It could be that too much product was added making the effect stronger than expected.
My weight loss path moved from sema to tirz and now to tirz plus reta. I'm close to goal and slowly lowering doses while trying to reset how I think about food. I've stayed at 2 mg tirz and 4 mg reta for a couple months and figured I could drop further. The last two weeks though the hunger control has been way stronger, almost like double the dose. No nausea or stomach issues, just this intense lack of appetite that makes me force meals down. One idea is the new tirz vial I mixed recently, but the timing doesn't line up clearly in my memory. Maybe the old vial had weakened in the fridge without me noticing, or the new one was stronger than labeled. Those are my guesses but I'm curious if others have run into unexplained appetite drops on these meds.