Tirz to Reta... advice?

Started tirzepatide in October 2024. At this point it's mainly for binge eating since I've shed what I needed to. Been running on empty though, not my usual self. Always had some dizziness standing up, but a few months in I actually blacked out and hit my head hard. Labs came back solid except glucose was too low - need to retest fasting and A1C. Not certain tirz is the culprit but I can't stop it since I've battled binge eating my whole life without success on anything else. How do I fix the glucose piece?
 
The transition from Tirz to Reta is a real reset - even after years on one, you start fresh on the other. The electrolyte thing is huge, especially in the early weeks. I keep magnesium and potassium on hand and front-load them around my injection days. Protein stays high the whole time. The hunger coming back initially can be disorienting but it settles once you find your Reta dose.
 
55 lbs since May is strong responder territory. Reta makes sense for a non-responder - different receptor profile.
 
The crossover direction matters - going into reta with tirz still active in the system blunts the initial response, so a week or two of gap gives a cleaner read on whether it's working.
 
Brand Tirz supply narrowing is a real friction point for the switch - compounded Reta doesn't have that issue, which makes the transition easier right now.
 
No real loss at 7.5mg after 4 months suggests tirz isn't his mechanism - Reta often works where tirz doesn't. Short washout before switching is standard.
 
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