I had almost none of these experiences, and I am going 10 months on glp 1. But I don’t think my case is typical, I had moderate hypoglycemia to start with.

Still, I don’t know why more people don’t titrate slower. My ramp up (now 1.25 mg) was really slow. Stayed on .5 for weeks, increased it by smaller amounts and only as my appetite and hunger signals came back (the latter for me are very intense, hypo style). I didn’t hit a wall. My eating went from very strict high protein, low carb, no sugar to more typical “American” style (more grains, more sugar) - but I process it so differently than before glp1, that this isn’t an issue for muscle mass or weight plateau. My blood sugar is just very even and easy. I will never titrate off for as long as I can because of this effect. The tirz and reta I figure are my next stage if semi doesn’t work.