Tirz-Appetite suppression or weight loss?

Apologies, there are so many newbies who do not do any research before starting tirz, or whatever GLP-1, and don't realize all the good habits they think they have, sometimes they do and sometimes they don't actually have them. You can easily find out how tirz works by googling it. There are tons of articles that explain how it works, and on what receptors. And it's a good rule of thumb for anyone on these meds to do that homework, so they understand what they are taking. Obviously you are a tried and tested healthy eater, as was I. You are only at 2.5 mg a week - that is the introductory/starter dose. Many are lucky and lose on it. Many do not. Many only start to lose once they hit 7.5mg or 10mg or 12.5 or 15. What has swept through places like Reddit is this notion that you have to stay on a low dose. That somehow being on a low dose is good or better, and really it's a meaningless concept. You do want to maximize each dose for yourself before increasing. I am no doctor, I can give no medical advice, can only speak to what I've learned and/or experienced for myself. How long have you been on the 2.5mg dose? If a few months, then it is time to move up, and if you only just started it, and are in your 3d week, then I'd suggest waiting another week, but in both cases, I suggest you increase your protein, increase your water, don't worry about the other macros - I don't think ketosis or IMF or anything like those diets are helpful on this med, my personal opinion - and see how you do deliberately increasing those for the next week. Give yourself some time for your body to catch up with how the med works - your hormonal imbalances, your PCOS makes it work more slowly, it's just a fact - and time for your body to adjust to the new and improved plan, yes, it's only a tweaking of the course you've followed for years, but the difference between 100 grams of protein and 130 or more per day is actually quite amazing. Same too with the hydration. In either case, whether you've been on 2.5mg for only 3 weeks, or for more than a month, do the new and improved for another week, and if there is no change in terms of weight loss, then increase your dose. And if you're on compound, then you don't have to increase up to 5mg per the standardized, you can increase in smaller increments. You've been lucky, on 2.5mg with no side effects, and great appetite suppression, no food noise, etc. - it would be wonderful if you can keep those effects, and not experience the gastro and other side effects, so titrating up slowly is always a good idea.
Thank you! Good info here. I’m actually 8 weeks in and on 5 mg. 4 weeks at 2.5 mg and 4 weeks at 5 mg. So I’m at the point of deciding whether to go up or not. I am going to experiment with water. Increasing protein more is going to take some research, especially without increasing calories. But I’ll try to find a balance. I appreciate you taking the time to help me figure it out.
 
I’m at 10 now. First week. Honestly I went up because I bought a kit of tirz 40 and the math was easier.

Last year I did the compound route. Lost 40lbs April- December. Started at 2.5 peaked at 7.5.

Then financial realities kicked in and I couldn’t swing the costs. So I went off. Gained back 20-25 by April and that when I started research both intellectually and physically.

Was on 5, then 7.5 and just went up to 10. I don’t sense a difference. I’m still hungry much of the time. When I am I eat grilled or roasted chicken. Or eggs. Yesterday I ate a whole rotisserie chicken at lunch. I was hungry! I cannot have sweets or junk food in the house - I will devour it. I don’t drink soda.

Now that my knees don’t hurt with every step i bought a garmin watch. My activity level is very low, like 2500 steps. So I’m gotta try to up that slowly.

That’s all I’m doing so far. Just had to buy new jeans, other ones were falling off. The difference is noticeable, but still like to lose 50 more. I think it will happen within the next year.

I have plenty of tirz now, thanks to other researchers pointing the way.
Thanks for sharing. That’s wild to me that you haven’t experienced the appetite/food noise suppression. We are all so different. I’m glad you’ve been able to get back on. Good luck!
 
Thanks for sharing. That’s wild to me that you haven’t experienced the appetite/food noise suppression. We are all so different. I’m glad you’ve been able to get back on. Good luck!
I’m not sure exactly what that means honestly. I’m eating less, but still a lot ( I’m a 320lb 6 foot 4 man I need food!).

But I’m not constantly grazing like I used to. And the idea of greasy or heavy food is nauseating, so that’s new…
 
Thank you! Good info here. I’m actually 8 weeks in and on 5 mg. 4 weeks at 2.5 mg and 4 weeks at 5 mg. So I’m at the point of deciding whether to go up or not. I am going to experiment with water. Increasing protein more is going to take some research, especially without increasing calories. But I’ll try to find a balance. I appreciate you taking the time to help me figure it out.
My pleasure! Actually, you might need to eat more, temporarily. Sometimes stalls can be broken, counter-intuitively, by eating more! Your body may be holding onto the lbs because it's aware calories have been taken away and it doesn't like that. Up your hydration and try a couple of days of going over 1000 calories with protein. If you get some collagen peptides - I like Vital Protein and Revive Naturals and Live Conscious - and add whatever the suggested serving size is to your morning coffee(s), that's protein right there. My morning coffee has become my mushroom coffee (I don't drink regular coffee), collagen peptides, both unflavored and sometimes chocolate, and I use a bottle of Fairlife protein shake. If you add in a protein shake in the afternoon, that's more protein. Same with the Oikos Pro, a lot of protein in a small enough helping and I usually eat that late at night. I'm not and never have been a breakfast eater. I've never been a person who eats three meals a day. In the morning, first I drink down all 67 ounces of water with LMNT. Then I have my coffee, but now my morning coffee works for me - filled with protein. I had two coffees this morning, totaling 335 calories and 59.9 grams of protein. I used 1/2 of total serving of Vital Proteins Chocolate Collagen Peptides in each coffee, and split the serving of VP's Advanced collagen Peptides over the two coffees, and used one Fairlife chocolate shake in both. No one @me - I don't like breakfast. So I have found a way that works for me in the mornings without force feeding myself food that I don't want. Most afternoons I have a protein shake with lots of things in it. I also have kitchen basics chicken bone broth - 45 calories a container and 10 grams of protein, started having it before I had major surgery and have kept on using it. I use lots of eggs, cottage cheese, all the usuals for high protein. For me, I wasn't going to suddenly become a 3 meal a day eater, or a meat-eater, but adding all that protein to my coffee each morning gets me off to the right start.
 
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I’m not sure exactly what that means honestly. I’m eating less, but still a lot ( I’m a 320lb 6 foot 4 man I need food!).

But I’m not constantly grazing like I used to. And the idea of greasy or heavy food is nauseating, so that’s new…
I'm also a big dude, same height and started above 450, the appetite suppression from tirz during the first few months was incredible and i rolled with it. It allowed me to drop 100 in the first 3 months alone. In my case, I had a year's worth of food stored in my body ready to be used and this medicine allowed me to finally follow through with that. I'm now down in the 200's and searching for something to help me get back to what I felt during the early days of tirz, because it's not hitting the same anymore
 
I’m not sure exactly what that means honestly. I’m eating less, but still a lot ( I’m a 320lb 6 foot 4 man I need food!).

But I’m not constantly grazing like I used to. And the idea of greasy or heavy food is nauseating, so that’s new…
It’s unbelievable, actually. I could literally eat nothing and would be fine. I feel no hunger. Everyone needs fuel and nutrients. For me, even at 2.5 mg I didn’t care about food for the first time in my life. Very strange. I wish that was the secret to losing weight for me.
 
Oh boy... ready for my book? I went through menopause early and suffered for a few years without doing anything.. hot flashes, not sleeping, bitchy, gained weight... My gynecologist, who was already on hormones, would not prescribe. I found hormone/menopause specialist an hour and a half away. We ran blood work. I was absolutely depleted of my hormones... post menopausal. We started with a compounded testosterone, estrogen, progesterone and DHEA cream. I fell better DAYS later! For some reason, I stopped absorbing just the estrogen (we still cannot figure that out) about 4-5 months later and I started compounded T, E & P injections and I take 25mg DHEA nightly that I buy off Amazon. It has been phenomenal. I feel human again. The first 15 dropped immediately... then I stalled. I went on Ozempic. I only pay $15/mo. My husband has great insurance. We have had to make some tweaks with my hormones at times. I bumped my Testosterone a bit in February after doing bloodwork again. At this point I drive there 2x a year as Georgia changed their laws with prescribing testosterone. If you have any questions or need help finding someone please reach out. I will be happy to try and help. I have been doing this for about 3 years now and have done a ton of research.

My mom is 79 and has been on estrogen for years. I just recently had to find her someone who would write her prescriptions as her gynecologist passed away. Some doctors said, "I don't have anyone her age on hormones." Well, good for you. The last time I saw her and she ran out she had brain fog, night sweats and was confused. Her doctor wanted to put her on antidepressants! I found an NP who works for a wellness center that specializes in hormones. She was happy to help. I also ordered her back up pills from India just in case she ran out again.
Thank you. That’s an amazing story, especially your mother too. My problems didn’t start at menopause and everyone has breast cancer in my family so I can’t go on hormone therapy. I’m finding that everyone has a different story, different problems. The fact that these meds help as many people as they do is amazing.
 
I'm also a big dude, same height and started above 450, the appetite suppression from tirz during the first few months was incredible and i rolled with it. It allowed me to drop 100 in the first 3 months alone. In my case, I had a year's worth of food stored in my body ready to be used and this medicine allowed me to finally follow through with that. I'm now down in the 200's and searching for something to help me get back to what I felt during the early days of tirz, because it's not hitting the same anymore
Congrats on dropping 100 lbs in 3 months!?! Amazing. Perhaps it's time to increase your dose? There are many options to look into if you've maxed out in the dosage of tirz. Lots of researching for you to do.
 
I'm also a big dude, same height and started above 450, the appetite suppression from tirz during the first few months was incredible and i rolled with it. It allowed me to drop 100 in the first 3 months alone. In my case, I had a year's worth of food stored in my body ready to be used and this medicine allowed me to finally follow through with that. I'm now down in the 200's and searching for something to help me get back to what I felt during the early days of tirz, because it's not hitting the same anymore
Wow. That’s an incredible amount of change for your body to acclimate to. I have zero first hand experience that would be applicable.

I’m looking at all this as a lifelong supplement that changes my relationship with food and most importantly sugar.

Whatever “noise suppression “ I’m getting has been enough to get into a calorie deficit with zero other behavior changes. That’s huge for me.

But my loss has been very slow relative to what you’re describing, and for me, that’s the right thing. This is a lifetime thing. Not a diet and not some kind of situation where I want to simply not eat. That’s not healthy either!

If I’m in stasis or a small deficit and I’m losing a few pounds a month while also building up a little more strength, that’s a win!

While that’s happening I’m learning better ways to eat (including smaller portions because I just can’t eat big ones anymore) and maybe doing some more activity because my joints can do it now.

That’s the kind of thing I can do for a lifetime!
 
On Reddit if you ask about results on different doses nearly everyone reports whether a certain dose is suppressing their appetite or not. They seem to titrate up only if their food noise and appetites are back.

My goal is weight loss. By the appetite measure I could stay at 2.5 mg for probably a long time, except the last 3 weeks on 2.5 mg I lost no weight. So I can’t get a “read” on if higher doses will help me lose weight beyond appetite suppression. Or if the magic is simply appetite suppression. 900-1000 calories a day has only lost 2 lbs in the last month on 5 mg. Wanting food isn’t a problem—no food noise, no hunger, no craving. Don’t tell me I’m eating too little. I’m post menopausal and I’ve eaten 1200 cal a day for 3 years without scale budging—tracking every bite. I have definite hormonal challenges to weight loss—PCOS, insulin resistant, etc.

Does Tirzepitide help hormonally resistant weight loss at higher doses? Or should Tirzepitide be considered just a terrific appetite suppressant? I’m honestly trying to figure out how the medicine works.
It's definitely more than just an appetite suppressant. The studies have been pretty clear that it ups metabolism (whatever that means) and causes the body to get rid of fat cells. For pure appetite suppression semaglutide is king (maybe cagrilintide?). But tirz has some special sauce where you can still eat and lose weight. Retatrutide has even more of that special sauce. 5mg isn't really a thereaputic dose according to Eli Lilly. If you're not losing on 5mg, it's time to move up, and keep moving up on schedule as long as you aren't suffering wih side effects. 15mg is the current thereaputic max and Eli Lilly is currently studying the safety of doses up to 25mg.
 
Wow. That’s an incredible amount of change for your body to acclimate to. I have zero first hand experience that would be applicable.

I’m looking at all this as a lifelong supplement that changes my relationship with food and most importantly sugar.

Whatever “noise suppression “ I’m getting has been enough to get into a calorie deficit with zero other behavior changes. That’s huge for me.

But my loss has been very slow relative to what you’re describing, and for me, that’s the right thing. This is a lifetime thing. Not a diet and not some kind of situation where I want to simply not eat. That’s not healthy either!

If I’m in stasis or a small deficit and I’m losing a few pounds a month while also building up a little more strength, that’s a win!

While that’s happening I’m learning better ways to eat (including smaller portions because I just can’t eat big ones anymore) and maybe doing some more activity because my joints can do it now.

That’s the kind of thing I can do for a lifetime!
Love it, man! Keep it up
 
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Thank you. That’s an amazing story, especially your mother too. My problems didn’t start at menopause and everyone has breast cancer in my family so I can’t go on hormone therapy. I’m finding that everyone has a different story, different problems. The fact that these meds help as many people as they do is amazing.
I just read one of your replies. Of the 900 calories are you getting enough protein? I did Macros for a while and it really helped. I was eating too many carbs and not getting enough protein. I promise I will stay in my lane about your calorie intake.
 
Wow! I really appreciate all this!

I do eat 100 grams of protein a day. I do log my food and weigh it (I have 11 years of logging on My Fitness Pal, even Christmas Day when I eat 4500 calories—I’m an expert). I’m strict on macros, especially protein, carbs and fiber. I’ve done Atkins for 7 months testing to make sure I was in ketosis the whole time. My question may make it seem like I’m blindly in this but I’m no newbie at weight loss, well, except the loss part. Before these meds came out I went from doctor to doctor to nutritionist to nutritionist to gym trainers. Literally I tried everything. Then I gave up for a couple of years. These meds gave me hope. I’m trying not to lose that hope but it’s fading fast.

I am a newbie at is Tirzepatide. I don’t understand how it works and since it’s not working on me for weight loss I’m trying to figure that out. I don’t care about appetite suppression. At all. I care about losing weight.

I’ve never heard anyone say that TDEE doesn’t work on hormonal imbalances. That’s good to hear.

I will work on the water. I do use Liquid IV but will increase. Thank you.
It sounds like your question is: “Because my diet and exercise are pretty much the same as before Tirz, and I was already in a calorie deficit and don’t need help with food noise and appetite, I’m hoping Tirz is a peptide that will function to burn fat off my body. Is that the case?”

There are better peptides for that, as I understand it. Reta, for example. But I haven’t researched that one myself.
 
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I realize now that I was constantly craving “something” my whole life, and I also have learned that food was a way I medicated that. It wasn’t hunger. I believe it’s a hormonal sugar/insulin imbalance that these drugs somehow are treating.

I’ve definitely been medicating something, but I think it’s more emotional than anything.

I’m struggling with finding something to fill the void that food filled. I used to spend half my day planning my meals and cooking and eating. I don’t know what to do with myself anymore.

Just teared up typing that out loud.
 
Lord, I think I pee 10 times a day. Half of that is before noon.
That is actually too much. You can talk to a urologist to confirm (I got this info from one) but you are likely drinking too much.
 
I’ve definitely been medicating something, but I think it’s more emotional than anything.

I’m struggling with finding something to fill the void that food filled. I used to spend half my day planning my meals and cooking and eating. I don’t know what to do with myself anymore.

Just teared up typing that out loud.
Yeah, a lot of changes and a lot of growth and some mourning and grief are all accompanying this phase.

Don’t really like drinking anymore either on this stuff, so I’m having to fill a few things I used to do for fun.

Good news is, I look better, I feel SO MUCH BETTER, and my family will likely get to keep me around a bit longer if I maintain this lifestyle.

I have so much more energy and don’t feel like I’m dying. That’s big!

I thought it was just age, but the weight was killing me. I’m gonna pick up a new hobby or two, and once I get a little further down, I’m buying all new clothes.

🙂
 
5mg isn't really a thereaputic dose according to Eli Lilly. If you're not losing on 5mg, it's time to move up, and keep moving up on schedule as long as you aren't suffering wih side effects. 15mg is the current thereaputic max and Eli Lilly is currently studying the safety of doses up to 25mg.
Considering my own experience, it's crazy to me that 5mg isn't considered a therapeutic dose and that they are considering moving all the way up to 25mg but as long as it works for people that's all that really matters. I think when I get to the point that the medicine is increasingly not working, I will take a break for a month or two to try and reset like some here have done.

Lord, I think I pee 10 times a day. Half of that is before noon.
Hey another member of the constantly having to pee club. Not sure about you but it's been this way my whole life. The worst is long drives.


For me, the weight loss was instant and effortless the second I started with tirz. Now I don't really know if it was the medicine directly causing more fat to be burned but I can say the most noticeable and desired affect for me was elimination of food noise. Without the devil on my shoulder telling me to go to McDonalds, I was able to make the choices I always wanted to make regarding food. Appetite/hunger is still there but not too bad. I actually don't mind having hunger be there to a degree as I don't want to risk not eating all day or not eating enough to the point of causing malnutrition. I'm 3 months in and 3.75mg every 5 days is more than enough to keep the food devil gone 😈
 
That is actually too much. You can talk to a urologist to confirm (I got this info from one) but you are likely drinking too much.
Nah. It’s not too much, I’ve been like this my entire adult life. My pee always has color and I don’t drink anywhere as much as “they” say I should.
 
Try DSIP (Delta Sleep Inducing Peptide), if you are comfortable with daily injections. It improves my sleep quality exponentially.
The wiki on it mentions something about it being less stable in vitro. Is that at all an issue?
 
Try DSIP (Delta Sleep Inducing Peptide), if you are comfortable with daily injections. It improves my sleep quality exponentially.
I just started DSIP (and will be starting Epithalon and VIP). I saw you linked to that dosing chart - what protocol and dosing are you following? I've researched all the protocols I could find - and still trying to decide which one "feels" right to me. I'm only 4 days in and still finding the right time for the dose -went from 9pm to 11:30 pm, yesterday was 6pm, today was 5pm - and staying at 100mcg which I feel until I figure out the correct timing for my body. I'm dealing with serious and chronic insomnia and circadian rhythm disruption.
 
I just started DSIP (and will be starting Epithalon and VIP). I saw you linked to that dosing chart - what protocol and dosing are you following? I've researched all the protocols I could find - and still trying to decide which one "feels" right to me. I'm only 4 days in and still finding the right time for the dose -went from 9pm to 11:30 pm, yesterday was 6pm, today was 5pm - and staying at 100mcg which I feel until I figure out the correct timing for my body. I'm dealing with serious and chronic insomnia and circadian rhythm disruption.
3 hours prior to bed
4 weeks - .5mg per 50lbs body weight
4 week flush
 
I don't know how sedentary you are. Something made you fat. Don't ask questions and then get attitude when people try to give you advice.
Chill buddy, assume best intent. I didn't read her question as being contrary or having attitude.

Edit: oops, I'm woefully behind. Ignore me.
 
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This. This is the kind of info I need. What you say is Greek right now but it gives me something to research. Thank you!
Definitely worth looking into, but there are many peptides that have a range of possible benefits that include weight loss, metabolism and more. FWIW, 2 months on tirz is not a long time. People are skipping among GLPs like they are candy, switching and adding and stacking too much and too soon and often not giving the initial GLP they are on time to work, and switching and stacking without much knowledge about what interacts well and what doesn't. Some people don't respond well to one or the other or the other GLPs. A seemingly small number are non-responders. But oddly you are responding because of your lack of appetite and food noise etc. Whatever you do, remember that only tirz and sema have actually been FDA approved and have gone through all the testing. Reta, Cagri in conjunction with others, mazo, etc, are all still in the testing phases and there is research to read, protocols the tests are following to learn about. Just a suggestion to dig in and learn before jumping in and injecting into your body. Having patience and going slowly is a good thing. The motto I can't take credit for but follow is to avoid known or discoverable risks, reduce the chances of harm to myself, and always start low and slow.
 
3 hours prior to bed
4 weeks - .5mg per 50lbs body weight
4 week flush
That's not the protocol I'm following though measuring dose against body weight is interesting. Is this your first research with it? It's mine I've started at 100mcg and trying to find the right time to dose that works with my body. 9 pm and 11:30 pm weren't right for me. 6 pm was better yesterday and today was 5 pm. For severe and chronic insomnia and circadian rhythm issues, like I have, I have read that higher doses for longer periods may be most effective, but figured I would start off low and feel my way from there. I do feel a tiny bit groggy in the morning from only 100mcg but it passes quickly. Any morning grogginess for you? When you say 4 week flush, do you mean you cycle off it for 4 weeks and then start again? I've not seen the term "flush" used in this context.
 
That's not the protocol I'm following though measuring dose against body weight is interesting. Is this your first research with it? It's mine I've started at 100mcg and trying to find the right time to dose that works with my body. 9 pm and 11:30 pm weren't right for me. 6 pm was better yesterday and today was 5 pm. For severe and chronic insomnia and circadian rhythm issues, like I have, I have read that higher doses for longer periods may be most effective, but figured I would start off low and feel my way from there. I do feel a tiny bit groggy in the morning from only 100mcg but it passes quickly. Any morning grogginess for you? When you say 4 week flush, do you mean you cycle off it for 4 weeks and then start again? I've not seen the term "flush" used in this context.
Only groggy if I take it late or if something disrupts my sleep. Yes, 4 weeks off.
 
My goal is weight loss. By the appetite measure I could stay at 2.5 mg for probably a long time, except the last 3 weeks on 2.5 mg I lost no weight…

900-1000 calories a day has only lost 2 lbs in the last month on 5 mg…Don’t tell me I’m eating too little. I’m post menopausal and I’ve eaten 1200 cal a day for 3 years without scale budging—tracking every bite.
Hello. You might want to consider focusing on strengthening your gut biome for a month before increasing the GPP1 dose. Look into getting water and/or milk kefir grains to make water kefir or milk kefir at home, as well as consuming other top probiotic food sources. Also, I didn’t read the whole thread, so you may have addressed this already, consider focusing on building lean muscle mass through resistance or weight training.
 
The dose of 2.5mg is to get your body accustomed to a glp-1. You are not expected to lose any weight at that dose. Please don't lose hope. I did not start losing weight until 7.5mg/week. And that is what the studies show (I have researched this extensively in the medical journals). Stay at each dose for a month before increasing. If you start losing on 5mg, stay at that dose until you stop losing. Only increase when you stop losing but again, studies show weight loss starts around 7.5mg. Other people may lose at lower doses but that is not to be the expectation. I have learned that I must have 100mg of protein a day in order to have any weight loss. I'm currently on 12.5mg and have stopped losing. Food noise is back, eating larger amounts is back. So everything I had and the reason I went on Tirz is back. However, I think that is because I have stopped placing this journey as number one. I have a lot of things to rethink and redo. I have lost 70lbs in 9 months. Please don't expect tons of weight loss at the beginning, patience and it will happen for you as well. Good luck, you have this.
Wow! I really appreciate all this!

I do eat 100 grams of protein a day. I do log my food and weigh it (I have 11 years of logging on My Fitness Pal, even Christmas Day when I eat 4500 calories—I’m an expert). I’m strict on macros, especially protein, carbs and fiber. I’ve done Atkins for 7 months testing to make sure I was in ketosis the whole time. My question may make it seem like I’m blindly in this but I’m no newbie at weight loss, well, except the loss part. Before these meds came out I went from doctor to doctor to nutritionist to nutritionist to gym trainers. Literally I tried everything. Then I gave up for a couple of years. These meds gave me hope. I’m trying not to lose that hope but it’s fading fast.

I am a newbie at is Tirzepatide. I don’t understand how it works and since it’s not working on me for weight loss I’m trying to figure that out. I don’t care about appetite suppression. At all. I care about losing weight.

I’ve never heard anyone say that TDEE doesn’t work on hormonal imbalances. That’s good to hear.

I will work on the water. I do use Liquid IV but will increase. Thank you.
 
The dose of 2.5mg is to get your body accustomed to a glp-1. You are not expected to lose any weight at that dose. Please don't lose hope. I did not start losing weight until 7.5mg/week. And that is what the studies show (I have researched this extensively in the medical journals). Stay at each dose for a month before increasing. If you start losing on 5mg, stay at that dose until you stop losing. Only increase when you stop losing but again, studies show weight loss starts around 7.5mg. Other people may lose at lower doses but that is not to be the expectation
I am sorry but your "research" is wrong.

All studies clearly show the average person begins losing weight at 2.5mg, that is the rule not the exception.
1730146458293.png

Top right graph, weight loss at 2.5mg during the first 4 weeks is pretty damn strong.

However, that being said, just because the average person loses weight on 2.5mg doesn't mean everybody does, and there are in fact studies done on people who are late responders, and the conclusions are that even though it takes a while, it's worth it.
 
Try DSIP (Delta Sleep Inducing Peptide), if you are comfortable with daily injections. It improves my sleep quality exponentially.
This is really interesting. Thank you for sharing this... going to do some research as I never heard of this. Did the hydroxyzine not work for you?
 
On Reddit if you ask about results on different doses nearly everyone reports whether a certain dose is suppressing their appetite or not. They seem to titrate up only if their food noise and appetites are back.

My goal is weight loss. By the appetite measure I could stay at 2.5 mg for probably a long time, except the last 3 weeks on 2.5 mg I lost no weight. So I can’t get a “read” on if higher doses will help me lose weight beyond appetite suppression. Or if the magic is simply appetite suppression. 900-1000 calories a day has only lost 2 lbs in the last month on 5 mg. Wanting food isn’t a problem—no food noise, no hunger, no craving. Don’t tell me I’m eating too little. I’m post menopausal and I’ve eaten 1200 cal a day for 3 years without scale budging—tracking every bite. I have definite hormonal challenges to weight loss—PCOS, insulin resistant, etc.

Does Tirzepitide help hormonally resistant weight loss at higher doses? Or should Tirzepitide be considered just a terrific appetite suppressant? I’m honestly trying to figure out how the medicine works.
 
I’ve been on Terzip compound for 9 months and found it’s an excellent appetite suppressant and I lost weight. I went past goal and now in maintenance. I was 225, dropped to 185 the exercise diet way, my body would go no further despite best efforts and I started with Zep. Goal was 140.

Zepbound was stronger than compound tirz at the same dose as were the side effects. I haven’t tried Pep tirz ; it’s on the way.

2.5mg was a loading dose with minimal wt loss. Wt loss began at 5mg and I stayed there for 3 months and lost 20lbs. I stalled for about 60 days as my body adjusted to the new bmr which was frustrating but in hindsight a great thing as my skin snapped back into place nicely. During that time I increased 1mg about every two weeks and progress began again at 8mg. I increased 1mg a month after that landing at 12mg which gave me full control for 7 days of what and when I chose to eat. I lost the remaining 25 lbs. I probably didn’t need to go that high but it’s been my favorite dose. After 5mg my side effects didn’t increase as I went up. All food noise was eliminated.

The 1 constant side effect has been fatigue especially prevalent for 48 hrs 2 days after injection.

I’m interested in seeing if I notice any difference between compound and pep; I hope not because I’ll certainly enjoy the savings.
 
Exactly, the TDEEs are useless to those with weight that is metabolically related.
I'm sorry, but this just isn't sound science. There's growing (but not universal) scientific consensus around the constrained energy model of energy expenditure (though even the best studies with doubly labeled water, etc. have some flaws in them), but none of these state that TDEE is useless. At most they mean that the efficiency is not 1:1, and the efficiency rate gets lower the more you push yourself. If you burn 1000 calories exercising, your body might try and save 500 calories throughout the rest of the day vs. your usual expenditure by lowering energy usage in other ways.

Metabolic issues can make weight loss massively more difficult for a variety of reasons, and no one should just go "CALORIES IN CALORIES OUT LOL," because it ignores the complexity at hand. But human beings require energy be burned to be alive - your body can't function without fuel. Starvation is obviously a thing that occurs. And that energy has to come from somewhere. If you're not eating enough to provide that energy, it will come from the stores in your body.

There's a lot of ignorance that goes around with people just shrugging and saying "eat less" ignoring the difficulties there, the impact metabolic disorders have on your base levels of energy expenditure, how the body adapts to a variety of things, etc. And you certainly can't exercise out of a bad diet. But to say that TDEE is useless in any situation is throwing the baby out with the bathwater and denies physics. Increasing your TDEE will burn additional calories, and if those calories aren't available from your diet, it will come from your body mass. It just might not be as simple as saying that an hour on a stationary bike increases your TDEE by 600kcal because your body might then decide it needs to reduce your energy expenditure elsewhere by 300kcal.
 
I’m the original poster. I did increase my dose to 5 mg and did start consistently losing. I’m down 52 lbs now and have a much better handle on what Tirzepatide can do and how my body handles it. I can’t say I did anything earth shattering to break a stall, then or now. I just keep doing what I’m doing and increase dose when I’ve stalled several weeks. I’m up to 10 mg. Thank you for your insight and advice. It helped.
 

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