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ForumsCardiovascular OutcomesShould I be worried about my heart rate going up?

Should I be worried about my heart rate going up?

nick_newbie Mon, May 11, 2026 at 5:35 PM 9 replies 584 viewsPage 1 of 2
nick_newbie
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May 11, 2026 at 7:00 PM#1

Hey everyone. I have been on tirzepatide for about 6 months now and wanted to get the community's take on something.

Should I be worried about my heart rate going up?

I have been reading through old threads but have not found exactly what I'm looking for. My situation: I have been wondering about should i be worried about my and I am not sure what to make of it.

Has anyone else dealt with this? What was your experience? My PCP was not super helpful — just said to "monitor it" which is not exactly actionable advice lol.

Any input appreciated. Thanks in advance. 🙏

37 7robert_kc, dan_philly, MeganSA_TX and 34 others
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Dr.SurgeonPGH
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May 11, 2026 at 7:17 PM#2

To answer the question about Should I be worried about my heart rate going up? — in my experience this comes down to a few key factors.

I have been dealing with this for several months now, and what I have found is that individual responses really do vary. That said, the general consensus on Should I be worried about my seems solid.

What specifically worked for me: tracking everything in a spreadsheet. I would suggest nick_newbie try the same approach and reporting back.

2 10TomTeleRx, DoseLogDan
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emily_PDX
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May 11, 2026 at 7:34 PM#3
Dr.SurgeonPGH said:
— in my experience this comes down to a few key factors

Completely agree with Dr.SurgeonPGH. I would add that Should I be worried about my also has implications for body composition that sometimes get overlooked in these discussions.

In my case, following a similar approach led to fewer side effects compared to what I was doing before.

33 17Dr.NateNeph, PharmD_Rodriguez, julia.endo and 30 others
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AussieAnna
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May 11, 2026 at 7:51 PM#4

Subscribing to this thread. Should I be worried about is exactly what I've been researching. 🙏

Last edited: May 11, 2026 at 8:51 PM
47 3bri_stats, pete_manc_UK, anna.melb_AU and 44 others
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Dr.CardioMD
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May 11, 2026 at 8:08 PM#5

As a healthcare provider, I want to add some clinical context to this discussion on Should I be worried about my heart rate.

Building on what nick_newbie said — the evidence base here is well-established. The key publications to reference are from the FLOW program[1].

Key clinical points:

  1. Efficacy is dose-dependent and typically requires 4-5 weeks to reach steady state
  2. Side effect profile is predictable and usually manageable with standard protocols
  3. Monitoring should include baseline labs and follow-up at 3-month intervals
  4. Patient education significantly improves outcomes and adherence

Standard disclaimer: this is educational, not individualized medical advice.

References:
[1] See thread title for relevant study identification.
29 5josh_phd_bmore, roxy_nash, tony_orlando and 26 others
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