Skip to content
• For research use only. Not for human or animal consumption. Read the content policy

Site Feedback

62 y/o guy here, currently 241 lbs, down from 286

Started by snare_amo 18 replies 8 people Last activity

OP
#1
Hey all. 62 y/o guy here, currently 241 lbs, down from 286. I’m about 30lbs from my target. Been on 5mg tirz for 5 months. Combined it with cjc/ipa at night to help protect muscle tissue. I track my food intake pretty closely. I have a year+ of tirz and cjc/ipa API in cold storage. I’ve been in a stall for a couple of months now. I’m not consistent at getting to the gym. Wondering if I should just stay the course, or make a shift to a different stack to finish the job, preparing to slide into maintenance. I’m retired, and nursing arthritic shoulder, hip, and knee. Not entering any bodybuilding competitions, so <10% body fat isn’t a goal. Just good health and energy to enjoy my remaining years. Thanks for any guidance y’all can provide me.
Link Reply
#14
That’s fine. There’s no major imperative to increase while you’re still losing weight. But you’re far from Tirzapatide’s clinical potential and I believe stability has more benefits than changing what’s working to different compounds. It might help to keep in mind GLP-1 is a hormone, like insulin or testosterone. In this case, it’s the hormone primarily responsible for setting your body’s weight homeostasis point, the weight it wants you to maintain. Like a “weight thermostat”. If your weight is above that setting, appetite is suppressed, food noise quiets, digestion slows, etc. in other words, your physical and psychological biology will push you back down toward the setting. Once you get there those effects stop. That’s the maintenance point for a given dose. If you somehow gained weight again, the appetite suppression would reappear. Increasing the dose moves the thermostat lower. And once again biology pushes you down toward that weight, and when you reach it, appetite suppression stops. Given that 1: Doses of Tirz (Zepbound) go up to 15mg (and up to 25mg will soon be FDA approved) and 2: Higher doses increase the non-weight related health benefits, ie, lower systemic inflammation, lower cholesterol, better blood pressure control, better blood glucose control, protection of blood vessels, kidneys, the heart, nerves, blood brain barrier, less “leaky gut” etc. Personally I’d just increase the Tirz incrementally, and when weight plateaus, go up again, until you reach your goal weight. Thats how the maintainance dose is found in the ongoing clinical trials, and 99% of those people maintain that weight and all the other benefits for 4+ years so far. I think that’s more sensible than adding to or switching from a stack that’s worked well for you, introducing unknown risks. Just my two cents as a long term GLP user. Started Ozempic (Sema) 5 years ago, and switched to Zepbound (Tirz) 3 years ago.
Link Reply
#15
Thank you so much for this! It’s exactly what I was looking for. My question was about all the hype surrounding Reta, and whether I was “missing out” on something that might help me by combining it with my tirz. I’m just staying the course, and will stay at 6mg for as long as possible. Might even try dropping back to 5 once I break my plateau. I don’t want to overshoot my goal weight and disappearing. 🤣
Link Reply
#16
The short answer is, in your case, someone who’s already well down the path of losing weight, and using it “conventionally” as a weight loss treatment, no, you aren’t missing out on anything with Reta. Reta might actually set you back, requiring a much higher (and expensive) dose to match your current Tirz dose. The people that are sometimes better off with Reta: 1: NEW GLP users who are afraid of, or have had experience of the bad side effects that can occur when first starting. Reta has a gentler “on ramp”. (And Tirz is gentler than Sema). But you’re already beyond that point, and it’s obviously tolerable. 2: Bodybuilders, “bikini season”, and other intermittent users, generally not those suffering from obesity. Because they’re using it short term, and often trying to carve off the last bit of fat from an already lean body. Reta’s unique glucagon mechanism can help in those scenarios* but glucagon is not nearly as useful for general weight loss. Most of the weight loss “magic” is still in the GLP and GIP hormones. As a side note, for weird legal, not scientific reasons, Sema / Tirz / Reta peptides are limited in size to 39 amino acids making up their protein “chain”. Sema dedicates the whole chain to activating GLP, so it’s a very strong in terms of its GLP effects. Tirz has to split up the limited amino acids to GLP and GIP, so it’s weaker on GLP. Finally Reta has to divide those 39 amino acids into the 3 receptors it’s targeting, so they had to give up more on GLP to “fit” amino acids shaped to dock on Glucagon receptors. This is one reason you often hear Reta isn’t as strong at appetite suppression as Sema or Tirz. 3. People who are weak responders to Tirz, or not getting to their goal weight after reaching the max dose. The Glucagon mechanism of Reta may allow them to lose (more) weight in a way completely different from Tirz’s GLP/GIP mechanism. So non responders might respond strongly to the Glucagon mechanism, and those who’ve “maxed out” on Tirz but still need more weight loss, can benefit from the extra weight loss Glucagon agonism allows. *glucagon is sort of anti-insulin. When blood sugar rises, insulin is released to signal cells (mostly muscle and fat) to absorb glucose, and lower blood sugar. When blood sugar drops too low, glucagon is released to signal the liver to produce and release glucose, to make sure there’s enough energy for (mainly) the brain to keep working. This is an oversimplification, but the liver makes glucose using fat, starting with the fat that’s in the liver. Reta tells the liver to produce glucose even when you don’t need it. Energy often drops when people first start a GLP, caused by the calorie deficit. Sometimes a low level depression can occur. Reta avoids some of this, because the extra glucose release it forces via glucagon maintains higher energy levels, you tend to stay more active and burn more calories (and the fat to glucose conversion burns a few), so you feel better during that sometimes difficult to adjust to starting off period. But 1: You’re beyond this early GLP phase and your body has already adjusted to the initial shock of suddenly having lower calorie intake. 2: The easily accessible liver fat used to make glucose is already mostly gone. For people starting out, or intermittent users like bodybuilders, this reserve tends to be loaded up and quickly provides that extra energy during the startup phase. Tirz has already cleared most of your liver fat (more slowly, “naturally” as your calorie deficit leads to slightly low blood sugar, glucagon is released to make up for that occasionally low blood glucose). When the liver is clear of fat, and glucagon is telling it to make glucose, it gets the fat elsewhere, but that’s a lot slower than using its internal fat. So that particular Reta benefit, clearing liver fat, is diminished in the case of an existing Tirz user.
Link Reply
#18
Don’t worry about overshooting. Zepbound doses move in 2.5mg increments. The prescribing directions advise staying on each dose for a minimum of 4 weeks. That’s how long it takes for blood levels to max out on the new dose. When you get to your goal weight stay at that dose or IF appetite suppression is still going on, drop back 2.5mg. At that dose, you should feel *nothing*. That’s the maintainance dose. Despite no noticeable effects, you are benefitting from a long and growing list of health benefits. It’s not difficult to characterize a GLP maintainance dose as the ultimate anti-aging, longevity health span supplement. The massive reduction in systemic inflammation alone is incredible (and the benefits that flow from that, everything from better cognition, slower skin aging, to lower cancer risk). I realize this may sound too good to be true (and I could go on for 100 pages about the positive effects GLPs offer for overall health), but to simplify things I’ll explain it via the evolutionary lens: GLP-1 is released when digestive tract tissue is stretched. This signals the body food’s been ingested. We evolved in an environment of intermittent food, often in abundance for a brief period in which we’d gorge ourselves (think an animal kill), and often filthy, loaded with bacteria. This large, bacteria laden meal would stretch our guts, making the barrier between the digestive system and blood permeable. (You’ve probably heard of “leaky gut”). Now bacteria is killed by acidic digestive juices. But this leaves behind endotoxin, the cell walls of dead bacteria. Endotoxin leaks through the permeable gut into the bloodstream. Endotoxin is the way our immune system identifies bacteria invading our bodies, and sets off a massive response. TLDR the brain “senses” this seemingly massive bacterial invasion, and tells the liver to release molecules that set the entire body on fire, via inflammation, to help the immune cells kill off those invaders. There are no invaders, just the “shells” of dead bacteria, but as far as your body is concerned, they’re bacteria. This massive “life or death” inflammatory response is extremely damaging. It harms cells everywhere. From the brain to the smallest blood cells in your toes. A few post meal responses like this would kill us via high fevers. So nearly every cell in the body, every neuron in your brain, every cardiac muscle cell, eyes, nerves, kidney, the endothelial cells lining your blood vessels has GLP-1 receptors. In every case, when GLP-1 attaches to those receptors, the cell responds by starting protective / regenerative processes. Mostly anti-oxidative and anti-inflammatory mechanisms. Remember, at the same time that big meal is causing the endotoxin to pass the “leaky gut”, entering your blood, the stretched gut also triggers a release of GLP-1. (Natural GLP only lasts minutes.) By injecting engineered long lasting exogenous GLPs (that last weeks), like we do now, we’re essentially putting every cell into “protect and repair damage” mode, continuously. So far, after 30 years of GLP-1 med use (in various forms), the only side effect of long term use appears to be longer life and a significant reduction in nearly every disease from cancer to heart and kidney failure, and of course diabetes
Link Reply
#19
Thanks for this. I've been trying to convince my mother to get on a glp and her excuse is she doesn't want to lose anymore weight, even though she's skinny fat. The pattern does make sense, every dose brings your body to a certain equilibrium with the signal strength of that dose. Myself I've noticed my BP is perfect now, went from doctor pushing statins on me to most recently just being told to exercise more and a1c is 5.0
Link Reply

That was the end of the thread

You just read 19 posts from 8 people in Site Feedback, written between Apr 2026 and Jun 2026.

Reading stays open to everyone — nothing here is behind a login. An account adds one thing: the ability to answer.

More in Site Feedback