I couldnt see your starting weight, and it matters whether youve already lost 50 kilos or 10 and stalled. Rising hunger and slower loss usually mean youve lost a lot already, so the medication has to hold the line rather than only push more loss. If cost isnt an issue, though data is still in its infancy, eloralintide looks like the best add-on: about 11% extra loss in 32 weeks over tirz alone at 15mg. Probably better than cagri for extra loss, as the only cagri trials paired it with sema. Still, adding tirz or cagri is reasonable, or going beyond 12mg of reta, which only really works if side effects at 12mg are minimal, otherwise tirz may be gentler. Start cagri very low, like 0.25mg. Tirz might quiet food noise more effectively than reta does.