I was on 7.5mg of tirz and switched when I was 3 months in. No washout, injected 1mg of reta the next time I would have had my shot. I added 1mg every 3 days until I had 4mg in total and used that as weekly dose going forward. Currently on 6mg of reta and I'm 7 months in & 83lbs down.
Weight loss rate has been the same on both. I'm happier with the less aggressive hunger suppression. I'd forget/struggle to drink water on tirz. Less constipation, diarrhoea and reflux on reta too.
Heart rate is a bit high, if I need something for maintenance I'll use tirz.