Heatwave advice on skipping tirzepatide doses sparks debate over hydration

I have not come across information linking GLP drugs to kidney problems except in one narrow scenario. In most cases they actually slow kidney decline, improve function, and lower protein in urine. The only time stopping is advised is when severe vomiting or diarrhea from side effects or overdose leads to dehydration and acute kidney issues. Overall this does not seem like reliable medical guidance.

Most of what I have seen is that appetite suppression or nausea can lead people to drink less on their own. If someone stays mindful about fluids there does not appear to be an issue. I might be missing some symptom others experience, but as an endurance athlete I have had no trouble with long rides or hikes in heat.

These medications can lower fluid intake and are even being studied for treating excessive water drinking. They helped me cut from eight liters a day down to four. Under ordinary conditions, though, thirst regulation is strong enough that the effect does not cause real problems. If widespread dehydration were common the drugs would not improve kidney function, yet they do.

Would the same doctors tell people with diabetes to skip their insulin? Recommending on-and-off use seems odd given how much that can reduce effectiveness.

There is a particular kind of arrogance in doctors instructing patients that they must drink enough water. How do they imagine anyone reached adulthood without already knowing that basic fact?

Why do people treat drinking water as if it is difficult?

This is nothing new. I live in the deep south where we already know how to handle hydration in extreme humidity. I am not skipping any doses.