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 · commentmy weight was in a much better region, lipid panels were much improved
Apr 2026 · commentthe massive improvement in my health that came with losing 100 pounds
Jul 2026 · commentReduces appetite and cravings · 5
took me from always wanting food to actually being able to focus on other things fully
Jun 2026 · commentTotally helped me reduce appetite driven snacking and eating.
Mar 2026 · commentthe most striking effect was a marked decrease in cravings
Aug 2026 · commentFewer side effects than semaglutide · 4
Tirzepatide works, for me and I recommend it over semaglutide
Mar 2026 · commentfound Tirzepatide strongly preferable to Semaglutide
Jun 2026 · commenttirzepatide had far fewer side effects for me
Aug 2026 · commentImproved blood markers and health · 2
I've seen improvements in inflammation and other blood markers as well.
Aug 2026 · commentmy 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 · commentafter twelve weeks I had to stop because I felt a lot of nausea and tenderness in my upper abdomen
Jun 2026 · commentit either gave me terrible diarrhea and sulfur burps, or it did nothing at all
May 2026 · commentDoes nothing for some users · 2
it either gave me terrible diarrhea and sulfur burps, or it did nothing at all
May 2026 · commentI am a rare nonresponder and have only gained weight.
May 2026 · comment
What hackers pick instead
- OzempicPeople credit it with large weight loss and better health markers, plus reduced cravings and food intake. Most common caveat: weight and benefits often return after stopping, so it is often a long-term commitment.52recommend
- SemaglutidePeople recommend it for effective weight loss and side benefits like less liver fat. Common caveats are nausea, stomach upset, and weight regain after stopping.45recommend
- RetatrutideRecommended for strong appetite suppression, weight loss and blood sugar control; people report strong results. Caveat: unapproved, sourced from unregulated sellers with uncertain purity.23recommend
- WegovyPeople recommend it for strong appetite suppression and weight loss, with reported health gains. Common caveat: side effects such as low mood and low motivation.23recommend
- ZepboundPeople recommend it for reduced hunger and substantial weight loss, and say it helped them build new habits. The most common caveat is high cost, and some report side effects.21recommend
Every quote
The 40 most detailed of 53 comments. Each links to the original.
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”
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”
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”
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”
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”
my weight was in a much better region, lipid panels were much improved
Recommends · Apr 2026 · in “Ah, peptides. where to begin?”
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?”
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”
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”
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”
Tirzepatide or something similar makes that a lot easier.
Recommends · Jun 2026 · in “Exercise intensity influences body composition in healthy older adults”
My life is immeasurably better after losing 110 pounds.
Recommends · Apr 2026 · in “Ah, peptides. where to begin?”
found Tirzepatide strongly preferable to Semaglutide
Recommends · Jun 2026 · in “GLP-1 drugs led to weight loss and reversed depression-like behavior in mice”
once I started on tirzepatide I lost all interest
Recommends · Feb 2026 · in “Can Ozempic Cure Addiction?”
tirzepatide had far fewer side effects for me
Recommends · Aug 2026 · in “Semaglutide linked to 26% lower 5-year predicted dementia risk”
I've found Tirzepatide much more tolerable.
Recommends · Aug 2026 · in “Semaglutide linked to 26% lower 5-year predicted dementia risk”
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”
I am a rare nonresponder and have only gained weight.
Criticizes · May 2026 · in “The Biochemical Beauty of Retatrutide: How GLP-1s Work”
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”
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?”
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”
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”
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”
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”
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”
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”
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”
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”
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”
probably the most exciting pharmaceutical in a generation
Recommends · Apr 2026 · in “US FDA Expected to Lift Restrictions on Dozen Peptides Previously Banned”
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”
You can get Semaglutide or Tirzepatide for really cheap
Recommends · Feb 2026 · in “Weight-loss revolution (does not much) show up in the data”
responding well and being at a great starting point
Recommends · May 2026 · in “The Biochemical Beauty of Retatrutide: How GLP-1s Work”
which also appears to be superior (tirzepatide)
Recommends · Jan 2026 · in “Statement by Denmark, Finland, France, Germany, the Netherlands,Norway,Sweden,UK”
They each have their own side effect profile.
Recommends · Aug 2026 · in “Semaglutide linked to 26% lower 5-year predicted dementia risk”
Overeating is punished swiftly and painfully.
Recommends · Mar 2026 · in “Heart Attack and Stroke Risk Jumps When People Stop Taking GLP-1s”
it's crazy how it can truly reform habits
Recommends · Mar 2026 · in “Ozempic Is About to Go Generic for Billions of People”
I honestly think these are miracle drugs.
Recommends · Nov 2025 · in “GLP-1 drugs linked to lower death rates in colon cancer patients”
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”
most people switching to Triz and Reta
Mixed · Apr 2026 · in “Ah, peptides. where to begin?”
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