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Weight loss injections/treatments

Discuss weight-loss injections and treatments, including personal experiences. Mumsnet hasn't checked the qualifications of anyone posting here. You may wish to speak to a medical professional before starting any treatments.

Continuing Mounjaro...part 18

1000 replies

ObsidianTree · 29/07/2024 07:09

Please note: Mounjaro will only be be prescribed initially if your BMI is above 30. If you have additional health conditions you can get the medication with a BMI 27. (Prediabetes, high blood pressure, high cholesterol or heart problems)

Mumsnet does not allow promo codes. Please do not post any. If you want one, ask and someone will PM you a code or there are now threads on the promo page that have codes for Mounjaro.

Pointers for newbies:

1 - For taking your first dose you need to twist the pen a lot to get to 1! Make sure the needle is twisted on tightly. Priming will help confirm if the needle is on securely and not faulty.

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 - Some people find that they don't need to go up a pen dose each month if the current pen dosage is working well for them. If you are unsure when to go up, speak to your prescriber.

8 - If you are having bad side effects after titrating up or you are struggling to eat your calories each day, your dose may be too high so should consider lowering your dose. Speak to your prescriber if unsure.

9 - 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.

10 - 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

11 - Taking Mounjaro can stop birth control from being effective. If you are on birth control, consider extra protection if you aren't planning on conceiving anytime soon!

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

13 - 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

14 - Protein is important as eating less protein can cause muscle wastage and hair loss.

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

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

15 - 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.

16 - Drink lots of water. Water helps with the weight loss. Try and drink at least 2ltrs a day.

17 - 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

18 - 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.

19 - 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.

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

MedExpress:
2.5mg and 5mg. £149.99. 7.5mg £169.99, 10mg £189.99. 12.5mg £209.99. 15mg £209.99 Coupon codes no longer working!

The Family Chemist:
2.5mg and 5mg £149. 7.5mg £169, 10mg £169, 12.5mg £194, 15mg £199

Zava medical:
2.5mg £139, 5mg £139, 7.5mg £169, 10mg £189. 12.5mg £204. 15mg £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 £149, 5mg £149. 7.5mg £169, 10mg £179, 12.5mg £199, 15mg £199

Asda:
2.5mg and 5mg £179. 7.5mg £189, 10mg £189, 12.5mg £204 15mg £204

There are others not listed.

21- You will still be prescribed Mounjaro when your BMI falls below 30. However, it may be harder to move suppliers once your BMI is below 30 if you wanted to move.

22 - Worried about your supply being cut off when you get to a healthy BMI? Below is some info on some places maintenance plans.

The Family chemist :Would consult you as approached healthy BMI to discuss maintenance under close supervision(if you started with family chemist)
Curate: up to 2 years
Cloud: up to 2 years
Boots: Cut off at BMI 23
Asda: Cut off at a healthy BMI
Pharmacy2u: Will supply for maintenance
Bolt:Individual assessment once BMI 22 and does offer maintenance
Zava:Once healthy BMI will stop prescribing this treatment
Med Express: Now saying they support maintenance upto 2 years.

23 - 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 to 9th thread, get link from thread 10

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

13th thread:
https://www.mumsnet.com/talk/weight-loss-injections/5096704-continuing-mounjaropart-13?page=1

14th thread:
https://www.mumsnet.com/talk/weight-loss-injections/5102149-continuing-mounjaropart-14?page=1

15th thread:
https://www.mumsnet.com/talk/weight-loss-injections/5107426-continuing-mounjaropart-15?page=1

16th thread:
https://www.mumsnet.com/talk/weight-loss-injections/5115015-continuing-mounjaropart-16?page=1

17th thread:
https://www.mumsnet.com/talk/weight-loss-injections/5122095-continuing-mounjaropart-17?page=1

Thread for newbies just starting out in July:

https://www.mumsnet.com/talk/weight-loss-injections/5101435-mounjaro-july-2024

Video on how to inject:

Continuing Mounjaro...part 18
Continuing Mounjaro...part 18
Continuing Mounjaro...part 18
Continuing Mounjaro...part 18
OP posts:
Thread gallery
23
FlappyFish · 06/08/2024 23:34

Always the TOTM @ObsidianTree before, during and no doubt after MJ. I’ve got period love going back years.

Night night all from sleepy Flappy.

NippyCrab · 07/08/2024 05:11

Good morning, I'm not sleeping good, this is day 2 urgh. I feel like I have a lump in my throat and I can't settle. I'm having a wee ginger tea at the moment and hopefully I can drop off again. I should be conked out with quetiapine not shuffling about at 4.30am 😆

3wDavid · 07/08/2024 06:17

NippyCrab · 06/08/2024 20:22

Hi, this is a question that's probably been asked so many times so apologies in advance. My start day was yesterday but my usual weigh in day is a Friday, can I bring my injection day forward a day each week until it's a Friday? Will that be too much? Xx

You can also take your next dose two days early (which is OK per guidelines) on Friday and be done with it 😄

GoodLuckBabe · 07/08/2024 06:46

@NippyCrab ah hope you got back to sleep in the end? So horrid. I have slept really badly since starting MJ a week and a bit ago. Assumed it was perimenopause related as that is starting to be an issue, as I haven’t seen anything about insomnia being a side effect of MJ. Interested if anyone else has suffered with sleep difficulties?

OP posts:
thehousewiththesagegreensofa · 07/08/2024 07:39

Weighed in at 4am this morning just to see if I'd actually lost this damned pound and got to pre-holiday target. Yet again, 10st10 showed on the scales but it settled at 10st11
Took the bonus jab last night and extracted 0.75ml so I think that that is about 6.25. No suppression yet but no side effects either. As we're away, I was a bit nervous about increasing the dose but 5mg hasn't done much for me for the past couple of weeks so I thought I'd risk it.

MrsBurtMacklin · 07/08/2024 07:43

Thanks for the new thread @ObsidianTree !

Is anyone else on 10mg? Does it get easier? I'm considering dropping my dosage by counting the clicks as appetite suppression is just so strong!

ObsidianTree · 07/08/2024 08:10

thehousewiththesagegreensofa · 07/08/2024 07:39

Weighed in at 4am this morning just to see if I'd actually lost this damned pound and got to pre-holiday target. Yet again, 10st10 showed on the scales but it settled at 10st11
Took the bonus jab last night and extracted 0.75ml so I think that that is about 6.25. No suppression yet but no side effects either. As we're away, I was a bit nervous about increasing the dose but 5mg hasn't done much for me for the past couple of weeks so I thought I'd risk it.

What was your pre-holiday target? I don't think the hot weather has helped recently. Nevermind aye, enjoy your holiday. Fingers crossed the dose isn't too much.

OP posts:
Ifyounevergiveup · 07/08/2024 08:19

PissedOffNeighbour22 · 06/08/2024 22:18

Thanks @Ifyounevergiveup, my next dose is Friday.
I just hope it's not that I've got too used to the 10mg as I don't want to go any higher. I'm around a stone away from bmi 25 so will need to look into reducing my dose soon.

more likely it’s circumstances rather than having got used to it, I would think, given it’s specifically cravings rather than just hunger. Either way the amount of Mj in your system will climb straight away after your jab, which will help. Two more sleeps! - and in the meantime I wish you all success with the old tactic of “I’m just aiming not to eat crap this hour” 🤞🏻

NCfor24 · 07/08/2024 08:26

MrsBurtMacklin · 07/08/2024 07:43

Thanks for the new thread @ObsidianTree !

Is anyone else on 10mg? Does it get easier? I'm considering dropping my dosage by counting the clicks as appetite suppression is just so strong!

I've just started week 6 of 10mg and my first dose of it was the first time I've really had side effects. I had nausea, max suppression and sulphur burps plus a day of diarrhoea whereas I've been constipated otherwise since starting MJ. I thought I'd have to step down but I got used to it within a week and the side effects stopped pretty quickly.
10mg seems to be where I feel hunger but am satiated quickly. I rarely finish a meal but am ready to eat when I sit down to it.
I've just ordered my 3rd 10mg pen (pending approval) and I'm hoping this is where I stay until I hit target weight.

Edited to say - give it the week and see how it settles but keep eating. When I wasn't eating enough I kept getting light headed when I stood up and felt unwell. So just small amounts of food should help. I tend to have a natural yogurt, babybel, bit of cooked chicken breast etc and sort of graze for my lunch if I'm not having a proper meal. Or a meal replacement shake to get some calories and protein etc in.

PissedOffNeighbour22 · 07/08/2024 08:28

@Ifyounevergiveup it's hunger too. I think I'm on week 7 of 10mg now. Hopefully it will pass once I recover from this virus and I'll get some suppression back.

I need to remember that I didn't have much suppression on the other doses anyway so 10mg was an appetite gamechanger for me. If the hunger/cravings get too much I'll just take the dose a day early.

PissedOffNeighbour22 · 07/08/2024 08:36

@MrsBurtMacklin i felt similar to @NCfor24 about 10mg. When I started I had good suppression (I didn't on any other dose) but had quite a bit of nausea. It passed within a couple of weeks and all was fine with it. I think I'm on week 7 of 10mg now.

Having a bad week on it this week but may be down to having a virus. I'm not intending going above 10mg as I'm around 1.5st from a healthy bmi now.

OrangeWire · 07/08/2024 09:12

Morning all! So we are on our way to the airport to go on holiday, AI for a week. Normal weigh day is tomorrow but I did it today instead and I’ve lost 2lbs, I’m comfortably under my target weight I had for the holiday by 2.5lbs 😁 anybody got any tips on how to deal with an AI holiday? I want to enjoy myself but within reason. Let’s fill the thread with them!

FlappyFish · 07/08/2024 09:43

@OrangeWire with AI holidays I find I ended up with the most random plates of food.

I would use a side plate and remember you can always go up again if you want. That way the huge selection won’t be overwhelming.

FlappyFish · 07/08/2024 09:44

@PissedOffNeighbour22 so close to target now! I didn’t get above 10 either.

FlappyFish · 07/08/2024 09:46

I can hide this at the end of this thread too. Even though I’m reducing down now and eating more I am still losing a pound here and there. I am dead on 10 stone this morning. It was my DH’s birthday yesterday and we had Indian. My tummy doesn’t like spice 😂

KeepingUndercover · 07/08/2024 10:14

How are you finding reducing down @FlappyFish?

Jimmyneutronsforehead · 07/08/2024 10:17

That tapas was clearly what the doctor ordered as the stall has ended.

Dropped down to 105.35kg after going up again.

Have woken up to feeling hungry but it is technically injection day for me today so I'm going to stick to 5mg for the next 2 weeks to finish what I've got and then I'll think about titrating up.

Still waiting for aunt flo to arrive so ill take small losses as a win until she's been and gone.

TitsInAbsentia · 07/08/2024 11:17

Thread filler but also to add my sleep is pretty broken since starting mounjaro, would just love to go through the night with no wake ups!

KrankyKumquat · 07/08/2024 11:23

ObsidianTree · 07/08/2024 07:10

Morning all,

New thread:

https://www.mumsnet.com/talk/weight-loss-injections/5136396-continuing-mounjaropart-19?reply=137360029

Remember, let's fill this one before moving to new thread 😁

Sorry @ObsidianTree , moved over to 19 too quick. My bad but not sure how you know the thread is full. Anyway, hope this one helps get us there...😬

3wDavid · 07/08/2024 11:24

.

3wDavid · 07/08/2024 11:24

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3wDavid · 07/08/2024 11:24

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NeedSomeAnswersPlease · 07/08/2024 11:25

.

KeepingUndercover · 07/08/2024 11:25

KrankyKumquat · 07/08/2024 11:23

Sorry @ObsidianTree , moved over to 19 too quick. My bad but not sure how you know the thread is full. Anyway, hope this one helps get us there...😬

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