u/fakewellnessgirlie

I’m trying to figure out whether what I’m experiencing is more related to GLP-1 side effects, IBS, stress/binge eating patterns, ADHD/reward issues, or some combination of all of them.

I’ve been on tirzepatide for a while and recently lowered from 10mg to 5mg because I was struggling with GI symptoms/fullness/burning sensations. The issue is that 5mg still seems to slow my stomach down physically, but doesn’t consistently reduce the “food noise” or mental pull toward eating as much as I want.

I also have IBS and take mebeverine, so it’s hard to tell what’s causing what.

The main thing bothering me is this ongoing sensation of:
- food sitting in my stomach / delayed emptying
- mild burning/fullness pressure in the upper-middle stomach area
- feeling physically full but still mentally wanting food
- eating sometimes making me want to eat more rather than less

This isn’t just after binge episodes either — I’ve noticed the “stuck” feeling even during more structured eating periods.

I recently went through a very stressful dissertation period and had several days of binge/overeating episodes (mostly things like bread, peanut butter, cereal, nuts etc. rather than takeaways). I’m now back to more structured eating:
- tracking intake
- eating every ~4 hours
- fewer binge-trigger foods in the house
- trying to avoid chaotic grazing

but my stomach still doesn’t feel “normal.”

I’m also coming off Elvanse/Vyvanse and just started atomoxetine/Strattera a few days ago, so I know my nervous system/appetite regulation is probably in flux too.

What I’m struggling with is the balance between:
- wanting reduced food noise/binge urges
- wanting normal digestion/fullness again
- not wanting to feel painfully overfull
- but also not wanting to remove every enjoyable food from my diet or eat tiny meals constantly

I’m not looking for extreme dieting advice or “just stop eating sugar.” I’m more wondering if other people with ADHD/binge eating/IBS/GLP-1 use have experienced:
- fullness that feels uncomfortable but doesn’t stop mental urges to eat
- burning/full sensations without severe reflux/vomiting
- food feeling physically slow to move
- or difficulty finding the balance between appetite suppression and feeling physically normal.

I’m considering whether I may need to stop the GLP-1 at some point just to work out what symptoms are medication-related vs baseline, but honestly I’m scared the binge eating/food noise will get much worse without it.

I’m trying to figure out whether what I’m experiencing is more related to GLP-1 side effects, IBS, stress/binge eating patterns, ADHD/reward issues, or some combination of all of them.

I’ve been on tirzepatide for a while and recently lowered from 10mg to 5mg because I was struggling with GI symptoms/fullness/burning sensations. The issue is that 5mg still seems to slow my stomach down physically, but doesn’t consistently reduce the food noise or mental pull toward eating as much as I want.

I also have IBS and take mebeverine, so it’s hard to tell what’s causing what.

The main thing bothering me is this ongoing sensation of:
- food sitting in my stomach / delayed emptying
- mild burning/fullness pressure in the upper-middle stomach area
- feeling physically full but still mentally wanting food
- eating sometimes making me want to eat more rather than less

This isn’t just after binge episodes either , I’ve noticed the stuck inside me feeling even during more structured eating periods.

I recently went through a very stressful dissertation period and had several days of binge/overeating episodes (mostly things like bread, peanut butter, cereal, nuts etc. rather than takeaways). I’m now back to more structured eating:
- tracking intake
- eating every 4 hours
- fewer binge-trigger foods in the house
- trying to avoid chaotic grazing

but my stomach still doesn’t feel normal.

I’m also coming off Elvanse/Vyvanse and just started atomoxetine/Strattera a few days ago, so I know my nervous system/appetite regulation is probably in flux too.

What I’m struggling with is the balance between:
- wanting reduced food noise/binge urges
- wanting normal digestion/fullness again
- not wanting to feel painfully overfull
- but also not wanting to remove every enjoyable food from my diet or eat tiny meals constantly

I’m not looking for extreme dieting advice or “just stop eating sugar” . I’m more wondering if other people with ADHD/binge eating/IBS/GLP-1 use have experienced:
- fullness that feels uncomfortable but doesn’t stop mental urges to eat
- burning/full sensations without severe reflux/vomiting
- food feeling physically slow to move
- or difficulty finding the balance between appetite suppression and feeling physically normal.

I’m considering whether I may need to stop the GLP-1 at some point just to work out what symptoms are medication-related vs baseline, but honestly I’m scared the binge eating/food noise will get much worse without it.