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Anybody on Wegovy?
I was started on Wegovy roughly three months ago. I’m on the 0.5g dose, so still a low dose. It’s doing what it’s supposed to but I think it may be too effective in suppressing my appetite.
It’s not unusual for me to eat half a sandwich and immediately throw it back up and that’s all I’ve had that day. Or I can go a whole day not eating more than a slice of cheese. I already had problems with Vitamin D and iron deficiency before Wegovy and I’m worried I could end up with straight up malnutrition. I obviously know I should eat more but it will not stay down and even the thought of eating can make me feel ill. And when I’m pre vomit (sorry for the inelegant phrasing) I feel very unwell indeed - weak, shivery, faint, even break out into a sweat. Once the food has resurfaced I’m fine.
I spoke to the nurse about how I was worried that I wasn’t eating enough and her oh so helpful advice was to make sure I eat at least 800 calories and to use an app to track my nutritional intake. Lady, if all I’ve eaten is a biscuit I don’t really need an app to tell me that is not giving me my RDI of nutrients!
I’m trying to make up for the shortfall with supplements but they cause nausea and vomiting too. A lot of the high protein and meal replacement drinks seem dairy based which irritate my stomach not least because it appears that I’m somewhat lactose intolerant.
Has anybody else had similar challenges and did you find a way to overcome them?
I agree with other commenters—go back down to 0.25 for a few months and if that doesn’t help, switch to Zepbound. If your insurance doesn’t cover Zepbound, you may still be able to apply for a formulary exception.
I have not tried Wegovy, but I am on Zepbound now and I tried Saxenda in the past. Like many (most?) tirzepatide users, I have had almost no side effects on Zepbound. Like many (most?) liraglutide users, I had a lot of nausea and constipation on Saxenda. I managed it by ignoring the normal titration schedule and waiting until the side effects at each dose had abated before going up to the next dose.