Thanks for posting about high dose tirz, ( plus the others ) given the total lack of research results , anecdotal reports online is the only info out there for higher doses and combinations of weight loss peptides, and there are a few of us with severe obesity or who do not respond well to GLPs and no real science to base decisions on.
60 mg of tirz does not sound that extreme compared to the 16mg of semaglutide trial, which if scaled 2.4mg:15mg would be 16mg sema to 100mg of tirz, but I would guess you have to be at least fairly insensitive to it for side effects not to be a major issue at those doses. At 15mg tirz plus 6 mg of reta even 1mg extra of either makes my skin crawl, so definitely at my maximum dose.