BMI is 33 also, HbA1c was 86 last bloods, and I'm on Metformin Prolonged-release 1000mg and just started Mounjaro last week.
Like yourself, I'm not the best at taking my medication but due to work commitments, It's hard to keep a routine for meals, and unfortunately I work in food retail and I graze through the day or binge-eat when home.
A big takeaway from my experience with Mounjaro is it truly has reduced my appetite and cravings, which in turn has really allowed me to see food as fuel rather than a source of pleasure or something to overindulge with.
I'd like more time with Mounjaro before really recommending it, but right now It's almost like my stomach is no longer wired to my brain. I'm down 4kg's in a week, and I've barely touched any fizzy drinks (Pepsi Max), which is my achilles' heel usually, but I just don't have any desire towards it.
I have to remember to eat, rather than yearning to eat, and I've been in a controlled calorie deficit monitoring it through NutraCheck App just to keep tabs, I keep drinking water, but I'm not all that thirsty either but people have recommended to keep hydrated and maybe had a headache the first day because I hadn't been.
What I've noticed with less food comes less toilet breaks, but also less of the highly processed foods I am usually drawn towards has made such a difference to my gut health and not feeling lethargic or bloated either.
Mounjaro feels a game changer for my diabetes in terms of allowing me to kick in better habits without urges pulling at me. I've not had any nasty side effects as yet and feel positive towards seeing the results of my next bloods.
Mounjaro is a bit pricey as I can't get it through the NHS in Scotland, but I'm spending less on foods of convenience which in turn would help with my health.
If anyone that reads is thinking to start on Mounjaro I would recommend MedExpress as a good chemist, they provided a sharps bin with the first order and their emails have been reassuring around how to take it and what to expect etc. I stood not wanting to inject myself for a good 10mins....before biting the bullet after carefully studying what they sent through. They price match with other places and offer an initial £40 discount if you have a referral code from a friend, and your friend gets £40 off their next order too which helps.
£40 off Mounjaro/Wegovy at Med Express - Use referral code: AA61GN
I'll try and remember to post back my HbA1c in a few months.