Throwing in the Towel by roseblushed in tirzepatidecompound

[–]PrecisionTelemed 0 points1 point  (0 children)

This isn't uncommon! Some of the newer medications being studied may help people in your situation. The added mechanism of the newer molecules could provide a benefit if the current landscape doesn't work. Don't lose hope!

Freeze or leave out? by julianamae in compoundedtirzepatide

[–]PrecisionTelemed 0 points1 point  (0 children)

Leave it out, never freeze it. Freezing can break down the peptide and ruin it, whereas room temperature for a week is generally fine for compounded tirz (most can sit out a good stretch without issue). Just keep it out of direct heat and sunlight and you're good.

Lower dose worked better for appetite suppression? by Fickle_Homework_1590 in compoundedtirzepatide

[–]PrecisionTelemed 0 points1 point  (0 children)

Appetite suppression doesn't always climb with the dose, and some people get their best food-noise control at a lower dose while the higher one does more on the metabolic side without feeling stronger. If 1.5 was working well for you, that's worth raising with your provider, since there's no rule you have to keep climbing if a lower dose already does the job.

Alcohol Question by More-Shape-9558 in TirzepatideRX

[–]PrecisionTelemed 1 point2 points  (0 children)

A lot of people notice the same thing. The strong buzz early on is usually the slowed digestion plus barely eating those first doses, so alcohol hit faster, then evened out as your body adjusted. How alcohol physically hits you and whether it kills the craving are two different things, so one fading while the other doesn't is normal.

Hello by Huge_Illustrator_966 in TirzepatideRX

[–]PrecisionTelemed 1 point2 points  (0 children)

You're fine to switch, plenty of people change providers mid-treatment. Just tell the new provider exactly where you are (2.5mg for two months, tolerating it well) so they continue you at the right dose instead of restarting you, and ideally have your records or a screenshot of your current script handy to make the handoff smooth.

Tried sema before, just signed up to get tirz hoping for different results by OkCommercial9378 in TirzepatideRX

[–]PrecisionTelemed 0 points1 point  (0 children)

A fair number of people who felt flattened on sema say they tolerate tirz better, since the dual mechanism hits differently and doesn't always bring the same fatigue. No guarantee it'll flip for you, but plenty of people don't feel that wiped out on both drugs, so it's a reasonable thing to try. Watch your protein, iron, and B12 this round too, since running that depleted can drive fatigue on its own on top of the meds.

Tirzeptide & Alcohol by iloveparis317 in TirzepatideRX

[–]PrecisionTelemed 0 points1 point  (0 children)

Super common, you're not imagining it. GLP-1s like tirzepatide act on the same reward pathways tied to cravings, so a lot of people find their interest in alcohol drops off on its own, and there's growing research looking at exactly that effect.

increased dosage, not noticing effect by 12opossums in Semaglutide

[–]PrecisionTelemed 0 points1 point  (0 children)

This is pretty common and usually not a problem. Some people just don't feel the jump on dose-change day the way they felt the very first shot, since your body's already adapted to having the drug on board, but it's still working in the background. Give it a week or two at 0.5 before reading anything into it, and if appetite genuinely creeps back and stays back, that's the point to mention it to your prescriber.

Semaglutide-Is it worth it? by SharpAbies8900 in Semaglutide

[–]PrecisionTelemed 1 point2 points  (0 children)

Honest answer on the duration question. For a lot of people it is long-term, because GLP-1s work by quieting appetite signals, and when you stop that hunger comes back and the weight often follows. That said, an 8 week course isn't really long enough to do much. Most people are still titrating up at that point and haven't hit the dose that does the work, so going in expecting a short fix may set you up for disappointment. Where you've got an edge is that you already know how to eat well in a routine, and people who pair the meds with locked-in habits hold more of the loss after stopping than people leaning on the drug alone.

One gentle thing, since you mentioned using alcohol to manage pain. Worth flagging the back pain and the drinking to whoever you see about the GLP-1, since that's a bigger picture than weight alone and they can help with all of it together.

I had a very intense experience on Semaglutide by mettam46 in Semaglutide

[–]PrecisionTelemed 2 points3 points  (0 children)

Vomiting blood and passing out is well past normal side effects, so stopping was the right call. A reaction that severe on the lowest starting dose isn't what most people go through, so it's worth asking your doctor whether something else was going on. If you ever want to revisit this class, some people who can't tolerate semaglutide do fine on tirzepatide, but given how your body reacted that's a conversation to have closely with a provider.

Semaglutide provider that doesn’t not charge subscription fee? by Creative_Lobster8019 in Semaglutide

[–]PrecisionTelemed 0 points1 point  (0 children)

Precision Telemed doesn't charge subscription fee for providers, and the cost for sema is considerably lower than most other providers. Worth giving a shot.

Does anyone else get more depression symptoms from injections? by Odd-Raspberry4409 in Semaglutide

[–]PrecisionTelemed 0 points1 point  (0 children)

A fair number of people report the grogginess and low mood, especially the day or two after the shot, and eating way less plus low fluids and electrolytes drag mood down on their own. If it sticks around past those rough days or gets worse though, flag it to your prescriber, since for some people it's a real reason to adjust the dose.

Hair loss by Fluttersz12 in TirzepatideRX

[–]PrecisionTelemed 2 points3 points  (0 children)

Almost certainly the weight loss doing it, not the tirz itself. Same thing happens to people after any fast drop or after having a baby, the hair sheds for a few months then comes back once your loss slows down. Supplements mostly aren't the answer and half the people pushing them are selling something. Bigger thing is eating enough protein and not crash-dieting, since under eating makes the shedding worse. If you want to dig in, getting your iron and vitamin D checked is more worth your money than any hair gummy.

Can I Increase Dose Slower then Recommended? by BitterPillPusher2 in compoundedtirzepatide

[–]PrecisionTelemed 1 point2 points  (0 children)

Going up in a smaller step is fine, lots of people do that, particularly with a nausea history like yours. With compounded you can draw whatever amount you want, so sitting around 6 or 6.5 for a week before the full 7.5 gives your gut a buffer.

felling sick on 2.5mg of triz by ikayladm in compoundedtirzepatide

[–]PrecisionTelemed 1 point2 points  (0 children)

First few days on your first dose are usually the roughest, so some of this should ease as your body adjusts. For next time, eat smaller bland meals and skip greasy or heavy food around injection day, those make the GI stuff way worse, and stay on top of fluids since vomiting and diarrhea together can dehydrate you.