craving sweets on tirzepatide Impact of treatment participant‐reported food and food preference: Secondary analyses of a phase 1 randomised controlled trial in people with obesity with dietary restriction - Kennedy On a high dose of
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Huang Z, Liu L, Zhang J, Conde K, Phansalkar J, Li Z, et al

Tirzepatide does not consistently increase basal metabolic rate

Combine that with physician supervision and lifestyle support, and you've got a real path forward

Possible reasons for food cravings, increased protein intake, and increased caloric intake during the luteal phase of the menstrual cycle include: Rising levels of progesterone that cause an increase in appetite Higher demands for energy and nutrient-dense foods to thicken the uterine lining Cravings for fats, carbohydrates, and sugary foods as PMS kicks in Hunger may also be increased during the follicular phase due to high cortisol levels and increased insulin sensitivity
One of the consequences is the potential to trigger or worsen SIBO (small intestinal bacterial overgrowth)