Slower on tirzepatide — anyone else

Started 5 October 2025 · 18 replies · 146 hearts · read 1.2k times

FlorrieBlackburn, UK · 5 October 2025

9 months ago

Slower on tirzepatide — anyone else Writing it down partly to work out what I actually think.

I do not know if this belongs in this circle. Move me if not.

I want to write this down while I am still in it, because I have noticed that I rewrite these stages afterwards into something more sensible than they were.

I have a review coming up and I would like to arrive with a proper account of this stage rather than the vague description I gave last time.

Sorry for the length. If anybody has been at this point, I would very much like to hear how it went.

DoraUtrecht, NL

The schedule on the box is a default, not a deadline. My nurse said that in my second month and it reorganised how I thought about the whole thing.

TomásFacilitatorLisbon, Portugal

Speaking as a facilitator rather than as a member: what has been described is well within the ordinary range, and the only person who can say so about your body is the one who knows it.

GwynethAberdare, UK

My prescriber and I settled on longer gaps between steps and shorter gaps between conversations, which I would recommend to anybody who finds the schedule stressful.

BevanSwansea, UK

I have been at the same step for eleven months, agreed with my prescriber, and it is the best decision I have made in this whole business. Slow was not a compromise, it was the plan.

7me too 6

BrammyBelfast, NI

Whenever somebody new arrives worried about being slow, I say the same thing: nobody in this circle is going to be impressed by speed, and nobody is keeping score.

HalCambridge, UK

Gwyneth, thank you for that. It gives me somewhere to start from.

I would gently add that slow is not the same as stalled. I moved twice this year, both times deliberately, both times after a conversation. That is progress with a handbrake, not no progress.

GwennoPwllheli, UK

Coming back to what Bevan wrote further up, because it is the bit I keep thinking about.

I do not think going slowly is universally better. I think it was better for me, and I am very cautious about turning my experience into anybody's rule.

11me too 2

IdrisCardiff, UK

My step-ups are all in April and October now, entirely because those are quiet months in my working year. That is a completely legitimate way to plan it.

GwendaEbbw Vale, UK

Nine months at one step here and my prescriber has never once suggested moving. She said the schedule is a scaffold and I am not obliged to climb it.

BroganCumbernauld, UK

#10

The thing that changed my mind about pace was noticing that my worst fortnights all followed a step-up I had not really been ready for. That pattern was in my own notes.

FlorrieBlackburn, UK

#11

Reading and nodding. Nothing to add, and I wanted you to know somebody had read it.

5me too 2

DoraUtrecht, NL

#12

I found I needed about three weeks at each step before I knew what that step was like. Two weeks always gave me a half-formed impression that I then acted on.

HeddaCopenhagen, DK

#13

What Florrie described happened to me too, in a slightly different order.

The thing that finally let me relax was realising that staying put is an active choice with a reason behind it, not a lack of a decision.

GwynethAberdare, UK

#14

I went back down a step once, deliberately, and it was not a failure. It was the most sensible fortnight of the year and my prescriber agreed without hesitation.

BevanSwansea, UK

#15

Somebody in this circle described their pace as "geological" and I have thought about that phrase very fondly ever since. Mine is similar and nobody minds.

BrammyBelfast, NI

#16

Hedda said something I want to sit with for a second.

Slow titration is not the cautious version of this. For some of us it is simply the version that works, and I have stopped framing it as a hedge.

10me too 7

TomásFacilitatorLisbon, Portugal

#17

Noticing out loud that we have drifted into comparing timelines. That happens without anybody intending it and it does not help the person who opened the thread. Let us come back to them.

GwennoPwllheli, UK

#18

I stayed where I was for four months because it suited me there, and the only pressure to move came from me. Not from my prescriber, and certainly not from anybody here.