CommunityDosing & Titration

Jumping from Tirz to Reta - starting dose?

14 replies10 peopleFeb 19, 2026☆ Follow
Summary

best starting dose of reta when switching from high-dose tirz

Users who switched from 12.5-15 mg weekly tirz generally began reta at 1-2 mg and titrated slowly to 6-9 mg weekly, with some stacking cagri or continuing low tirz briefly. Experiences varied on hunger control, with reta described as reducing the mental drive to eat while tirz slowed digestion more. Side effects were manageable for most when doses increased gradually, and several reached goal weight or maintenance without major issues. A few combined both compounds at once with acceptable tolerance.

What this discussion establishesWhere people disagree

whether tirz or reta provides stronger overall hunger suppression

Still open

ideal overlap or washout period when moving from tirz to reta

Nothing here is advice.

14 replies · 10 people
BlueAlder12archiveopening postFeb 19

Been on 15 mg of tirz each week for around half a year, but the hunger control isn't working as well anymore. Thinking about moving over to reta because of what others are saying. Since I'm already using tirz which hits those same receptors, should I begin with the lowest reta amount? Looking for thoughts on where to begin and what doses seem to work well.

QuietTimber26archiveFeb 19

Got up to 12.5 mg weekly on tirz and it quit working. Sides were rough so switched to reta. Began at 2 mg and added 2 mg each week until reaching 8 mg. Now dosing 4 mg every 84 hours. Planning to go to 5 mg every 84 hours once the next supply shows up, then maybe 6 mg later. Hunger control feels stronger on reta than it did on tirz, though not sure if that's common. If reta stops working might add cagri.

ClearBeacon24archiveFeb 19
↳ replying to @QuietTimber26

Most people say tirz is better at suppression.

QuietTimber26archiveFeb 19
↳ replying to @ClearBeacon24

That's the impression I get from others here as well. Reta seems to make me not want to eat mentally, while tirz made eating physically harder because of slower digestion. Still felt the urge toward food on tirz though. That urge is gone on reta.

LevelThistle44archiveFeb 19

Switched from tirz at 2.5 mg twice a week. Worried about sides so spread out about a dozen small 1-2.5 mg reta doses over 15 days to raise levels fast without overshooting. Readings pointed to glucagon signaling kicking in reliably around 6-8 mg weekly once steady. Added two more tirz doses during that period to manage hunger on days 4 and 11. Now six weeks past the switch with 19 total doses around 53-54 mg. Current dose looks like 8-9 mg weekly with no bad sides. Down 17 lb or 6.3 percent in 40 days. Tirz is usually seen as stronger for food noise, so why stop it for weeks if it was still helping?

AmberWillow76archiveFeb 19
↳ replying to @BlueAlder12 (opening post)

Varies by person but 5 mg tirz gave stronger appetite drop and no food noise for me. Started lowering tirz while raising reta. Had stomach issues on tirz so went slower on reta. If sides aren't a worry then 2 mg start seems fine, jumping higher isn't ideal. With sides I'd begin lower and add 0.5 mg weekly. Only had about 30 lb to lose so effective doses stayed modest. Someone shared a titration chart that helped.

BlueAlder12archiveFeb 19
↳ replying to @LevelThistle44

Rushed through tirz doses instead of waiting for each to fail: 2.5 then 5 then 10 then 15 mg, one month each. Lost weight at 5 mg but pushed higher because daily weight swings made progress hard to read. Sides stayed mild and slower digestion helped bowel issues. Started at 280 aiming for 220, got stuck near 235 so added cagri which restarted progress. Reached 222 but an illness caused extra loss below target. Now at 228 trying to settle on maintenance with low hunger and stable weight.

GreyHarbour55archiveFeb 19

Hit goal after a year on 15 mg tirz. Dropped to 10 mg the next week then started reta at 1 or 1.5 mg, then 3 mg and stayed there. Stacked with 0.25 mg cagri until November, then stopped the cagri after dropping 15 lb past goal to avoid more loss. Mild hunger returned but stayed at 3 mg reta because easily full and still in deficit. Using lifestyle habits too since hunger isn't strong. Weight holding steady.

BlueSignal97archiveFeb 20

Am I the only one who takes both tirz 10 mg and reta 4 mg on the same day at the same time?

BlueAlder12archiveFeb 20
↳ replying to @BlueSignal97

Correct me if wrong but reta hits GIP/GLP-1 plus glucagon while tirz hits GIP/GLP-1, so 10 mg tirz plus 4 mg reta is basically extra glucagon on top of 10 mg tirz. How is that working for you and any sides?

CopperSignal27archiveFeb 20
↳ replying to @BlueAlder12

That combo equals roughly 13-14 mg tirz plus glucagon. Similar to my own 15.75 mg tirz plus 5 mg reta but split into smaller every-other-day shots. Some nausea and odd skin feelings but far better than low-dose sema.

CopperSignal27archiveFeb 20
↳ replying to @BlueAlder12 (opening post)

Easier to suggest a dose if I knew starting weight, BMI, and loss so far. Would just stop tirz and move to 6-10 mg reta after a week. With few sides on 15 mg tirz the higher switch dose could work. Bigger jump raises chance of bad sides so go slower if older or less healthy. Reta tends to raise heart rate and skin sensations more than same mg of tirz, plus maybe extra nausea. Peak blood levels hit around 24 hours after dosing and take a week to halve. Levels keep climbing up to four weeks after a dose change, which is why increases wait four weeks. For a fast equivalent swap the only semi sa

WarmAlder42archiveFeb 20
↳ replying to @BlueSignal97

Not same day but close doses: 8 mg tirz on Thursday and 4 mg reta on Monday. Couldn't handle combined sides on the same day. Reta hits my stomach hard so spacing gives the gut time to settle.

BlueSignal97archiveFeb 20
↳ replying to @BlueAlder12

Nine months on GLP-1s with zero sides, very lucky. Might be because medical issues already desensitized things, but that also means slow response. Started at 393 lb, now 339 lb at 5'11". Will keep injecting long term for lower inflammation, no knee pain, and better bladder control. Weight loss is just extra.

SharpHarbour48archiveFeb 26

Bad experiences trying to rush titration when changing GLP-1s. Would stop tirz and start reta at 2 mg for four weeks, then 4, 6, 9, then 12 mg, raising every four doses. Not a race. Slow and steady, follow the study schedule.

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Jumping from Tirz to Reta - starting dose? · ZyraTrack Community