I went the other direction and added reta on top of tirzepatide that I kept low, never above 5 mg. The 2.5 reta helped finish the last 10 lbs but produced a couple low blood sugar events, with one reading at 45 mg/dL and averages around 75-85 while on both. Tirz is said to suppress appetite within 12 hours yet mine started around 4 hours. Also note the higher risk of dehydration and blood pressure drops because it reduces thirst along with hunger.
On 6mg Reta right now and results are fine so far. Reached 10.5 earlier without trouble beyond skin sensitivity. Instead of increasing the dose more, thinking about adding 2.5 tirz to get the anti-inflammatory effects plus stronger appetite control. Planning to start it when leaving for vacation so nothing extra needs to be packed. How quickly does the added appetite suppression from tirz show up and does this seem like a reasonable plan?