Semaglutide, meanwhile, is an obesity drug sold by Novo Nordisk under the brand names Wegovy and Ozempic
Lack of sleep: When you don't get enough sleep, your body produces more ghrelin and less leptin, leading to increased appetite and cravings, especially for high-calorie, high-carb foods Chronic stress: Stress increases the hormone cortisol, which can also drive up appetite and lead to cravings for "comfort food." High cortisol levels can also disrupt your sleep, leading to more food cravings Even with semaglutide working in the background, a sleepless night or a stressful week can create hormonal shifts that are powerful enough to make you feel hungry
Hadidchi determine the best approach for your individual needs
Regular monitoring of thyroid function tests (TSH and free T4) is therefore essential when initiating or adjusting Ozempic therapy in patients with Hashimoto's disease
When to increase your dose Signs its time to move up: No appetite suppression after 4-6 weeks at current dose Weight loss has completely stalled for 3+ weeks Blood sugar markers havent improved Youre tolerating the current dose with zero side effects (some effect means the medication is active) For a visual breakdown of how tirzepatide microdosing compares to standard protocols, see our microdosing tirzepatide dosage chart