Reply to Starting Tirzepatide on Monday any advice

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[quote=Anonymous]I'm so envious. My insurance stops covering it in July. I've been on it a year and it's life changing in ways I never would have thought. Not the least of which is being able to stop an antidepressant and all my bloodwork is now pristine.

The worst things at the beginning were serious fatigue and constipation. It shut off my extreme hunger almost immediately. My hunger was almost all day and quite painful. Which is why I had food noise. I was constantly thinking about how to stop the hunger that distracted me from regular life.

In terms of fatigue, if it bothers you, and your schedule allows, switch your shot days. My fatigue was worst the first couple of days so I took my shot on Friday so I could keep working well M-F.

I don't know how you eat now, but while everyone tells you to focus on protein, and that's true, don't forget the fiber! I ended up working with a registered dietitian because I had stalled out for a couple months, and she has me eat at least four grams of fiber with every meal and snack.  Have constipation remedies on hand. MiraLAX is the easiest but you need to be consistent.

And I am a slow loser. I don't lose without exercise. The magic of the shot, to me, is it calms your hunger queues enough to really be able to sit and plan how to fuel your body the best. I feel like a normal person for the first time; with normal dieting challenges and normal dieting successes. So it still takes work and good habits to lose. But you will! 
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