My appetite suppression on compounded tirz seems to be fading a few days after each shot. Is that normal or a sign I need to adjust?

Same here, Hi and welcome, you're in the right place. Everyone's different of course.

I stayed on the starter dose an extra month and it was the right call. I stayed on the starter dose an extra month and it was the right call.

For what it's worth, Access where I am has been hit or miss lately. Following this closely, good to not feel alone on it. You've got this.