The food noise that quieted down for the first couple months has been creeping back lately, and I'm down about 5 lbs so far on my current dose. Wondering if this is just something that happens to most people over time or if it's worth bringing up with my provider. For those of you who noticed appetite suppression fading, did it come back stronger after any changes, or did you just learn to lean on willpower more?
Medications
Zepbound appetite suppression fading, normal?
Mine faded around month two as well and the food noise never fully went back to pre-med levels, just louder some days than others. What helped me most was tightening up my protein at breakfast because when I skipped that the cravings hit way harder in the afternoon. I got to where I stopped expecting total silence and just treated it as background static I could work around.
Same thing hit me around month three, and the noise never got as loud as before I started, just harder to ignore some days. I'm down over 20 lbs and still losing even on the loud weeks, so I stopped treating it as a sign it stopped working. Worth flagging to your provider anyway, but for me it was just the med settling in.
Mine got louder around month three too, but some weeks are quieter than others and I never fully lost the progress. Weight loss kept going even on the noisier days, so I stopped panicking about it. Worth mentioning to your provider if it bugs you, but for me it was just part of the ride.
The nights I dreaded most were always fine for me too - just some queasiness that a plain dinner handled. By the time I'd dropped 48 lbs, shot days felt like nothing. Come back after and tell us how uneventful it was.
My first step up was the same story - one warm, restless night and then nothing. The appetite dip showed up for me a couple days later too, so if tomorrow feels like any other day, that's not a bad sign. Down 26 lbs since starting and the rough nights have been rare.
Mine faded around month four too, but I was still losing steadily, so I stopped reading the noise as the med quitting on me. The weeks it got loud were usually the weeks I'd gotten sloppy with protein, and tightening that up quieted things more than anything else. Down 67 lbs on Mounjaro and I still get noisy days, just ones I can ride out now.
The lead-up was way worse than the actual night for me - I barely slept the evening before my bump, then slept fine after. Down 42 lbs now and my bump was genuinely a non-event, just ate light that first day. Come back and report so the next anxious poster gets one more data point.
Mine came back around the same point and it freaked me out, but I kept losing anyway - down 44 lbs now with plenty of loud days mixed in. For me the creeping noise tracked with letting protein slide, and once I got back on that it settled some. Worth mentioning to your provider anyway, but don't assume the med quit on you.
The anticipation was the worst part for me too - I'd work myself up every bump and then nothing happened. I'm down 76 lbs and honestly the bumps have all been quieter than the regular weeks. Eat something plain that first night and just see.
Mine got louder around the same stage too, and I still kept trending down - now 46 lbs gone with plenty of chatty-brain days. I also found it flared up on weeks I wasn't eating enough protein, so that's worth keeping an eye on. Nothing wrong with asking your provider, but for me it never meant the med had stopped working.
Same thing happened to me around month two on my current dose - the noise got louder but I was still losing, so I stopped panicking about it. I noticed mine got worse on weeks I let protein slip too, so that might be worth tracking for you. Still fine to flag it at your next appointment for peace of mind.
Another vote for anticipation being the hard part. My 2.5 to 5 jump had me stressed all week and the worst of it was one queasy evening around hour 30. I only had crackers and ginger tea on hand and that was plenty to get through it, so you've got this.
For me the 5mg hit harder appetite suppression than side effects, so my problem was the opposite of what you're bracing for - I had to remind myself to eat. Queasiness was just one blah evening around day two. Sounds like you're already prepped better than I was.
The dread going into my 5mg was way worse than the night itself - one rough evening, then it settled and the suppression actually kicked in harder than the 2.5 ever was. I kept plain toast and broth around and barely touched them. Being 55 down at this point you probably know your body's patterns by now better than any thread.
Mine faded around the same point you're describing and came back noticeably after I moved up, though the quiet stretch before that made me doubt it ever would. I also found the noise was never fully gone for me, just turnable-down, so tracking whether I'm actually eating less helps more than judging by feel. Worth mentioning to your provider either way since 5 lbs is solid but not where you want to stall.
The noise coming back around that point happened to me too, and I'd been second-guessing whether I was imagining it until I realized my portions had quietly crept up. Weighing my food for a week or so told me more than my appetite ever did. Mentioning it to my provider was worth it in the end, even though I almost talked myself out of it.
Clothes are loose enough that I need a smaller size. Small loss this week but the trend line still points the right way. That's the spirit. Just one data point, yours might look totally different.
Mine faded too around a couple months in, but the loss kept going anyway, I'm 22 down now. The noise got louder right before I moved up, then quieted again. Worth flagging to your provider like the others said, and weighing portions for a week gave me a reality check I didn't know I needed.
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