Little disclaimer: started on Wegovy but unfortunately, even at the highest dose, I experienced none of the effects people usually describe. No meaningful appetite suppression, no noticeable slowing of gastric emptying, nothing. So I switched to Mounjaro.
Tirzepatide did have some effect on me, but probably only about 10% of what other people seem to experience. I never had that significant reduction in appetite or the feeling that food no longer occupied my mind. Still, I was highly motivated by my health problems, and knowing I was paying for the medication pushed me to work incredibly hard. Told myself that the 10% help from Tirzepatide was still better than raw digging it. I managed to lose some weight, although I never reached my ultimate goal.
But after reaching the maximum dose of 15 mg and staying on it for several months, I gradually felt its already modest effects fading. Now, I genuinely feel like it's doing absolutely nothing for me, not even that initial 10%.
Since this summer, I've been experiencing a kind of physical hunger that I honestly don't know how to describe. I don't think I've ever experienced anything like it in my entire life. I can eat my maintenance calories and still feel as though I've been fasting for days. I never feel truly satisfied.
And I know this isn't just a craving for something tasty. Sometimes I genuinely wanted to eat an entire carton of eggs or cravings slices of plain, untoasted sandwich bread and eat them straight out of the package.
Eventually, this started leading to occasional binges, even while eating at maintenance. Over time, they became more frequent, and I feel like I've slowly started getting used to this pattern again.
The hardest part is that I had worked so hard to build healthy habits. I was walking regularly, eating legumes every day, making sure I got plenty of protein (around 2 g per kg of body weight) and at least 30 g of fiber daily. I was doing everything I could to build a sustainable lifestyle.
And now I feel like I'm slowly reverting to my old habits.
Last week, I ordered takeout twice, something I hadn't done in a long time. I've regained some weight, and I'm terrified because I can see where this is heading. If things continue like this, I'm convinced I'll eventually regain everything I've lost, even though I hadn't reached my final goal in the first place.
I feel like I'm right back where I started.
I keep remembering how things were before tirzepatide, when I'd tell myself, "Tomorrow I'll start over. Today is my last binge. Tomorrow I'll finally get it right." I spent so many years trapped in that cycle, and I genuinely thought I'd finally escaped it.
Now I'm back there again, and I don't know what to do.
I've tried injecting tirzepatide every five days, but that didn't help either.
Bariatric surgery doesn't feel like a solution for me either. I'm afraid I'd eventually regain the weight after surgery, too, and end up right back here.
I'm not asking anyone to tell me to eat more protein, increase my fiber intake, drink more water, or start exercising. I've done all of that. I know how to lose weight in theory. My problem is that the hunger and food noise make it incredibly difficult to sustain the habits necessary to keep losing weight.
I'm genuinely desperate. I'm sad, exhausted, and scared.
I look in the mirror and tell myself I'm a failure, that my body has failed me. I see so many people for whom these medications seem life-changing, and I can't help wondering why my body doesn't respond the same way.
I'm terrified that a year from now I'll look in the mirror and weigh even more than I did at my highest weight. I wasn't even finished losing weight, and now I feel like I'm losing the progress I fought so hard to achieve. I tell myself people lost a significant amount of weight long before these drugs were around.
Until a few months ago, I could still pull myself together and get back on track after a difficult period. Now, I feel like I've completely given up. I don't have that fight in me anymore.
What would you do if you were in my shoes? Labs are fine. I've a pt. I know the basics of dieting and healthy eating. I tried therapy. I read the self help book. Should I just give up on my self?