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Health & fitness · weight loss drug

Tirzepatide (Zepbound)

Hacker Approved

Recommended for large weight loss, reduced appetite and cravings, and better blood markers, often with fewer side effects than semaglutide; the common caveat is nausea and digestive side effects.

Summarized from 53 comments.

Recommended for large weight loss, reduced appetite and cravings, and better blood markers, often with fewer side effects than semaglutide; the common caveat is nausea and digestive side effects.

recommend
36
criticize
4
months recommended
12 of 13
median owned, 6 owners said
0.25 years

Why people love it

  • Large weight loss reported · 4

    After losing a fair amount using tirzepatide, I did a repeat sleep test and my sleep doc gave me the green light to put the CPAP in storage.

    Oct 2026 · comment

    my weight was in a much better region, lipid panels were much improved

    Apr 2026 · comment

    the massive improvement in my health that came with losing 100 pounds

    Jul 2026 · comment
  • Reduces appetite and cravings · 5

    took me from always wanting food to actually being able to focus on other things fully

    Jun 2026 · comment

    Totally helped me reduce appetite driven snacking and eating.

    Mar 2026 · comment

    the most striking effect was a marked decrease in cravings

    Aug 2026 · comment
  • Fewer side effects than semaglutide · 4

    Tirzepatide works, for me and I recommend it over semaglutide

    Mar 2026 · comment

    found Tirzepatide strongly preferable to Semaglutide

    Jun 2026 · comment

    tirzepatide had far fewer side effects for me

    Aug 2026 · comment
  • Improved blood markers and health · 2

    I've seen improvements in inflammation and other blood markers as well.

    Aug 2026 · comment

    my weight was in a much better region, lipid panels were much improved

    Apr 2026 · comment

What people warn about

  • Nausea, stomach pain and diarrhea · 3

    I couldn't hit my macros on tirzepatide - couldn't get enough protein without feeling sick to my stomach.

    Mar 2026 · comment

    after twelve weeks I had to stop because I felt a lot of nausea and tenderness in my upper abdomen

    Jun 2026 · comment

    it either gave me terrible diarrhea and sulfur burps, or it did nothing at all

    May 2026 · comment
  • Does nothing for some users · 2

    it either gave me terrible diarrhea and sulfur burps, or it did nothing at all

    May 2026 · comment

    I am a rare nonresponder and have only gained weight.

    May 2026 · comment

What hackers pick instead

Every quote

The 40 most detailed of 53 comments. Each links to the original.

  1. After losing a fair amount using tirzepatide, I did a repeat sleep test and my sleep doc gave me the green light to put the CPAP in storage.

    Recommends · Oct 2026 · in “Novo Nordisk, Eli Lilly Report GLP-1 Signals of Slowed Biological Aging at ARDD”

  2. after twelve weeks I had to stop because I felt a lot of nausea and tenderness in my upper abdomen

    Mixed · Jun 2026 · in “GLP-1 drugs led to weight loss and reversed depression-like behavior in mice”

  3. took me from always wanting food to actually being able to focus on other things fully

    Recommends · Jun 2026 · in “GLP-1 drugs led to weight loss and reversed depression-like behavior in mice”

  4. it either gave me terrible diarrhea and sulfur burps, or it did nothing at all

    Mixed · May 2026 · in “The Biochemical Beauty of Retatrutide: How GLP-1s Work”

  5. I've seen improvements in inflammation and other blood markers as well.

    Recommends · Aug 2026 · in “Semaglutide linked to 26% lower 5-year predicted dementia risk”

  6. my weight was in a much better region, lipid panels were much improved

    Recommends · Apr 2026 · in “Ah, peptides. where to begin?”

  7. the massive improvement in my health that came with losing 100 pounds

    Mixed · Jul 2026 · in “Exercise works for depression. So why isn't it treated like real medicine?”

  8. Totally helped me reduce appetite driven snacking and eating.

    Recommends · Mar 2026 · in “Heart Attack and Stroke Risk Jumps When People Stop Taking GLP-1s”

  9. Tirzepatide works, for me and I recommend it over semaglutide

    Recommends · Mar 2026 · in “The next wave of GLP-1 drugs coming.they're stronger than Wegovy and Zepbound”

  10. the most striking effect was a marked decrease in cravings

    Recommends · Aug 2026 · in “Study links GLP-1 drugs to bigger jump in women's employment than a degree”

  11. Tirzepatide or something similar makes that a lot easier.

    Recommends · Jun 2026 · in “Exercise intensity influences body composition in healthy older adults”

  12. My life is immeasurably better after losing 110 pounds.

    Recommends · Apr 2026 · in “Ah, peptides. where to begin?”

  13. found Tirzepatide strongly preferable to Semaglutide

    Recommends · Jun 2026 · in “GLP-1 drugs led to weight loss and reversed depression-like behavior in mice”

  14. once I started on tirzepatide I lost all interest

    Recommends · Feb 2026 · in “Can Ozempic Cure Addiction?”

  15. tirzepatide had far fewer side effects for me

    Recommends · Aug 2026 · in “Semaglutide linked to 26% lower 5-year predicted dementia risk”

  16. I've found Tirzepatide much more tolerable.

    Recommends · Aug 2026 · in “Semaglutide linked to 26% lower 5-year predicted dementia risk”

  17. I couldn't hit my macros on tirzepatide - couldn't get enough protein without feeling sick to my stomach.

    Criticizes · Mar 2026 · in “Heart Attack and Stroke Risk Jumps When People Stop Taking GLP-1s”

  18. I am a rare nonresponder and have only gained weight.

    Criticizes · May 2026 · in “The Biochemical Beauty of Retatrutide: How GLP-1s Work”

  19. GLP1s don't work for everyone but they're pretty close to miraculous in effect given the balance of positive and negative side effects.

    Recommends · Nov 2025 · in “There may not be a safe off-ramp for some taking GLP-1 drugs, study suggests”

  20. It removes my craving for alcohol, but I can definitely time my dosage effectiveness based on when I start craving beer again.

    Mixed · Feb 2026 · in “Can Ozempic Cure Addiction?”

  21. It's $95 for 10 vials of 30mg Tirzepatide, which at the highest dose of 15mg/wk, is still 20 weeks for less than $100

    Recommends · Jun 2026 · in “GLP-1 drugs led to weight loss and reversed depression-like behavior in mice”

  22. Peptides are easy and you can mix different GLP1s to get the desired effect of appetite suppression

    Recommends · Sep 2026 · in “Launch HN: RonanRX (YC S26) – Personalized Peptides and GLP-1s”

  23. my depression is manageable without the Wellbutrin for the first time in my life

    Recommends · Jun 2026 · in “GLP-1 drugs led to weight loss and reversed depression-like behavior in mice”

  24. You can get tirzepatide from Lilly without insurance coverage for under $500/mo

    Recommends · Feb 2026 · in “FDA intends to take action against non-FDA-approved GLP-1 drugs”

  25. Tirz is already so effective you are chasing marginal gains for the most part.

    Recommends · Aug 2026 · in “Semaglutide linked to 26% lower 5-year predicted dementia risk”

  26. I know several people who responded poorly to Wegovy who did great on Zep.

    Recommends · Feb 2026 · in “Semaglutide improves knee osteoarthritis independant of weight loss”

  27. it kind of turned me off fatty foods, and I wouldn't want to have pizza

    Mixed · May 2026 · in “The Biochemical Beauty of Retatrutide: How GLP-1s Work”

  28. The GIP and Glucagon receptors might be better targets for you

    Recommends · Mar 2026 · in “Heart Attack and Stroke Risk Jumps When People Stop Taking GLP-1s”

  29. there are already US alternatives on the market (Tirzepatide)

    Recommends · Feb 2026 · in “FDA intends to take action against non-FDA-approved GLP-1 drugs”

  30. probably the most exciting pharmaceutical in a generation

    Recommends · Apr 2026 · in “US FDA Expected to Lift Restrictions on Dozen Peptides Previously Banned”

  31. I have very little interest in drinking on tirzepatide.

    Recommends · Jun 2026 · in “GLP-1 drugs led to weight loss and reversed depression-like behavior in mice”

  32. You can get Semaglutide or Tirzepatide for really cheap

    Recommends · Feb 2026 · in “Weight-loss revolution (does not much) show up in the data”

  33. responding well and being at a great starting point

    Recommends · May 2026 · in “The Biochemical Beauty of Retatrutide: How GLP-1s Work”

  34. which also appears to be superior (tirzepatide)

    Recommends · Jan 2026 · in “Statement by Denmark, Finland, France, Germany, the Netherlands,Norway,Sweden,UK”

  35. They each have their own side effect profile.

    Recommends · Aug 2026 · in “Semaglutide linked to 26% lower 5-year predicted dementia risk”

  36. Overeating is punished swiftly and painfully.

    Recommends · Mar 2026 · in “Heart Attack and Stroke Risk Jumps When People Stop Taking GLP-1s”

  37. it's crazy how it can truly reform habits

    Recommends · Mar 2026 · in “Ozempic Is About to Go Generic for Billions of People”

  38. I honestly think these are miracle drugs.

    Recommends · Nov 2025 · in “GLP-1 drugs linked to lower death rates in colon cancer patients”

  39. it's the only thing that actually helps.

    Recommends · Jun 2026 · in “GLP-1 drugs led to weight loss and reversed depression-like behavior in mice”

  40. most people switching to Triz and Reta

    Mixed · Apr 2026 · in “Ah, peptides. where to begin?”

Counts from 1,795,640 Hacker News comments, Nov 2025 to Nov 2026. How we count · Report a mistake