Continuing Mounjaro...part 13

[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
furthet 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, 12mg £204. 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 £149. 7.5mg £169, 10mg £179, 12.5mg £199

Asda:
2.5mg and 5mg £179. 7.5mg £189, 10mg £189, 12.5mg £204

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

12th thread:
https://www.mumsnet.com/talk/weight-loss-injections/5090788-continuing-mounjaro-thread-12?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:

Is anyone else finding the suppression only good for two days?

I’m quite tempted to start infecting every five.

@ObsidianTree

Would it be useful to have a post which highlights the specific forms of i.d./photos/video required by each provider?

Currently you have to pay the provider and only then you discover all the extra info they need before prescribing.

I may very well have missed such a post though!

Many thanks 🌼

I would discourage you from doing this, it’s a prescription medication with a schedule which is tested and safe. Instead could you look at going up a dose for your next pen (skipping the bonus dose).

Morning all
So I had an early start this morning (a rush to A+E as DD decided to rough house with friends and injured herself) meaning id left the house with zero caffeine or even fluids in me - usually have a routine of a cuppa and some clear whey protein first thing.
Anyway as we got out of A+E quite quickly I decided to nip into the local supermarket for some bits. And as I'm wandering round I'm looking at foods feeling RAVENOUS. Which is not a feeling I've experienced since being on MJ and certainly not the day after a dose (3rd of 5mg). Quite proud of myself for not caving and grabbing some junk food to chuck in my gob, settled for a diet drink instead.
Anyway as I've got home and got my fluids in all those feelings and desire to stuff my face have now gone and although I will be having a brunch shortly, I've realised that if I actually listen to my body, it's not always hunger that takes over, I was clearly just needing to hydrate. Water is key ladies!
Happy wednesday to all x

I think I might stick to Med Express as they have a good approach to maintaining.

I think I'm going to use my 7.5 pen to step up to 10.

Is this the right approach?

I dose 7.5 (full clicks to 1)
Swap needle
1 dose of 30 (?)

It's the number of second clicks I'm not sure of?

Maths not my strong point but wouldn't it be 20 clicks to get a third of 7.5 to bring it up to 10?

Just wanted to come in and say thanks to whoever recommended the Solgar psyllium husks. They have started working very well 😁

Also, I weighed this morning and I'm officially down a whole stone!!

That's assuming 60 clicks per dose which I thought I read. Hopefully someone more knowledgeable than me can advise.

@olympicfan How do you get a 3.75 dose out of a 5 pen?
I counted clicks. If a full 5mg dose is 60 clicks, 2.5mg would be 30 clicks so 3.75mg would be half way between them, i.e. 45 clicks
Just don't tell me if i did it wrong!

@Notsuchafattynow Every strength pen has 60 clicks per full dose (see pinned info at top of each thread so @Fromthesidelines is right you want a full dose of 7.5mg then change the needle and inject 20 clicks (2.5mg) in a different site to get 10mg

I'm going up a dose... i went up to 10 last week and it did nothing so i did 12.5 this week and better.

i am losing weight but slowly and i know that is the way but i want the scales to go down more, faster 😭

i am still lighter than i've been in a decade so i prob need to calm down

waaaheyyy!!

i missed solgar - is it a specific one? i have psyllium husks but maybe it's not the best brand

I picked them because they looked easy to swallow! But turns out a got a good brand!

Excellent news 😊

It's these

https://www.amazon.co.uk/Solgar-Psyllium-Husks-Vegetable-Capsules/dp/B005P0WGNE

Two a couple of hours after dinner with plenty of water. It took a few days to kick in but it's working now.

@BellaCriesAndThatsAlright A few of us use them now, its nice to take something and actually notice a positive difference!

It is! I've order the skin, hair and nails ones that someone recommended too. Hopefully I'll avoid losing hair.

I weighed in lighter this morning but then had the disappointing thought that maybe it is because I was losing muscle. I've scarcely done any exercise in the past three weeks, the first week because life got in the way and the past two because the injections as I increased my dose made my so ill and now I'm out of the habit. So far this week I'm not really having any side effect so I need to get back to the gym

My 12.5mg pen arrived today.
I got shipping notification on the 15th but yodel didn't update that they had it until 18th.
It arrived in a small box containing a foil bubble wrap envelope and a small ice pack that was completely defrosted (think half the size of the ice packs med express use)
The box of medication didn't feel particularly cold but I opened the box and held the pen to my cheek and it feels cold.

I'm not sure I trust that it wasn't left in the box out of refrigeration from the 15th.

I'm now debating do I use the 12.5 pen immediately and count clicks to ensure I get 7.5mg as needed from it or trust and keep it for 8more weeks when I will have used my current fridge pens. I'm not super worried about using a pen longer than the advised 30 days but would rather not use it longer than 30days weeks after it's potentially warmed up.

What would others do?.

I would not suggest ukmeds to others not only because of this uncertainty but also they have the wrong instructions on the medication label it has what I believe are wegovys dosing instructions.

3.75 would be 40 clicks on a 5mg pen

Week 3 and I lost 1lbs this week which brings me to total loss of 9lbs in 3 weeks. I'm super pleased I've done loads of weight training this week so I know my muscles will be heavier as they are so sore from working out.

I currently weight 13 stone 12. I'm amazed.

Thanks for the link to the Psylum Husks I need them

@dmott I would use this pen first, but I would also complain to them saying it's arrived at room temperature and that you don't feel safe taking it. Someone else here got a free pen like that! Worth a go!

The very fact they use yodel would be enough of a deterrent for me!

I get 45 clicks as being 3.75 from a 5mg pen

Just saw someone say it's 40 clicks which is wrong

I’m so glad you said this because I’m planning on moving up to 3.75 today!