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The ups and downs you describe match my own experience exactly. I dropped roughly 130lbs over a few months by crash dieting the way a bariatric program does; then across 10+ years it all came back (though there were several stretches of weight loss along the way). At this point I weigh more than...

What's your duration on reta so far? Over that period, did your HR come down any? A few weeks in for me, and it's pretty much sitting at 95-100bpm the whole way through. A few years back I gave Tirz a shot, but the massive dose escalations brought on brutal gastro side effects.

Following the guide, so here's my hello. Moving to the New England, USA area is something I did not long ago, and GLP1s are something I have decent experience with. Tirz was my first attempt, a few months of it about a year back, and it treated me badly. Stomach trouble, aching, and appetite...