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Zepbound and Tiredness: What Users Say

Tiredness: mentioned by 13 users (4.3%)

Based on user experiences from 303 Zepbound reviews, the following table shows the most commonly mentioned side effects.

All user comments are moderated by Drugs.com. Each review is verified for relevance and screened for inappropriate content. Side effects are user-reported and not clinically verified.

nausea 23.4%
constipation 15.5%
diarrhea 7.3%
burping 6.3%
vomiting 5.6%
fatigue 4.6%
tiredness 4.3%
loss of appetite 3.6%
heartburn 3.3%
dizziness 2.3%

Reviews for Zepbound

Commonly mentioned side effects
  • SMP...
  • Taken for 6 months to 1 year
  • February 5, 2025

For Weight Loss (Obesity/Overweight) "I’ve lost 43 lbs in the last 9 months. I experienced some mild hair loss (but started this in menopause, so that contributed to hair loss as well), increased heart rate, although mine was low to start, some burping, and tiredness. The worst side effect for me is the diarrhea. I have it starting about 24-48 hrs after injection. It lasts on and off for about 3 days. Overall, these side effects have been mild and manageable. The weight loss has been life-changing!!"

9 / 10
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21 Report
  • LML...
  • Taken for 1 to 6 months
  • January 21, 2025

For Weight Loss (Obesity/Overweight) "5’1”, 180 lbs, 63 yrs. old female, BMI 34%. History of cardiac disease and hypothyroidism. I’ve been taking the 2.5 mg dose for six months with virtually no worrisome side effects. I do experience unusual tiredness within 8–12 hours of each dose. Who doesn’t enjoy a good nap, yeah? I'm currently experiencing moderate hair loss, which is a concern. I consulted my PCP, who agreed we should rule out other potential causes such as a recent change in thyroid medication, nutrient deficiencies, or age before deciding the next step in my weight-loss journey with Zepbound. My current weight is 142 lbs. That’s 38 lbs (an approximate 1.5 lbs/week or 6 lbs/month) weight loss over six months. It’s just the boost I needed. According to the CDC, losing 1–2 lbs per week is a healthy weight loss goal. It’s reassuring to know that my weight loss is at a healthy pace at the lowest effective dose of Tirzepatide. Thank you, Eli Lilly, for the Zepbound coupon card ($25 co-pay)."

10 / 10
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7 Report
  • Bec...
  • Taken for 1 to 6 months
  • August 11, 2024

For Weight Loss (Obesity/Overweight) "I have lost over 35 lbs in 5 months. I started at the 2.5 and have worked up to the 10. Zepbound is incredibly effective at assisting with the weight loss. Greasy fatty foods definitely upset my stomach now. The first day post-shot, I am super tired and have a very mildly upset stomach, after that, it’s fine. I am freezing all the time, so for sure take a jacket wherever you go! I am not starving and do not have cravings at all. Staying hydrated seems to help with curbing the initial side effects. Initially, I found myself hardly eating just because I wasn’t hungry. I had to make a concerted effort to make myself sit down and eat. Protein and veggies made me feel a ton better and didn’t result in any digestive discomfort. It really was a trial and error. Alcohol is not your friend, even 1 or 2 drinks makes me feel awful. I ended up naturally having a cleaner diet and drinking a lot more water just to minimize the digestive side effects."

10 / 10
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13 Report

Frequently asked questions

  • Eli...
  • Taken for 1 to 6 months
  • December 30, 2024

For Weight Loss (Obesity/Overweight) "I started Zepbound at 2.5. My weight was 249 and I'm 5'2''. I've lost 34 lbs starting in July. I went up to 7.5 and was doing great. Then the third dose, all the side effects started in spades. I started vomiting, no appetite, tired all the time. I drink water all the time (and I'm a reformed soda drinker). I'm suddenly itchy all the time. The weight loss has slowed down. But I'm not giving up in order to get my knee replacement. This comment section makes me feel like I'm not alone. Thanks for listening. Oh, the one thing that could make me quit is the price is ridiculous! I'm running out of money."

10 / 10
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7 Report
  • Rom...
  • Taken for 1 to 6 months
  • December 3, 2024

For Weight Loss (Obesity/Overweight) "56 yr female, 257 lbs (20 years post gastric bypass). Started Zepbound 11/3 2.5 mg. Lost 12 lbs in the first 4 weeks. Minimal side effects until week 3-4. Felt dizzy, headaches, lethargic though likely due to not enough calories. 1st 5 mg dose yesterday and feel great so far. Absolutely no food noise or cravings since the 1st shot. No issues at all with the injection site or pain. Will stay at 5 mg as long as I can before increasing. This medication has been a life changer for me. I was hesitant due to reported side effects as I researched for over a year before I decided to move forward. My insurance denied, I appealed and got the decision overturned. Meds currently covered at 100%, thankfully. I am exercising though I have always walked. I am not a big eater to start with, the difference is I no longer crave foods. I eat because I have to, so I make better food choices. Looking forward to continuing on the path I am currently on."

10 / 10
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8 Report

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  • Anonymous
  • Taken for less than 1 month
  • February 13, 2025

For Obstructive Sleep Apnea/Hypopnea Syndrome "Started on Zepbound 2 weeks ago. I have only lost 2 pounds. I don’t feel like eating. At first, I was so tired, and that subsided. My biggest problem is the belching. I can’t seem to get rid of it."

8 / 10
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5 Report
  • Anonymous
  • Taken for 1 to 6 months
  • January 12, 2025

For Weight Loss (Obesity/Overweight) "I am a 49-year-old female. Started on 2.5 mg of Zepbound at 201. Lost some weight quickly and got to 191, then stopped. Second month, they bumped me to 5 mg. I only got sick once. It was nausea. I started losing again. Got down to 185. Then, for reasons I can’t explain, I gained 2 lbs despite walking and tracking food. On my 3rd shot, I was very lethargic for a whole weekend after the shot. I have no energy, and I am taking nothing else. I hope it goes away soon and I start losing again. It’s not a magic bullet. You have to track your food and exercise too (which is hard with lethargy)."

5 / 10
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5 Report

More FAQ

  • Day...
  • Taken for less than 1 month
  • February 2, 2025

For Weight Loss (Obesity/Overweight) "Flu-like symptoms, nausea, discomfort after eating anything. Broth has been my go-to. Very fatigued. Hoping week 2 will be better. Today is day 7. No appetite, no energy. There's not an option for maybe. One week isn’t enough time to give recommendations."

9 / 10
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4 Report
  • Deb...
  • August 9, 2024

For Weight Loss (Obesity/Overweight) "It's been a pretty good experience. The top dose I take is 7.5. Side effects: tiredness, a little dizziness, and some constipation. Make sure I eat something, this drug makes you forget about eating. This is what I contribute my dizziness to. I make sure I eat all 3 meals. More like 1/2 portions now. This is teaching me portion control. I've lost 32 lbs in 4 months."

9 / 10
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5 Report
  • Aut...
  • Taken for 6 months to 1 year
  • March 3, 2025

For Weight Loss (Obesity/Overweight) "I am 45 years old and female. I have been on Zepbound for eight months. I started at 275 lbs and am now at 235 lbs. The day after I first took it, my stomach was so full it hurt, just from my normal portion sizes. Over time, the dosage has increased to 7.5. I am a little more tired than usual, but that's a small price to pay. The vast majority of side effects occur when I overeat. There's no way to know which of these I will have then: pain in my stomach, egg burps, loud flatulence, and/or diarrhea. I have been sick a lot more than usual, along with swollen lymph nodes and hoarseness, but there's no way to know if they're related or not."

9 / 10
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2 Report
  • Lud...
  • Taken for less than 1 month
  • June 16, 2024

For Weight Loss (Obesity/Overweight) "After injection, like 30 minutes into it, I can feel it traveling within my bones. An excruciating pain in all my joints. I’m tired and with no energy. The following day it is not as bad."

8 / 10
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3 Report
  • Lud...
  • Taken for less than 1 month
  • June 16, 2024

For Weight Loss (Obesity/Overweight) "After injection, like 30 minutes into it, I can feel it traveling within my bones. An excruciating pain in all my joints. I’m tired and with no energy. The following day it is not as bad."

8 / 10
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3 Report
  • Pat...
  • Taken for 1 to 6 months
  • September 21, 2024

For Weight Loss (Obesity/Overweight) "I have lost 43 lbs in less than 4 months. Works great, but I have had side effects of a drop in blood sugar, where I almost passed out, very tired, and constipation."

8 / 10
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1 Report

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Reviews may be edited to correct grammar/spelling or remove inappropriate content. Reviews appearing to come from parties with a vested interest are not published. This information is not intended to endorse any medication and should not replace the expertise and judgment of healthcare professionals.