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Evidence-based GLP-1 & peptide discussion since 2023
ForumsTirzepatide (Mounjaro / Zepbound)My appetite is literally gone is this normal at 10mg Page 3

My appetite is literally gone is this normal at 10mg

robert_kc Mon, Mar 23, 2026 at 9:12 PM 12 replies 727 viewsPage 3 of 3
Dr.SportsMedIN
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Mar 30, 2026 at 4:14 AM#11
hans_munich said:
Neuroscience perspective on food noise: GLP-1 receptors are expressed throughout the CNS, with high density in the hypothalamic arcuate nucleus, area…

Central vs peripheral GLP-1R signaling in food noise: elegant studies using brain-penetrant vs peripherally-restricted GLP-1 agonists show that ~80% of the weight loss effect is centrally mediated[1].

The key brain regions: arcuate nucleus (appetite), area postrema (nausea), NTS (satiety), VTA/NAc (reward). Peripheral effects (gastric emptying, insulin secretion) contribute but are secondary for weight loss.

This has implications for next-gen drugs: optimizing brain penetration and CNS receptor occupancy may be more important than systemic exposure.

References:
[1] Secher A, et al. J Clin Invest. 2014;124(10):4473-4488.
Last edited: Mar 30, 2026 at 9:14 AM
39 12lucas_SP_BR, lisa_labSD, adam_van and 36 others
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MeganSA_TX
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Apr 1, 2026 at 11:34 PM#12
lucas_SP_BR said:
"Food aversion" side effect of food noise that I wasn't prepared for: I used to LOVE cooking and trying new restaurants.

Thank you for spelling out the reasoning rather than just the conclusion. Adding it to my notes with a link back to this thread.

Last edited: Apr 2, 2026 at 1:34 AM
40 13julia.endo, JessicaM_2024, TomFromTexas and 37 others
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pete_RVA
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Apr 4, 2026 at 6:53 PM#13
hans_munich said:
Neuroscience perspective on food noise: GLP-1 receptors are expressed throughout the CNS, with high density in the hypothalamic arcuate nucleus, area…

I read this differently from hans_munich, on substance rather than tone. I think the framing smuggles in the conclusion. Ask it the other way round and the obvious answer reverses, which usually means the question is doing the work.

41 14Admin, Dr.Martinez, mike_mod and 38 others
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wendy_avl
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Apr 7, 2026 at 2:10 PM#14

One concrete data point for the thread. Say what you would expect to see if you were wrong, before you look. It is a small discipline and it changes what you notice.

42 15PharmHunterJen, TomTeleRx, DoseLogDan and 39 others
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mike_mod
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Apr 10, 2026 at 9:26 AM#15

Moderator note: reminder that nothing in this thread is medical advice, and that clinical claims need a source.

43 16PurityPaulOR, MaxMetOK, MounjBrad and 40 others
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