Tirz + Eating disorder

On this medication you probably won't feel like doing those long fasts anymore. Instead people usually build a steady daily pattern around the shots with a 14-16 hour overnight break and an eight-hour window for three meals that emphasize protein, fiber, and good fats. Cravings drop a lot; in ten weeks it became simple to skip anything loaded with sugar. I used to eat for comfort during depression and put on a lot of weight, so I get the disorder side of things. I set phone reminders for noon, three, and six even when I'm not hungry, just to make sure I get nutrients. The shots gave me a way of thinking about food I never expected to have.

Thanks for posting this; it's good you're checking into it carefully for your own situation. I was never formally diagnosed but I had the same cycle of long fasts followed by feeling out of control once I started eating. I never purged but I could tell it was heading somewhere bad and I wanted a life without constant food struggles, so I tried tirzepatide to reset. The constant thoughts, fear, and frustration around eating disappeared. It showed me how much of the problem came from my own restriction and self-sabotage. The medication let me eat smaller meals without the old mental or physical distress, which was exactly what I wanted. The real question now is what outcome you're hoping for and whether stopping the medication later would leave you in a place you actually want to be.

BED or similar diagnoses were usually left out of the clinical trials for these drugs, so there isn't much formal data on using them with eating disorders. Personal reports do suggest the medications often cut down on binge episodes for people carrying extra weight. Going without food for days and then bingeing and purging is clearly an eating disorder even without an official label. Your concern that removing food noise might just make starving easier is exactly why doctors have been cautious about prescribing these to anyone with an eating disorder history. Over the past few years plenty of people with those backgrounds have posted about getting some relief from tirzepatide. Along with the supplements you mentioned, adding therapy would be worth considering if you're not already doing that.

This is the kind of comment where I'm speaking as someone who works with eating disorders but not as your personal therapist. For binge eating disorder the medications might help because that pattern often works more like a substance issue than classic restriction disorders. With other eating disorders the picture is murkier; some effects could ease problems while others could make them worse. Right now there's no solid way to predict whether the net result would be positive or negative without actual research. In a situation like yours it might make sense to try under the care of a qualified professional rather than experimenting alone.

This is just my own experience, not advice. Because of my own background and family patterns I decided to go strictly by numbers instead of how I felt about my body. I'm now at a weight that puts me in the normal to slim range on paper, yet most days I still see myself as too large. My rule is to stay in the middle of the lower half of the normal BMI range and not go any lower. That gives me a clear stopping point I won't cross no matter what my eyes tell me, because I know my judgment on this can't be trusted and going by feelings alone would probably lead to harm.