Constant Tiredness on GLP-1's?

I've heard similar things about Sermorelin affecting sleep. Some people get carpal tunnel-like pain that wakes them up. Others just can't stay asleep. It's a bit of a gamble, it seems.

If you're really obese and cut calories super hard, that much loss is normal. But you're not actually learning how to be healthy or fueling your body right. Learn to eat like a regular healthy person—good protein, real carbs not junk, good fats. Work with a dietitian if you don't know how. Meds are serious and you'll need to maintain eventually.

hydrate and aim for 30–50g fiber daily. my breakfast is either a carb-balance burrito (28g fiber) or high-fiber cereal with an oikos shake. add legumes or beans to lunch and dinner. lots of fluids overall.

The 'up at 4am checking peptide forums' energy is at least something, even if the tiredness is real. If the fatigue is more than the first couple weeks of adjustment, it's worth checking whether you're eating enough - the combination of caloric restriction and the medication's effects can create a deficit that hits harder than expected.

the every 2-3 hour eating strategy is the right instinct if you suspect blood sugar dips are behind the fatigue - the sustained low-level input keeps glucose from dropping into the range where energy crashes. a CGM for a week would settle the question of whether it's actually blood sugar or something else, but the dietary approach you've started is a reasonable way to test the hypothesis first