r/TirzMaintenance

Hello, now that the quickpen is on the American market how many folks have run the numbers on the cost of click counting vs compounding for maintenance level dosing?

I wanted to share a personal experience in case it helps anyone else navigating this.

I’ve taken 56 shots of tirzepatide and in maintenance for about 5 months. Lil over a month ago, I decided to take a break (I know this isn’t the right choice for everyone, but I made this decision with guidance and felt comfortable doing so).

One thing I didn’t expect and honestly kind of forgot what it felt like, was how my body would respond from a nervous system standpoint.

I track with an Oura ring, and over the past ~5 weeks off the medication, my physiological stress levels have dropped to the lowest they’ve been in over a year. Before, my baseline felt like I was in a constant “engaged” state all day functional, but slightly elevated. My heart rate would run a bit higher, and it didn’t take much for that to tip into stress. I could relax at night, but during the day my body always felt a little “on.” Also delt with a few depressive moments that did fade but left me weary.

Now, with the medication mostly out of my system, there’s been a noticeable shift. My heart rate is lower, my stress metrics are better, and I feel a sense of calm in my body that I genuinely didn’t realize I’d been missing. It’s like my nervous system finally exhaled.

On the flip side, yes, hunger cues are definitely coming back. That part is real and I’ve noticed some other hormonal symptoms. I wanted to share this because the tradeoff has been really eye opening for me. I forgot what it felt like to feel this relaxed in both my body and mind and not think about the impact of the medicine.

I think tirzepatide is incredible and will utilize this medicine again but wanted to share this moment. Not saying this is a universal experience, just mine, but figured it might resonate with someone else and haven’t seen others talk about it.

❤️

Team,

I started triz last month and the results have exceeded my expectations. I'm actually concerned that I may be losing too fast. I am an experienced (non competitive) intermediate lifter who wants to reduce my body fat and increase my lean muscle mass. I'm 58 years old, 5'10" 290lbs. My goal is to cut 20 - 30lbs trying to minimize muscle loss (and strength loss). I understand that when one goes into a calorie deficit for every pound that is lost at least 25% of it will be muscle and (hopefully) 75% of it will be body fat. Once I hit my goal I plan to come off Triz with the goal of clean "bulking" over the next 16 - 20 weeks. As soon as I get to 20lbs gained - with that being as close to 75% muscle and 25% fat as possible I will start the Triz again at 2.5mgs and start the process over again. I lift three times a week following a planned progression with progressive overload training very close to failure focused on heavy compounds. I am not currently on any gear nor testosterone. My goals are increasing strength, hypertrophy and my natural test. My test is mid 400's. I do plan to go on TRT if my #s drop further or once I hit 60 whichever comes first. My questions:

I'm thinking my test numbers will increase with the drop in body weight. Anyone seen that result before?

Do I need to titrate down the Triz when I start the BULK? Any issues with just stopping?

I plan to target 4 - 6lbs a month for the weight gain (basically twice as fast as the loss) is that too fast?

I am reducing the progressive overload on the "cut" (while on triz) pretty much cutting the weight (intensity) increases in half.

I plan to "push" progressive overload during the bulks.

I hate cardio, I don't ever do it. Should I add some cardio or more walking during the "cuts"?

Any advice on how to do this more successfully? What am I missing?

For maintenance, how do you manage the ordering? Continuing to order every 3 or 6 months will grow your inventory faster than your use if you are not taking as much or spreading out your doses. And ordering monthly gets you bad prices. What's your ordering strategy?

Hi, I’ve been on maintenance for a few months and I like how it’s going but ready to save $$$, can’t do $450/mo anymore. Anyone else doing something similar that can give any recs?

- currently take my 10 mg vial about every 10-12 days depending on how I’m feeling. But I’m seeing the compounded vials have to be used every 28 days so this wouldn’t work the same if I switched ?

Is there something I’m not understanding right on the vials/dosages or something that anyone could recommend? I’d like to still keep the same dosage and schedule but is there an equivalent in how compound pharmacies can have this work for me? TY!

Hi Veterans! Getting ready to hit maintenance. On 15mg a week. 4 pounds from goal. I’ve been thinking to increase my calories before going down in dose. Without increasing the volume of food I can make a change in my regulars. Higher calorie yogurt, whole milk instead of almond milk and the like. Before tirz I could gain weight in an instant and food noise was non stop. I do all the things, high protein, exercise etc. what are your thoughts on this? TYIA

Help! I'm 5'3" - original goal was 115 - currently 123. I think I'm ready to stop losing. I'm between a size 8 and a 6, with very small bones, so I originally thought I wanted to get down to a size 2 or 4. But my face is probably as thin now as it needs to be. I'm 55 years old, and I think at this point I will just start looking older if I keep losing.

I've titrated down slowly from 7.5 at my highest to my current dose of 5. I'm still losing, but I am finding my thoughts dwelling on food more and more. I just drove an hour, and found myself fantasizing about every restaurant sign I passed. I didn't stop, so it's still resistible, but to be honest I really don't know how I made it home without or if I could do it again.

Now what? If I don't keep lowering the dose, I will get too thin. But Im already struggling with food noise again so I can't imagine how much worse it is going to get if I keep titrating down. How do I balance this? Am I destined to gain it all back???

I was on it for about a year, and lost 100 lbs and hit my goal weight (240 to 140) so I went off the meds cold turkey about 2 months ago. Dr said I could go cold turkey or slowly lessen the dose…I changed everything about my life and habits in the year that I was on it, so I wanted to see if I could manage things going off it. I’ve been doing okay and feeling pretty good physically but man do I miss how easy life was on the meds. I have to put so much more thought into what I’m eating and that’s annoying now lol I have a long history of mental health issues surrounding food so it’s causing me some anxiety too, always worrying about if I’m going to gain weight back (which is insane, I workout 6 days a week and eat so well now). The food noises and anxiety surrounding food are back, even tho I’m not gaining weight back.

I’m already thinking about going back on a smaller dose. I lost all the weight without going past 7.5 so I could probably go back on 2.5 and feel better. I just never intended to take it forever. Anyone else dealt with this? Do I just need to give it more time? I don’t hear many stories of what happens after people lose all the weight so I guess I’m just curious how others handle this.

Almost 2 years in and maybe a poster child for Tirz, lost 100# in one year going from 274 to 174, fairly happy and content with where I am but have been stalled for a year - really wanted to to get to 160# and a "healthy" BMI for once in my damn life!

Fast forward to now after lots of research I have added Reta and am seeing a bit of gain which I know is common initially. Curious at such point should I get concerned and realize maybe my protocol isn't working? Im up 6-8lbs in 6 weeks. Im also taking NAD+ and KLOW.

Anyone have similar issues, recommendations?

I hit goal weight in January and the last 2 months prior to that, I was losing very slowly and really trying to figure out increased food noise and appetite without titrating up in dose. Because of how I was feeling, I really assumed I would have to stick to my dose once I got to maintenance for at least a few months. Maybe even thought I would eventually titrate up in maintenance if the food noise and hunger continued to increase. I decided to stock up on enough to last me to the end of the year at the same dose and then a cushion of a few months to titrate down. I’d read enough of forced weaning from providers to want to play it safe.

Well, 3.5 months later, I’m down 5 more lbs and taking 3mg weekly. And I think I need to change it up to 3mg every 2 weeks. Trying to eat more so I can build more muscle. I just did the math and if I stick with this plan, my current supply will last me 172 weeks or 3 years. 🫠 I guess it’s a good problem to have?? Better safe than sorry? Enough wiggle room in case I need to pivot?

Anyway, I don’t think I’m looking for advice. Just hoping to find folks to commiserate with over this very annoying first world problem. Pouring one out for the unknown fate of this baby stockpile of mine.

I hit goal weight on 13.5 MG foive months ago,which is 60 units, I’ve been trying to maintain every ten days on same dose it’s worked well so far only gained 2lbs and I’ve been working out and seeing results
Past two weeks I ran out was expecting delivery, gained another 2lbs so I’m now at 148 from 144

This week I started to titrate down half way which is is 30 units. It was like an injected water on Monday so today I injected another 30. Wish me luck.

My tirz journey has been positive. I am. 56 year old female. I look good, I feel physically better overall, and my body is a good shape now, I am a very active person with muscle so when I get below 170 at my height of 5’5 I start to get this great hourglass shape. I just don’t feel like more weight loss is necessary.

I’m on 9mg. I’ve been losing about 2 pounds a month now. I weigh 168 this week.

After I take the shot, for a few days I find I am so emotionally flat, that I struggle to work or enjoy my hobbies, my digestion is slow, and I’m honestly pretty irritable. Toward the end of the week when my shot is due, suddenly I can go to the bathroom without laxatives, I sleep soundly, and I start seeing the world a little brighter.

This is hard because I have been an insulin resistant person for a very long time with an HBa1c that was creeping up, very high inflammation and body pain, and rapid weight gain on a fairly normal diet before I started tirz. The drug is necessary for me.

I will NOT do HRT or antidepressants so do not suggest them. I have definite reasons that would be another huge post so I’d rather not explain myself.

I tried cutting down the med to 7.5 and I put on three pounds in two days.

Would a more gradual taper help me? I’m thinking I might even start counting calories and regulating my diet more which is 🤮 for me psychologically. What if I just went down by one unit a week? Would I possibly limit weight gain and start to just be more mindful of what I eat, find some balance with less of this drug?

Sorry for the long post and all of my opinions. I’m sure if some of you have had lifelong metabolic issues you can understand my issues with drugs in general - it took YEARS for me to try glp1. And my issues with anything close to ED behavior.

Hi. I'm on my 3rd week sa Tirz. Pero my weight since last week hasn't move. Is it normal? Should I continue with my 2.5 mg until 4th week?

I cant seem to find any posts related to the oral Sermorelin, so I figured I’d post about my experience. Ive used the sub-q Sermorelin before but was interested in trying a different delivery system after some injection site reactions. Saw ODT version (oral disintegrating tablets) offered on the Gimme website, and I decided to place my order on April 18, was prescribed on April 19, then sent to pharmacy and shipping label was created, then….drum roll: I never received the product and am out $129.

I’ve tried using the website to contact customer support, but its ability to “connect” is a hit or miss (seriously, the chat disconnects more often than not). I then tried reaching out on Reddit to Chloe, who tried her best but is probably getting slammed with all the recent tirz orders, so no movement there. Then I tried email, but after a few exchanges with no progress, I finally gave up and requested a refund, but was told I can’t be refunded because the “product was delivered”… WAIT WHAT!!?? The product never even shipped, it’s been three weeks, just give me my money back!

I’ve been with Brello and lavender sky health. Brello says they can’t provide me any more tirz since my bmi is too low. They said I need to go back up to my original starting weight for them to provide me more medication. Uhhhh WHAT? I’ve been micro dosing the whole time and need medication to keep myself at this weight and in maintenance. Does anyone know of providers that will help work with me in maintenance. I don’t want to lose any more weight (I could really benefit from gaining 5 lbs) but I also don’t want to gain 40-50 lbs back!

I’m on 1.5mg on Reta for maintenance, and was thinking about switching over to tirz (lower hr, better sleep, better cardio endurance), but was worried about the “fatigue” that some say comes along with tirz. Thoughts?

Hey everyone,

MODs if this isn’t allowed please remove this.

I just wanted to share a discord that I am part of that has GREATLY helped with some of the silly questions I have had and really created a community where I feel seen and heard.

There are newbies, veterans, athletes and everything between.

Just dropping it on here for anyone that may be interested.

(No off white discussion allowed)

https://discord.gg/Hwrsm5Wh9