Bariatric Medicine Tirzepatide. Tirzepatide works in two ways. Actually, three, if you count the effect on the brain. 1. Stomach 2. Pancreas-Hormone Glucagon A. Slows passage of food in the stomach This makes you feel full sooner and longer. The stomach is stretched sending a signal to the brain that the stomach is full. No more room for food. Brain – Don’t send more food — stop hunger. This is where the side effects come from; Nausea, Vomiting, Diarrhea and Constipation Also slows colon like stomach — no food and no movement. Keep things moving with fiber; non-absorbable fiber.  FASTING PREVENTS SIDE EFFECTS IN GENERAL B. Pancreas releases glucagon when you are not eating When you eat: The pancreas secretes insulin to drive sugar into cells for energy and storage. When you are not eating: The pancreas secretes glucagon to pull sugar out of fat cells for energy. This raises blood sugar so you have energy and shuts off your appetite. GLUCAGON releases sugar from fat cells and gives you energy and prevents hunger and fatigue. Take Mounjaro or Tirzepatide each week in the morning on an empty stomach, wait, and then start to eatslowly if at all. Don’t eat if you are not hungry. listen to what your body is telling you. If it is saying you are not hungry and you eat anyway then you pay a price with the side effects. Remember, fasting is good, it’s healthy. You won’t get malnourished with intermittent fasting such as 16 hours per day, 20 hours per day or even fasting every other day. You will still feel fine with the energy produced from the sugar released from your fat cells.