I’m looking for some advice.

i added cagrilintide to tirzepatide when i was at 8 mg because food noise was returning even though weight loss was still happening. i started at 100 mcg and increased slowly. i've been on the combination for two years now and am currently at 15 mg tirzepatide with 3 mg cagrilintide. i'll probably move to elora once it's easier to get. stacking tirzepatide with retatrutide might only add the glucagon effect, so switching fully to retatrutide first could help check how it affects mental health before combining anything.

what exactly happened with mental health at higher tirzepatide doses? how long were you on the previous amount, how big were the jumps, and how long did you stay at each level? how long have you been back at 7 mg and did the effects ease? when you say progress is slower, are you still losing a little or completely flat, and for how long? how strong is the appetite control right now? past reactions don't mean it will happen again, and your body might handle increases better now. splitting the dose could be worth trying if you haven't already.

starting with a low dose of cagrilintide would be the cheapest route. my short try with it wasn't great so i switched to elora instead. the right mix is different for everyone and part of the fun is figuring it out.

i stayed at 5 mg for a long time. when it stopped working as well i raised by 0.5 mg every four weeks because i wanted to lose as much as possible before turning 60. after that birthday i decided to slow down. at 7 mg with shots every six days i felt very emotional for a day or two and got embarrassed easily at work, so i dropped back to 6.5 mg. i then crept up more slowly to 7 mg every seven days and the mood dip was milder, just one afternoon on a sunday. weight is basically flat now, sometimes down half a kilo and sometimes up a bit, and i don't feel ready for bigger jumps.

sema isn't my top choice. splitting tirzepatide to 4 mg every four days is another possibility. i'm also waiting on elora and want to add ghk-cu along with possibly bpc.

i was on tirzepatide alone and ran into side effects at higher doses so i added retatrutide instead. it seems to be working with fewer issues than tirzepatide by itself. right now i'm at 2.5 mg tirzepatide and 1.5 mg retatrutide.

how is the weight loss and food noise going with that approach?

translation of the earlier posts: stayed at 5 mg long term then raised slowly by half milligrams. mood effects hit even with tiny increases. weight is now flat. sema not first choice. splitting tirzepatide or waiting for elora are options. also considering adding ghk-cu and possibly bpc. elora will likely be the most expensive choice.

thanks

the actual study data isn't fully released yet, only some early numbers from the company, and they followed the usual four-week steps with the standard 2.5 to 15 mg increases.

tirzepatide is supposed to be stronger on appetite control. retatrutide started affecting my mental health once i reached 6 mg, which is why i'm planning to add tirzepatide and lower the retatrutide dose. a small amount of retatrutide added to tirzepatide might work better for you instead.