Split the dose and raise the total until it works, stopping only if side effects appear.
Started tirzepatide at 237 pounds and reached 185 with a target of 179. After most of the loss I plateaued for roughly a year and a half, then switched to retatrutide a few months back. During the changeover I put on five to seven pounds. Tonight is the fifth 8 mg shot and tomorrow brings the usual 2.4 mg cagrilintide. At this level hunger stays down for five or six days and food thoughts stay quiet. This past Thursday the scale finally went under 190 to 189.2, but by Friday hunger and noise returned strongly and today the weight is back up three pounds. That gain is clearly water or glycogen, yet it lines up with the return of appetite. The question is whether to stay at 8 mg longer, raise it, or split the shot to cover the end-of-week drop-off. Looking for experiences from people who faced the same pattern.