October 23, 20255 min reAd
Still Hungry on Tirzepatide: Why It Happens & What to Do
weight loss
Article

If you’re still hungry on tirzepatide, it doesn’t automatically mean treatment “isn’t working.” Hunger can change week to week, and several fixable factors may be involved.

Common reasons hunger persists

  • You’re early in treatment: appetite effects may build over time.
  • Meal composition is too light on protein/fiber: smaller meals can unintentionally become low-satiety meals.
  • Dehydration or poor sleep: both can mimic hunger signals.
  • High-stress weeks: stress can increase cravings and snack behavior.
  • You’re under-eating: severe restriction can backfire, increasing hunger and reducing adherence.

What to try before you panic

  • Eat protein first at meals, then add fiber (cooked vegetables, beans, oats).
  • Hydrate consistently; set a daily minimum goal.
  • Add a structured snack if you’re getting “late-day hunger crashes.”
  • Track patterns for one week (dose day, hunger timing, meals).

When to contact your clinician

If hunger remains high for multiple weeks, or weight and appetite trends move in an unexpected direction, contact your care team. Dose adjustments and plan changes require clinician oversight—do not self-adjust.

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