我患有快速性心房颤动（AFP）。您在接受心率加快治疗（RETA）后有过怎样的经历？

[PeachTree]

我只经历过一次房颤，但它却让我终生难忘！

我真的很想在我的TIRZ饮食计划中加入Reta，但我听说它会导致心率加快，我担心这会加重我的心脏负担。我服用β受体阻滞剂治疗快速性房颤，也许它能缓解心率加快的问题？

心率加快是暂时的吗？

有相当一部分人完全没有这些症状吗？

 

[hexagonal]

我去年12月换用了瑞达（Reta）。它仍然会使我的静息心率升高10-12次/分钟左右。尽管我之前希望奈必洛尔（Nebivolol）能有所改善，但它并没有。

它似乎对我的运动最大心率影响不大——前后一直如此。

研究表明，对于很多人来说，这种影响会在4-6个月后消失。

 

[raw_oyster_eater]

我的静息心率是130次/分钟。如果你想尝试的话，最好从非常低的数值开始。

 

[Meat_Peterson]

我的静息心率是130次/分钟。如果你想尝试的话，最好从非常低的数值开始。

休息时间这么长有点过头了。慢慢来。

 

[raw_oyster_eater]

休息时间过长了，别太操之过急。慢慢来。

是的，我之前完全停药了，现在正在尝试服用舒沃度汀。

 

[exploitedworkerbee]

我的心率突然升高了10次/分钟，而且一直维持在这个水平。我通过增加有氧运动来缓解这种情况。

 

[chmuse]

你的替拉唑剂量是多少？可以增加剂量吗？我之前有房颤伴快速心室率增高史，如果是我，我个人不会尝试替拉唑。我会先试试卡格列酮。

我不是专业医生，这也不是医疗建议，只是我个人觉得合适的剂量。

 

[Garbo]

I've only had one episode of Afib- but it sticks with ya forever!

I really want to add reta to my tirz, but I hear about the elevated HR and I worry it will agitate my heart. I take beta blockers for the Afib RVR, so maybe that will combat the heartrate issue?

Is the elevated HR temporary?

Is there a sizable group of people that don't get those symptoms at all?

Old lady here. After a successful and blissful time on Tirz, and at a great weight, I tried Reta. It was the new kid in town (exotic and expensive). I loved it with a passion for the energy boost, and for how I could eat more! I thought it would be the perfect maintenance drug.

Wrong.

Number one, I did eat more but I kept losing weight. A lot of it. Which, being the eating-disordered mess that I have always been, I loved — way too much.

Number two, the heart rate. It increased from day one, stabilized at an absurdly high rate, and never lowered until I (most reluctantly) stopped Reta ... after a big, big heart health scare.

Had never had significant heart issues before. Maybe a coincidence? — maybe not.

You've had a heart scare and it sounds like it made an impact on you. No one can predict how Reta will affect you. You might be in the majority who can handle it!

My advice is to pause, and consider, before trying it, how it will feel if you are in the minority who can't.

(And of course, like others have wisely counseled, start low and go slow if you decide to proceed. And monitor the heck out of your heart.)

PS. Tirz works phenomenally, but after a time if a person needs/wants stronger appetite suppression, a sprinkle of Sema often does the trick. Be safe, be well, good luck with your goals

 

[Mr. Smith]

I'm a bit jump for about 24 hours after each weeks pin. HR is up a little. I'm a runner so my RHR is usually 38-40 at night... Now is 42-45. I can live with it... Not a lot of weight to lose, so I fancy getting off it after meeting my goal

 

[SassyPants]

yea i went totally off and now i'm trying survodutide

Please report back on your survodutide experience please. I’m reading it acts like Reta minus increased heart rate. Curious to hear from those that have tried it.

 

[SassyPants]

Old lady here. After a successful and blissful time on Tirz, and at a great weight, I tried Reta. It was the new kid in town (exotic and expensive). I loved it with a passion for the energy boost, and for how I could eat more! I thought it would be the perfect maintenance drug.

Wrong.

Number one, I did eat more but I kept losing weight. A lot of it. Which, being the eating-disordered mess that I have always been, I loved — way too much.

Number two, the heart rate. It increased from day one, stabilized at an absurdly high rate, and never lowered until I (most reluctantly) stopped Reta ... after a big, big heart health scare.

Had never had significant heart issues before. Maybe a coincidence? — maybe not.

You've had a heart scare and it sounds like it made an impact on you. No one can predict how Reta will affect you. You might be in the majority who can handle it!

My advice is to pause, and consider, before trying it, how it will feel if you are in the minority who can't.

(And of course, like others have wisely counseled, start low and go slow if you decide to proceed. And monitor the heck out of your heart.)

PS. Tirz works phenomenally, but after a time if a person needs/wants stronger appetite suppression, a sprinkle of Sema often does the trick. Be safe, be well, good luck with your goals

Thank you for sharing this info. Appreciate it!

 

[PeachTree]

What is your tirz dose? Can you increase it? With a history of afib with rvr I wouldn't try reta, if it was me, personally. I'd try cagri first.

Not a medical professional, not medical advice. Just what my personal comfort level would be.

7.5mg once a week.

I knowwwwww, I should just titrate up. But I want to be a low dose girly.

I'm not comfortable with cagri, so I dont want that. And I just hear so many good things on Reta, but I should accept it's not for me either.

I'll probably just stack sema after seeing what going up in tirz does.

 

[chmuse]

7.5mg once a week.

I knowwwwww, I should just titrate up. But I want to be a low dose girly.

I'm not comfortable with cagri, so I dont want that. And I just hear so many good things on Reta, but I should accept it's not for me either.

I'll probably just stack sema after seeing what going up in tirz does.

There's zero shame in higher doses! Some people don't even start losing weight until 10mg!

Stick with what's clinically proven unless you have a really, really good reason to deviate. You're still at less than half the max dose! (They're currently testing up to 25mg!) You're still a low dose girlie.

 

[raw_oyster_eater]

Please report back on your survodutide experience please. I’m reading it acts like Reta minus increased heart rate. Curious to hear from those that have tried it.

i think the appetite suppression is better but i still get an increased heart rate but not nearly as bad as reta. like 100bpm vs 130.

 

[FlowerFairy]

I've only had one episode of Afib- but it sticks with ya forever!

I really want to add reta to my tirz, but I hear about the elevated HR and I worry it will agitate my heart. I take beta blockers for the Afib RVR, so maybe that will combat the heartrate issue?

Is the elevated HR temporary?

Is there a sizable group of people that don't get those symptoms at all?

I have afib w/rvr and my heart rate has not increased at all.

 

[keangkong]

Before I started reta, my resting heart rate, according to Apple Health, which uses my Apple Watch to keep track, was always in the low 40s. I started about 6 weeks ago, taking 2 mg reta per week. On its highest day, my resting heart rate was 57. Recently, it has been in the high 40s. I suspect it will go back into the low 40s but I won't mind if it stays the same.

 

[chmuse]

Before I started reta, my resting heart rate, according to Apple Health, which uses my Apple Watch to keep track, was always in the low 40s. I started about 6 weeks ago, taking 2 mg reta per week. On its highest day, my resting heart rate was 57. Recently, it has been in the high 40s. I suspect it will go back into the low 40s but I won't mind if it stays the same.

Y'all are scaring me, my resting is 85-95 Maybe I table the idea of reta.

 

[raw_oyster_eater]

was always in the low 40s.

get someone to attach jumper cables quick. you're almost dead.

 

[hexagonal]

Y'all are scaring me, my resting is 85-95 Maybe I table the idea of reta.

Mine sits in the low 90s on reta. I wouldn't want to get into the triple digits, but my RHR was high even when I was playing soccer/basketball/etc. and had great cardio back in my youth.

 

[Cantthinkofauserna]

Old lady here. After a successful and blissful time on Tirz, and at a great weight, I tried Reta. It was the new kid in town (exotic and expensive). I loved it with a passion for the energy boost, and for how I could eat more! I thought it would be the perfect maintenance drug.

Wrong.

Number one, I did eat more but I kept losing weight. A lot of it. Which, being the eating-disordered mess that I have always been, I loved — way too much.

Number two, the heart rate. It increased from day one, stabilized at an absurdly high rate, and never lowered until I (most reluctantly) stopped Reta ... after a big, big heart health scare.

Had never had significant heart issues before. Maybe a coincidence? — maybe not.

You've had a heart scare and it sounds like it made an impact on you. No one can predict how Reta will affect you. You might be in the majority who can handle it!

My advice is to pause, and consider, before trying it, how it will feel if you are in the minority who can't.

(And of course, like others have wisely counseled, start low and go slow if you decide to proceed. And monitor the heck out of your heart.)

PS. Tirz works phenomenally, but after a time if a person needs/wants stronger appetite suppression, a sprinkle of Sema often does the trick. Be safe, be well, good luck with your goals

What dose did you start Reta on and what was your titration schedule/protocol? When did you notice the HR sides?