I'm also in peri and have used tirz more than a year now. Reflux has actually decreased for me while on it though my family deals with it a lot. Generic omeprazole from Walmart works fine for daily use.
I've only been at this ten weeks after doing plenty of reading ahead of time and have dropped fifteen pounds. Started through telemed at 1.5 for two weeks and had no side effects besides not feeling constantly hungry. Switched to 2.5 for three weeks instead of going straight to three like the doctor suggested, then hunger came back strong. Looking back it was probably just my cycle but it took three weeks to realize that. Now at 3.0 everything feels fine except the heartburn has gotten worse. The last two shots used filtered medication and I adjusted for overfill at point eight with a thirteen millimeter filter, just noting that. Coming up on my third cycle since the first shot. I've dealt with perimenopause for years and haven't woken up drenched once since that initial injection. Hot flashes are still there but the night sweats have basically disappeared so I no longer change the sheets daily. Has anyone else noticed this? It seems pretty remarkable and when I mentioned it to my primary he barely reacted. Also since going up