Zepbound No Longer Working After a Year? Looking for Advice

I’ve been on Zepbound for a full year now—down 30 lbs, which is about 20% of my body weight. Currently on the highest dose (15mg). In the beginning, it worked great—food noise disappeared, I felt full with very little food, and side effects were minimal (some stomach pain and occasional diarrhea, but nothing major).

Before starting Zepbound, I was on heavy steroids for seven months due to a form of pneumonia. During that time, I was constantly hungry, craved sweets, and could eat massive amounts without ever feeling full. I ended up gaining 45 lbs.

Now, after a year on Zepbound, I’ve noticed my cravings for sugary foods creeping back, and I’m feeling hungrier than before. Since I’m already on the highest dose, I’m worried that the medication is losing effectiveness.

Has anyone else experienced this? Any advice on how to manage cravings or maintain results? Would love to hear from others who have been on Zepbound long-term!