tirz would be fine, tiz probably has the least side effects, reta is a bit more effective and would be the best choice if you had a lot of weight you wanted to lose.
My view is that cagrilintide is best reserved for if standard maximum doses of tiz or reta have stopped causing any further weight loss, when it could be added in at low doses and very gradually increased , it is not light on side effects generally which why the low slow dose would be a good idea.
If you have been on 2.4 of sema you could go straight to 7.5 or 10 of tirzepatide, most likely you would have less side effects, but there is always a chance of worse than expected effects. For reta you could go straight to 4 or maybe 6mg, most side effects would be less but increased heart rate might be an issue jumping in at a higher dose.
In the long term weight control is going to be a problem if you snack on high calorie foods, (high fat/sugar/carbs) there really is no limit to how many calories you can get in per day eating those types of foods in that pattern, and asking appetite reduction medications to fix that on their own is maybe asking too much of them. There are very few good snack foods for losing weight, high protein and not much else is excellent like beef jerky, eggs, high protein low fat no added sugar yoghurt, or just low calorific density foods are good like fruit , a lot of fruits are about 50 kcal/100 grams or less so you can eat a very large amount and snack on them all day long and not end up eating that many calories, if you eat 2kg of fruit it is 1000 calories, but you are going to find it hard to eat that much and if you do you are unlikely to be hungry enough to eat much else that day. And if you eat 1000 kcal/day you are going to lose weight. In my opinion eating only low calorific density foods, less than 1.5kcal/gram is the easiest way to reduce calories in without too much hunger as you can eat as much as you want without too many calories - very lean meat, low fat, fruit, vegetables, low fat dairy not much else.
