If you have truly stalled for eight or more weeks, review the troubleshooting strategies in this guide and consult the why you are not losing weight on semaglutide resource for specific solutions

Seek immediate medical attention if you experience: Severe abdominal pain that is persistent, worsening, or accompanied by fever Obstipation (complete inability to pass stool or gas) with progressive abdominal distension Rectal bleeding or black, tarry stools, which may indicate gastrointestinal bleeding Persistent nausea and vomiting that prevents adequate fluid intake, risking dehydration Signs of bowel obstruction including severe cramping, visible abdominal swelling, and complete cessation of bowel movements Schedule a routine appointment if: Constipation persists despite conservative management measures for more than two weeks You require regular use of stimulant laxatives to maintain bowel function Constipation significantly impacts your quality of life or medication adherence You experience new or worsening hemorrhoids related to straining You have questions about adjusting your tirzepatide dose due to gastrointestinal side effects Your healthcare provider can assess whether dose adjustment, temporary treatment interruption, or alternative management strategies are appropriate

Patients should remember that sustainable results come from consistent adherence to dietary guidelines and lifestyle modifications, not medication alone
It is advisable to read the label carefully before use
Track your appetite, energy levels, and surgical site healing carefully when restarting therapy, and contact your prescriber immediately if you experience unusual nausea, vomiting, or difficulty tolerating food