Titrating down

Moving from 12.5 mg down to 10 mg explains the extra hunger. Whether you split the prescription or rely on grey stock is a personal call since both are tirzepatide. You may feel safer with the prescription or doubt the grey version's strength. Clarifying your actual target will shape the next steps on dose and any reta addition. Right now the messages show hesitation. It could help to pause and decide if the aim is still that last 10 lb or if current weight is fine. Setting clear checkpoints, like adding reta only if a certain amount isn't lost by a set date, would give direction. These adjustments take weeks to show effects, so having a settled plan matters.

Lowering the dose often leads to weight regain for many women. Is the main reason lower energy or simply wanting to stretch supplies? Keeping the present dose and layering on reta might be preferable since tirzepatide has worked well so far. How are daily calories, protein intake, and sleep holding up?

That lines up. Reducing the dose appears reasonable here. Paying attention to how the body responds is important.

Quick summary: roughly a year on tirzepatide with loss only in the first six months and stability since. Age, height, current weight, and total lost would help. If weight has held for half a year this may already be the maintenance level and lowering it risks regain. Goals still seem mixed. One direction is keeping maintenance while increasing calories for better hockey performance; the other is pushing for the final 10 lb. More details would allow more specific suggestions.

I'm still unsure about the exact plan and mainly want to lower the dose. If weight comes back I'll adjust then. Keeping some level of GLP-1 ongoing matters for heart and other benefits. I'm 45, 6 ft, started at 281 lb, fairly muscular, now around 235-238 lb with body fat near 22 %. A target near 225 lb would be nice but current weight is acceptable. Pre-medication blood work had a few borderline values that are now solidly normal. The timeline on zepbound was longer than recalled, nearly two years starting around December 2022. Before that I used liraglutide until late February 2023 and lost about 10 lb on the highest dose, then switched to semaglutide and lost another 20 lb. There was a 6-7 week gap without medication around March 2024 so I went from high

After starting tirzepatide in May and reaching 9 mg while increasing daily walking, weight came off steadily at 3-5 lb per week. Adding weight training caused a stall. Tracking showed intake was only 1200-1500 calories against a 1950 RMR and two hours of daily training, leading to weakness and poor recovery. Raising calories to 1700-1900 with yogurt, protein powder, and cottage cheese improved energy and performance. The body had responded to under-eating by reducing output and holding onto fat.