zepbound and tirzepatide the same (Tirzepatide): A Q&A on Mounjaro-Like Weight Loss Drug Which Weight-Loss Drug Is Better:

Not everyone reaches the maximum 15mg dose

On average, patients can expect to lose around 5-10% of their body weight over a few months, with some losing up to 10 pounds or more in the first month

You may need to take anti-nausea medication to feel better, he says

Mania/Hypomania/Mixed Episodes: During the double-blind, placebo-controlled clinical trials in bipolar I disorder in which adults were converted to monotherapy with lamotrigine (100 to 400 mg/day) from other psychotropic medications and followed for up to 18 months, the rates of manic or hypomanic or mixed mood episodes reported as adverse reactions were 5% for patients treated with lamotrigine (n = 227), 4% for patients treated with lithium (n = 166), and 7% for patients treated with placebo (n = 190)

PMID: 20720265

Although they resemble case studies in that they dont include randomization or control groups, they can still provide useful insights and identify meaningful patterns