Victoza to Reta advice

The original poster has used Victoza at 1.8 mg daily after Ozempic for 18 months with good A1C control but no weight loss, and wants to know safe starting doses of reta given their GLP-1 tolerance and insulin use. Replies note Victoza's fluctuating levels limit weight-loss results, suggest beginning reta at 1-2 mg while watching heart rate and sleep, and stress careful blood-sugar monitoring plus possible insulin reductions because reta lowers glucose strongly. Several users discuss stacking reta with tirz, with some preferring to start tirz first, while one post flags the type-1 versus type-2 distinction and need for medical oversight.

• Victoza produces steadier but less effective weight-loss results than newer GLP-1s due to blood-level swings
• Reta can raise heart rate and disrupt sleep early on, so low starting doses are often recommended even after prior GLP-1 exposure
• Combining reta with insulin requires frequent glucose checks and readiness to lower insulin doses to avoid hypoglycemia
• Stacking reta and tirz is common, though opinions differ on which to introduce first
• Medical supervision is advised because reta remains unapproved and carries ketoacidosis risk even in type-2 patients

Whether to begin with reta alone or start with tirz instead, and how quickly titration can occur after 18 months on Victoza

Whether the user has type 1 or type 2 diabetes and how to manage the switch safely without physician involvement

Nothing here is advice.