Tirz + water making you feel full: is it gastric emptying or something else?

ok dumb question but i’ve been chewing on this since i started tirz a month ago and couldnt find a clean answer. the “i physically cant drink more than a liter, water makes me feel sick and full” thing comes up constantly. everyone says drink more, electrolytes, sip dont gulp. but nobody really explains WHY water specifically sits like a brick now. my working theory, push back if im wrong: it’s the delayed gastric emptying. tirz slows how fast your stomach clears and water isnt exempt from that. so if you drink on top of even a small meal, you’re adding volume to a stomach that’s already moving in slow motion. the fullness isnt really about the water, it’s about what was already in there and how long its staying. if thats right then the timing question matters more than the volume question. does spacing water AWAY from meals actually help, because youre hitting an empty-ish stomach instead of piling on? or is the emptying so slow at higher doses that it doesnt matter when you drink? (im only at .5mg so i cant test the high dose end of this myself. stopped mounjaro last year after a bad run, ended up in A&E at 7.5, so im going real slow this time.) the other thing nobody separates out: how much of the “cant drink” is the drug vs just the appetite suppression making you forget to drink at all. one is mechanical, one is you literally not feeling thirst cues. different problems, different fixes. fwiw the confound i keep snagging on, my sleep shifted from like 5 hrs to 6.5 around week 3 same as everything else, and im genuinely not sure water intake isnt just downstream of feeling slightly more human. cant isolate it. i started logging water + GI stuff alongside the appetite notes (using careclinic for it) and the monthly trend view is the only way i can half-see whether the bad water days line up with dose days or just bad sleep days. still murky. so genuinely asking the people further along: - does water timing relative to meals change the fullness, or no?

  • does it get worse with each dose bump or does your stomach kind of adapt?
  • is “feel full from water” actually a different signal than “GI cramping from water” for you? those feel like two different things to me. not seeking validation, just trying to understand the mechanism before i bump up. ymmv obviously.