Stalled? Tira bump or switch to Reta?

If you're not losing, did you check if it's just water weight? How long has the stall lasted? Maybe a body composition scale can help. Switching to Reta, starting at 1.5mg or 2mg, isn't a bad idea, especially near your goal. But if you have Tira already, maybe try a small increase like 0.5mg first.
 
The studies showed more weight loss with higher doses, so I'd guess increasing it would help. Instead of switching completely to Reta, maybe add a little to your current Tira. Like, keep the 7.5mg Tira and add 2mg Reta. Might give you a boost.
 
I roll my eyes at the "calories in calories out" crowd. If you're not dropping fat, you're not in a deficit. Who actually knows their daily calorie status without being hooked up to machines? Scale numbers and internet tables are just estimates. It gets confusing when it doesn't "work."

Maybe you meant you haven't increased food intake compared to when you were losing. Studies do show higher doses usually mean more weight loss. Averages, though. More GLP-1 in your system can lead to better loss.

Think of it like driving. To go faster, you press the gas pedal more. How much more? Hard to say. Half an inch, maybe. But pushing more doesn't mean your car infinitely speeds up.
 
Consider going up to 10mg. Or, stick with 7.5mg and dose every 5 days instead.

I wouldn't add Reta yet. You're so close!
 
Protein question: My partner struggles to eat more than 100g daily. They feel like they're eating too much. Does more protein help with weight loss or just keep muscle?
 
It's complicated. If you're limiting food (you said you are), more protein can help. If you ate only protein you'd get into issues, but that's probably okay on GLPs. 😉

Normal diets can work on low protein (if you skip processed carbs), and you lose mostly fat. Hormone-based diets are different, and we don't have much data. Some older GLPs were awful for muscle loss, but the newer ones seem better. I'd prioritize protein, even if it messes with "calories."
 
So, options:
1. Wait and see if it's just a 2-week thing.
2. Increase to 10mg.
3. 7.5mg every 5 days.
4. Add 2mg Reta to 7.5mg Tirz.
5. Switch to Reta.
Decisions, decisions! 🙂
 
If you want all the options...
6: Add survo/maz.
7: Change diet.
8: Gastric bypass.
9: Add GH.
10: Stop and regain.
11: Boxing gym.

Most would pick 2/3 or 4.
 
Is keeping your current medication options open important with only 15lbs left? Something to consider when deciding what to do next.

Good luck! You're doing amazing. Losing 80lb is incredible!!
 
The most important question is current side effects? To advise properly, I'd need start weight, age, height, and loss timeline. But with no side effects, there's no reason not to increase the dose. Losing that much weight is a long-term health risk, and higher doses prevent obesity-related problems and maintain weight loss. That way you prevent diabetes, high blood pressure, high cholesterol, strokes, heart attacks, etc.

Also, how comfortable is your calorie intake? Are you always hungry? GLPs fix that. If you're still restricting, up the dose.

Two weeks of no change means nothing; fluid balance can fluctuate. If your diet hasn't changed and you previously lost weight, it's likely fluid.

If weight loss has slowed over time, it's a genuine stall. You're lucky to have lost so much and still have room to increase doses. It's common to stall at max doses before reaching the target. I don't think switching to Reta is crucial. You're responding well to tirz and probably have minimal side effects. Switching will disrupt your diet and increase side effects. Tirz will likely get you to your target at higher doses, so I see no advantage in swapping.
 
Thanks for the detailed reply. Side effects: Constipation, dry skin, and being cold. Fiber gummies and mag C help with constipation, moisturizer for skin, and I assume being lighter makes you colder. Same meals daily: coffee, shake for lunch, chicken and avocado snack, protein and veg for dinner. No hunger. Just that stubborn abdominal fat left that needs more exercise.
 
Those side effects could be from weight loss or diet. So that doesn't help much. I see hunger isn't a problem. Being cold comes from lost insulation and reduced metabolism.

Even without hunger, higher doses may reduce calories and increase weight loss. How old/healthy you are affects how important full 15mg doses are for long-term health. No one else mentions this.

100 grams of protein is likely enough to reduce muscle loss. Protein is the most filling food per calorie. I'd still increase doses; side effects don't seem likely at 10mg. I don't agree with keeping doses low and increasing slowly, especially for severe obesity. If losing over 20-25% body weight, go to full doses unless side effects are a problem.
 
I'm new, but I think differently. If you have no hunger issues, why not just cut back a bit more until you do feel a little hungry? Or add a 10-minute walk to create a slight deficit, without upping the dose? Keep your "runway" intact. A 2-week "stall" isn't crazy. Fat cells hold water when losing actual fat, then dump it all in a "whoosh."
 
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