Why is nobody talking about the weird ones?

Answer

Because they were not on the front of the label. Chills, hot flushes, hair shedding, sulfur burps, changed periods and libido drops all show up in the self-reported record.

In more detail

A 2026 analysis of more than 400,000 posts about semaglutide and tirzepatide across public forums surfaced effect categories that sit outside the headline gastrointestinal list, including temperature dysregulation, menstrual changes and hair shedding. Self-reported data cannot establish that a drug caused any of it — that is a real and important limitation, not a formality. But the gap between what people were warned about and what they experienced is itself a finding, and this app records those lines rather than hiding them. Hair shedding in particular is well described in rapid weight loss generally, not just on this class.

Source

Sehgal et al., self-reported side effects of semaglutide and tirzepatide in online communities (2026 preprint), plus approved labeling.

Educational use only, never medical advice. No doses.