Continuing Mounjaro... Thread 12

[ObsidianTree]

Please note: Mounjaro will only be be prescribed initially if your BMI is above 30 until you get to a healthy BMI of 23 to BMI 25

Pointers for newbies:

1 - For taking your first dose you need to twist the pen a lot to get to 1! The instructions say prime each time you take a dose, but actually Eli Lilly have confirmed you only need to prime for the first ever use of a pen. (The video posted says every use, but this isn't true!)

2 - When injecting, hold down the button until the number goes back to 0. Once at 0, keep holding down the button and count to 5 with the needle still in so no medication is lost!

3 - Your first dose may not have an immediate effect. For some people the effects build slowly. It could take 3 or 4 days to notice anything, it could take a few weeks. Some people don't feel the meds working until they get to 5mg. See titration chart which shows how the medication builds up in your system. Also below you can plot the effect of your doses.
glp1plotter.com/

4 - 2.5mg isn't a therapeutic dose, meaning you aren’t meant to lose on 2.5mg. You need to start on 2.5mg to get your body used to the drug and gradually introduce it into your system and get used to any side effects.

5 - Not everyone loses a lot in the first few weeks. Don't feel discouraged if you don't lose a lot initially. Again, you might need a higher dose to start losing. Also, inches can be lost without anything showing on the scales. Start your journey by taking measurements and check them as you go along.

6 - If you do lose a lot in the first few weeks, please don't assume you will continue losing at this rate. The first few weeks it is usually water weight that is lost, after that a good weight loss is about 2lbs a week. Some weeks you might not lose anything, but this is ok too…again, taking measurements might show inches lost instead.

7 - Constipation, coldness, nausea, diarrhea, vomiting, headaches, aches, are side effects. There may be other side effects also. Read info here :

www.medicines.org.uk/emc/product/15481/pil#about-medicine

8 - Once you take your first dose you can choose to keep your pen in the fridge or somewhere else. It's up to you.

9 - Don't reuse any needles as this could risk infection. If you damage a needle or one isn't working, you can buy a pack of about 100 spares. https://www.chemist-4-u.com/carepoint-pen-needles-31g-4mm-pack-of-100?gclid=Cj0KCQjwiYOxBhC5ARIsAIvdH51rLZBVFQxuvS7mDJooegtK8BMiyT0PwREMRHhH_1atfQIo8TEbsmkaAkA0EALw_wcB

Also there is a 5th dose in each pen. To extract it you can either try a hard twist or use an insulin needle.
https://medbasic.co.uk/bd-micro-fine-30g-1ml-syringes-needles

10 - Protein is important as eating less protein can cause muscle wastage and hair loss. Try to have at least 100g a day.

Some natural sources of protein:
https://www.bbcgoodfood.com/howto/guide/best-sources-protein

https://www.medicalnewstoday.com/articles/321522#high-protein-foods

11 - You can use supplements, some that people use are magnesium(for sleep and constipation), protein(to reduce muscle wastage), collagen (skin elasticity), aloe vera(for constipation), psylum husks(fibre for constipation), electrolytes.

12 - Drink lots of water. Water helps with the weight loss. Drink at least 2ltrs a day. Preferably 3ltrs.

13 - Don't be afraid to feel hungry. It is entirely normal and healthy to feel hungry. Just eat something. Treat it as an opportunity to start good habits around hunger. Eat a nice balanced snack or a meal if it's a meal time. It's ok.

14 - Does it makes any difference where you inject? yes it does! Drugs get absorbed at different rates depending on injection site

In order of fastest absorption, it goes:
• Tummy
• Arms
• Thighs
further reading about injection sites and the effects: https://www.medicalnewstoday.com/articles/316618

15 - Abdominal side-effects are much easier to control with smaller meals. For example, having 4 small meals in the day vs 2 big meals can have an improvement in nausea and burps.

16 - You can track your calories / protein on apps such as My fitnessPal, Carb Manager or Nutracheck. Nutracheck is quite useful and easy to find foods /build recipes.

17 - Some of the places you can order from are:

MedExpress:
2.5mg and 5mg. £149.99. 7.5mg £169, 10mg £189. Coupon codes no longer working!

The Family Chemist:
2.5mg and 5mg £149. 7.5mg £169, 10mg £169

Zava medical:
2.5mg £139, 5mg £139, 7.5mg £169, 10mg £189. Zava offer refer a friend discount of 15% off. Ask for a code on here.

Simple online pharmacy:
£149 2.5mg, £149 5mg, £169 7.5mg £189 10mg

Bolt pharmacy:
2.5mg £125, 5mg £179. 7.5mg £189, 10mg £189

Asda:
2.5mg and 5mg £179. 7.5mg £189, 10mg £189

There are others not listed.

18 - If you want to switch suppliers, make sure you have pics of your Mounjaro box with your name and dose. This will come in useful when other suppliers ask for evidence.

1st thread:

https://www.mumsnet.com/talk/weight_loss_chat/5007744-mourjano-starting-soon?page=1

2nd thread:

https://www.mumsnet.com/talk/weight_loss_chat/5028495-continuing-murnjaropart-2?page=1

3rd thread:

https://www.mumsnet.com/talk/weight_loss_chat/5037623-continuing-mounjaropart-3?page=1

4th thread:
https://www.mumsnet.com/talk/weight_loss_chat/5044316-continuing-mounjaropart-4?page=1

5th thread:
https://www.mumsnet.com/talk/weight_loss_chat/5048290-continuing-mounjaropart-5?page=1

6th thread:
https://www.mumsnet.com/talk/weight_loss_chat/5057916-continuing-mounjaropart-6?page=1

7th thread:
https://www.mumsnet.com/talk/weight_loss_chat/5062935-continuing-mounjaropart-7?page=1

8th thread:
https://www.mumsnet.com/talk/weight_loss_chat/5068850-continuing-mounjaropart-8?page=1

9th thread:
https://www.mumsnet.com/talk/weight_loss_chat/5074054-continuing-mounjaropart-9?page=1

10th thread:
https://www.mumsnet.com/talk/weight_loss_chat/5080755-continuing-mounjaro-thread-10?page=1

11th thread:
https://www.mumsnet.com/talk/weight_loss_chat/5085436-continuing-mounjaro-thread-11?page=1

Thread for newbies just starting out in June:

https://www.mumsnet.com/talk/weight_loss_chat/5082791-mounjaro-june-24-starters

Video on how to inject:

I've been reading everything I can on emotional eating, trauma, etc etc and the role that plays in obesity or negative relationships with food. It's really helping me realise some things, and mounjaro aside, I don't need to self soothe with food anymore.
I really recommend the mind monster solution (book) and intuitive eating. Burnout is good too. Sorry I forget who the authors are, but a quick Google will help you find them!

Morning everyone I’m due a MedExpress order I’ve just seen that the codes aren’t working anymore.
Just a last minute check before I order, does anyone have any codes?

Did my second 5mg injection last night despite feeling a bit ill. Hasn't made me feel any worse, luckily!

Down 5.5lbs this week, making a total of 18lbs in 5 weeks! I can't even believe this, it feels so surreal.

Need to lose 1lb more to hit my first mini goal, so hoping to manage that this week. And then I'm 21lbs away from my first major goal, which I've set a deadline of September for but hopefully will reach sooner!

Morning everyone. I've had a very busy weekend with birthdays and different things and made some unwise food choices - basically we ate out all weekend! And paid for it with the resulting nausea luckily I've managed not to put any weight on so I seem to have got away with it.

I have a wedding on Saturday and I really wanted to be under 18 stone for it - I'm 18 stone 2 this morning so I'm not sure if this is doable but I'm trying to refocus myself now. Might go for a swim later.

I don't think so. I tried one which would give £5 off but it was for new customers only.

It pained me to pay £214 for a 12.5mg pen this weekend but it's going to be my last MedExpress order as have moved to ZAVA and will help the stockpile so I will be grateful when it's time to use it.

Day 2 of being on holiday and I think I’m making good choices. I’ve just watched my family tuck into a full English but I’m not hungry so I’m sipping water feeling perfectly happy. I’ve never been a breakfast person and I don’t feel pressured to start.

If 2.5mg is working for you and you're loosing each week and feel good on it are you allowed to just stay on that dose or do you have to move up?

I’ve completely stalled on week 3 of 2.5mg, which I guess is to be expected, especially as I lost 9lb in the first 2 weeks. Trying to make sure I maintain now ahead of being able to move up to 5mg. I definitely need to up my water intake, I have 3 kids, one of whom is disabled plus working so I’m on the go all the time and I genuinely just forget to drink, then realise at about 5pm that I’ve got a beast of a headache and all I’ve had to drink all day is my morning black coffee.

You're allowed to stay on it, but I've read a lot of posts from people on week 6 who stayed on 2.5mg and it started being less effective around then. I think 5, 10 and 15 are considered the recommended maintenance doses.

I went up to 5mg after my initial four weeks and haven't noticed any increase in side effects. I'm tempted to stay on it next month, but will see how I feel nearer the time.

@Youdontevengohere I find with water that I'm best if I take a fairly rigid approach - the just having a drink regularly approach means I do what you do and realise I haven't drunk for hours. So I have a pint glass (or a water bottle when I've gone to the office or out for the day) which I drink and refill 4x; once first thing, once before lunch, once early afternoon and once before supper. Sometimes it's a case of standing at the sink chugging it down on schedule.That banks 4 pints/2 litres and anything else is a bonus.

Weigh day for me and another 1.5 kg off. Not a super-fast loser compared to many on here, but at 5 weeks I've lost 6.1kg, and am within sight of the first stone lost which is looming in my head as a huge milestone - I've never been able to lose that much, ever, in 30+ years of dieting.

Took my first 5mg last night and did feel quite nauseous and unable to sleep overnight, but fine this morning apart from the usual dry mouth. If I get away with that as the side effects I'll be grateful!

I'm such an idiot. I accidentally underdosed yesterday. I only did 40 clicks of my 2.5 pen. Just injected the remaining 20 clicks this morning, one day later. Do you think this will be ok or have I ruined my chances this week? In my defense I got back very late from a gig on Saturday and was half asleep!

Help! Unplanned completely as was taking to loose weight for our wedding in less than a year

have just got a positive pregnancy test!

im worried sick due to having struggled with fertility and miscarriages previously

any place to look for positive stories on Mounjaro babies????! I’m panicking

week 10 still on 5mg

Yeah think this is a reference to the draft Nice guidance on Mounjaro that came out last week. Was briefly discussed before, but it looks will be available via GPs and without a 2 year limit (they seem to suggest the 2 year limit was linked to access to specialist clinics only lasting that long.) Only skimmed it but it’s been written up in some doctors journals and think that’s the gist. But as you say criteria is BMI of 35 + other conditions. And I suspect even then people will have to push hard to get it. And only draft guidance so won’t come in for at least a few more months. But the arguments defo seem to be going the right way, the evidence on longer term use or at least slow tapering off is pretty persuasive:

https://www.nice.org.uk/guidance/GID-TA11156/documents/draft-guidance-2

Unfortunately no more med express codes. They won't give them anymore.

A lot of us have switched to Zava that offers 15% off with a referral code. Prices for Zava are good.

If you want to switch, ask for a code on here 😊

I just managed to use code TOPCASHBACK for my first medexpress order.

@ObsidianTree how do you stock pile? Do you go to different suppliers? Thank you

Ps. Well done to everyone on their loses! I'm amazed x

Here’s a 15% Zava code
REFNQMQQ

No problem at all. Quite a few people deliberately split the dose.

Just coming on to say hello as I ordered my first Mounjaro pen yesterday.
Am feeling slightly nervous but excited!

That must be a shock. I hope you’re OK.

I think you should talk to your GP. MJ is still so new that I imagine there will be very few experiences of accidental pregnancy (although you are the second person on these threads so the US sites may have some stories). But you need a proper medical opinion I think.

I have a code for AsdaOnline for 10% off for new starters, in case anyone needs one:

@ObsidianTree but how do you order more of other doses other than 2.5 from a different provider? Also presumably if you were ordering from a different site you'd have to also be 'less forthcoming' with the new site re your BMI right?

How is it possible that I weigh 2 pounds more than last night? No food or drink during the night.

collagen isn't a complete protein. It is missing tryptophan. You can buy tryptophan capsules which will make collagen complete.