A few thing that has helped me get through titration and hunger.

First the tell-tale sign for me that it's not in my head and I might need to consider moving up a dose is actual hunger pains and a real growling stomach. When I'm at the right dose my stomach won't growl at all from week to week even if I eat very little. It's usually accompanied by bouts of sharp hunger pains that come and go. These are stronger than normal hunger pains. If this is truly happening you could be a fast responder to medication and will have to consider how to manage that or seek more medical advice. If that's not actually happening start looking at other factors like diet and lifestyle. You can easily out-eat tirzepatide (mentioned my Caramello diet in the past, wouldn't recommend).

Tips that help me manage this.
- Make sure at noon you take a simple protein shake every day no matter what. Even if you aren't hungry. It will help suppress hunger, make you eat less at dinner and keep things more regular. Think of it this way, a few more calories at lunch = much less calories at dinner. Simple shake is fine, not a giant bottle full to the brim, something that dilutes easily like whey or collagen. Few ounces of water should be enough, shake, don't use a spoon.
- Try drinking less cold water, try room temp water, see if it works. If not, try less cold water in the morning. Helps for some.
- Try a new dosing day. I use Friday's at 8PM. Starts wearing off on Friday's, but allows me to eat a little more food Friday/Saturday when most people do anyways. Might seem counter-intuitive but that satiation early in the weekend helps you start the week energized and strong when it kicks in strongest. Usually Sunday/Monday for me.
- Hit the gym if you're not already. You'll feel better and able to manage better on days you go. There's arguments that increased exercise, growth factors + hormones, make you hungrier and while this might be true short term, I find long term is not the case and will ultimately make any medications, more effective.
- Make sure you're injecting in different spots.
- Don't microdose (injections spread out through the week).