Not Good - Gaining on 15 mg Tirz

Did you reach your goal weight before the gain started? Quite a few here go above fifteen milligrams. I hit a stall short of goal on tirz so I gradually added reta and reduced the tirz over roughly two months and that got me past the plateau.

I went below goal without much mental struggle and actually ended up too lean, which made me look older. The recent gain caught me by surprise until the love handles returned and that finally prompted action.

I am in a similar spot with very slow loss the last few months. Two weeks ago I moved to fifteen milligrams hoping for more effect but saw nothing. Last week I dropped back to twelve point five and switched to every five days instead of six. The total weekly amount stayed roughly the same yet I started dropping weight daily, three pounds in three days. I also added electrolytes at the same time so I cannot be sure what caused it, but it is worth noting.

I also had bypass surgery years ago and tirzepatide worked well for me too. I am currently at seventeen milligrams after previously using twenty. I am now stacking with another compound after earlier brief stacks with sema and cagri. Since you already hit goal this looks more like a maintenance problem. There is little solid research on maintenance so most people try different combinations. I would try adding a small amount of sema or cagri rather than going higher on tirz because higher doses seem to bring more side effects without proportional benefit.

Sorry you are dealing with this regain. Six months is long enough for the pounds to add up without noticing at first. After major loss the body seems to have a memory for fat and can regain quickly with small slips. Adding reta might help raise metabolic rate. Stress, cortisol, or sleep changes could also play a role. If acting today I would try a week of very clean eating plus reta to see if it shifts things. Do not beat yourself up, you are already taking steps to correct it.

You have several routes. Higher tirz doses up to twenty or twenty five milligrams are being studied. Adding a low dose of another compound around one to two milligrams is an option. Mitochondrial support peptides or secretagogues could be tried. Some add growth hormone. More weight lifting three times a week plus fasted cardio may help. Diet fine tuning or adding specific amino compounds are other possibilities. The next two items may cause temporary water retention.

Your calorie needs are lower now so the same intake that once maintained weight now produces gain. You will need to lower calories further or increase workouts without adding food.

Did you switch to a new batch of tirz right around the time the gain began?

Hate to ask but are you certain calories have not changed? It is uncommon to gain on the same intake. Tirz mainly works through appetite control rather than burning calories. In maintenance it is easy for one or two extra items to add up. First step I would try is keeping the same dose but injecting every five or six days since hunger often returns before the next weekly shot.

Off topic but the original poster lives in one of my favorite places to visit. My wife and I usually go once a year and enjoy the drive depending on traffic and season.

With food noise returning but no major crisis you still have several choices. Changing to fifteen milligrams every five days instead of seven is one of the simpler first steps. It raises the weekly total modestly and may reduce hunger on the later days of the cycle.

I appreciate that you recognize a stall is normal while actual regain signals something needs adjustment. The advice already given covers the practical steps so I will not repeat it. One extra thought is to view weight maintenance as a tug of war with many factors pulling on each side. Even while using a GLP you can still layer in other dietary approaches that worked for you before.

Your body has adapted and now has a lower metabolic rate so you are eating more than needed. Calculate your current TDEE and then reduce below that to create loss.

Sema is the only one of the three I have used that reliably stops food noise for me. I would start at point two five and adjust from there. I have cagri but never needed it once sema handled the noise. I began with Ozempic four years ago so it remains my go to.

This regain fear is common. That is why I keep stressing the importance of building new habits while the weight is still coming off. Those habits make maintenance easier later. The system is complex with nutrition, biology, microbiome, and old habits all interacting. In short, create new routines now or the old ones will return.

I stack tirz with survo on a six day schedule with a three day offset. It has worked well and preserves my tirz supply. I tried cagri once but felt very ill for twenty four hours afterward and could not bring myself to repeat it, especially during a vacation.

Without a glucagon agonist these drugs do not directly burn calories. It still comes down to intake versus output. Even when I was cycling twenty four miles daily the weight did not move until I lowered food intake.

You mentioned exercise stayed the same. How is the strength training portion? If it is mostly cardio the body becomes more efficient and burns fewer calories over time. Muscle loss during a deficit can also make weight creep possible even with unchanged diet and activity.

True, and after that point the rest is correct. You still have to eat below what your body needs to lose. I assume the point was that without a glucagon agonist to add some burn you have to reduce intake. The gif is always funny though.

It stops hunger but does not burn calories on its own.

Sorry this is happening. It seems uncommon to see slow regain on the same high dose that got you to goal. Tolerance is one possible explanation though individual responses vary widely. Calorie counting may not be necessary if you did not use it to lose. Changing food types to more calorie dense options could allow more intake without extra hunger. Keeping weight off long term after the initial success is often the harder part.

RNY means Roux en Y. Anyone can regain one hundred pounds one small bite at a time.

I am also curious because I am at fifteen milligrams and feel the effects have faded. Not sure what to try next.

Same experience here, down to two hundred ten then back to two hundred thirty while on max tirz. Considering fifteen plus milligrams of tirz with a small reta dose. Earlier solo reta worked but left me feeling very flat. So the plan would be low reta with high tirz as an experiment.

If it were purely calories in versus out I would be much leaner by now. These drugs help people with metabolic issues finally see results from consistent effort.

My own progress on sema has been slow but steady. My husband lost on Ozempic but became less careful with eating and regained. I do not micromanage him but I see what he eats. Sema has not been magic for me either. It still requires ongoing work and I still make mistakes.

Without tirz I would still be overweight. Many diets never worked for me. Tirz finally quieted the constant food thoughts. All the studies still show calorie reduction as the common factor. If the scale is not moving you may want to check whether intake is higher than realized even without counting.