Ozempic: Weight came back. Now what?

I started on Tirz back in october and honestly it's been a game-changer for the binge eating piece. weight-wise I'm where I want to be now but I'm staying on it for that reason. Downside is I've been wiped out, way more tired than my baseline. Recently passed out standing up which was scary, and my glucose came back low when I got labs done. Not 100% sure Tirz is the cause but the timing lines up. I've tried everything for binge eating and nothing else has worked, so I'm stuck figuring this out rather than stopping. anybody dealt with low glucose while on it?
 
That's amazing, congrats! I dropped to 150 from 227 back in 2010 and rocked 30 inch jeans. Currently I'm at 178 coming down from 297 and I'm really hoping to squeeze into those 30s again!
 
That's the real win right - normal activity is back. Walking your dog without getting winded, just everyday stuff that's actually huge. Don't go backward.
 
Had the same thing happen to me with another procedure. Worked great initially, got back about a fifth of the weight I'd lost. Kept it off for maybe a year before everything returned plus some extra pounds. It's really frustrating when that happens.
 
Yeah, I went way overboard with food yesterday. But here's the thing, I've actually got a plan now to get back on track. The scale thankfully didn't budge, so that's a win.
 
started december 2024 at 410 lbs, went ozempic then mounjaro then wegovy because insurance kept changing. mounjaro approved finally and i've stuck with it. bariatric surgery scheduled for august and i'm wondering — can i keep taking mounjaro after or do i need to wait until plateau? don't want to lose too fast but food noise coming back terrifies me.
 
The tool framing is the accurate one - Ozempic lowers the calorie-in floor through appetite suppression but doesn't work independent of what you're eating. The weight returning after stopping reflects the chronic disease model, where the medication manages the condition rather than curing it. Restarting with a lower dose is the usual path, and the second run often doesn't require full retitration.
 
Anxiety returning in week 4 after a long depression recovery is worth flagging to a doctor before adjusting the medication - the gut-brain interaction on GLP-1s is real and worth a direct conversation.
 
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