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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.

Mid July Mounjaro starters #2

738 replies

ToriMJ · 13/08/2024 21:10

New thread ready for when our first thread is full. Flowers

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18
Wishthiswasntmypost · 04/09/2024 17:22

ACEwards · 04/09/2024 09:22

Diarrhoea sat/sun so took an Imodium. Literally no movement since and no signs of movement either 😂

I refuse to weigh myself until I go to the loo 😂😂

A sound plan!

Xiaoxiong · 05/09/2024 10:59

I find the plateaus and "whooshes" really interesting - at the moment I'm down 7kg on my start weight, but if you look at the tracking, it's very much a wiggly line rather than a straight line down and even days going up when there is no logical explanation.

I have found the discussion over on AIBU handwringing about people lying about their weight to get a MJ prescription amusing - I'm sure there are people who are claiming they're heavier than they are to get the jab prescribed, just like there are people who lie about all sorts to get painkillers, etc.

However mine was the complete opposite - I've avoided the scales for years, then I did the health questionnaire for Voy and initially I guessed at what my weight was which put me above 30 BMI anyway (and I have the high cholesterol on top), but it wasnt until I had to send a photo of the scales and a full body photo that I actually weighed myself properly and realised I was in fact far FAR heavier and was well into the obese BMI range. Absolutely no lying needed here!!

One of my changes going forward is to make weighing myself a weekly occurrence, non negotiable, and get rid of whatever embarassment or shame stopped me stepping on the scale for years. I need to stop burying my head in the sand so once I hit a healthy weight I need to stay on top of what my weight really is, without lying to myself, so I can readjust my food intake if the weight starts creeping back on,

HundredMilesAnHour · 05/09/2024 11:16

All very good points @Xiaoxiong and I agree completely. I used to weigh myself every day and really keep an eye on my weight, mainly because I was trying to increase my muscle weight and reduce body fat. As Covid hit and it became harder to exercise (gym was closed etc), I easily drifted into bad habits and stopped weighing myself. And exercising. And started to wear more loose, comfy clothes (mainly due to wfh etc) and the weight crept on and I didn't realise at first. Until suddenly there was a lot of weight to lose and I was too demoralised (and angry with myself), and it just continued spiralling. Getting on the scales to start MJ was horrific. And the photos aargh! I almost didn't start because I refused to take photos of myself.

However, glad that I made myself do it as almost 8 weeks later I'm 20 pounds lighter. And it seems to have helped me reset my emotional eating, or at least find some self-discipline. Still a long way to go but if things carry on like this, I'll be back to my 'fighting weight' in time for Christmas.

Wishthiswasntmypost · 05/09/2024 13:45

I'm glad you've posted this. I need to talk through why I'm where I am, other people's (unhelpful) contributions and going forward.

It's fascinating that non MJ users are obsessed with the misuse and almost revelling in the idea it will fail and we will all get fat (as we deserve 🙄) as soon as it stops.

I too plan to weigh regularly, exercise more and stop snacking. My weight gain has been a probably fairly common slow age + menopause scenario but the biggest gain was covid and complex grief after 3 traumatic bereavements. I'm not planning to go through that again so whilst I don't feel complacent (still old, still menopausal) I am hopeful of managing it.

Misuse...inevitable unfortunately and until they make it attached to face to face appts via a street pharmacist or private clinic it will probably occur. Even private healthcare is open to abuse because its business... I can't see why anyone would choose to use it unless in the obese category to start with. Its not pleasant.

For me it is a way to having weight loss linked to a low cal diet which is possible because the mental compulsion has gone. My nails are still long. That's a mental issue. MJ does something other than glucose and feeling full. It would take me months and months of being miserable and obsessed with food to lose what I've lost already. The only reason I can see to do that is a punishment for my lack of control. I'm well aware that going forward I need to maintain this.

MyPearlMentor · 05/09/2024 15:12

@Wishthiswasntmypost you have hit the nail on the head for me too. I have lost this much before but it has been so miserable. This isn’t “easy” but makes it doable. I just laugh at all those other threads, some of these women have way too much time on their hands and like to tell other people what they “should do” a bit too much! Like you, I plan to keep at it!

Well done all you losers ;-)

HeBeaverandSheBeaver · 05/09/2024 15:28

Definitely agree.

Mine a combo of covid

Friday Takeaway habit formed as nothing else to do

Menopause

Then dd having a mental health crisis meaning I end up on sertraline too which I think I gain a little on.

And a injury meaning I couldn't swim for 2 months

I'm off the anti depps now but MJ has me forgetting that I haven't eaten for 8 hours rather than counting minutes till I can eat again.

ChaChaChooey · 05/09/2024 15:46

I recognise myself in a lot of the above commentary.

I’ve spent most of my life around the top end of a healthy BMI, I naturally have big muscular thighs and a big arse and as long as I work out my upper body/shoulders/arms I can look pretty decent (if I lapse in exercise I can quickly look very pear shaped even without gaining much). However, I have an older sister who has always been very tall and slender and as a kid/teen whenever someone commented on my sisters ‘supermodel’ proportions or her long legs it always felt like they were calling me fat or stumpy by omission (perhaps not totally rational but who is at 14-15?) looking back at photos I can see I was a perfectly healthy looking child/adolescent and as a mother I would have no concerns about a child with similar proportions/body composition.

I have piled on (and subsequently lost, with sustained effort!) 3-4 stone 3 times, 2 pregnancies over a decade apart and when my mother died and I spent a year self medicating depression with sugar. All three times I was able to maintain that loss for 5-10 years until the next big event disrupted my healthy habits (especially once I figured out that hormonal contraceptive in all forms was terrible for both my body and mind).

This time around I gained weight due to a perfect storm of events (I married an alcoholic and absorbed some of his drinking habits, thankfully without developing the actual addiction, a year spent living in the children’s hospital, eating cafeteria chips, covid ending all my usual physical activities gym/swim/teaching dance/cycling for transport, and another family bereavement, this one dramatic and unexpected) plus the added challenge of perimenopause.

I had found peace with being a big arsed, big thighed gal (much easier after the 90s ‘heroin chic’ thing went out of style) but peri/gaining weight via booze had given me a gut - a gut AND an arse made me look inflated all-the-way around, like a bumper car, so I have been avoiding socialising in order to avoid photos. Getting back somewhere towards my usual isn’t about vanity, it’s about reclaiming who I was 5 years ago, including my physical fitness and mobility, 3-4 extra stones is terrible for my knees and that becomes a negative cycle of not doing the physical stuff I enjoy most (dancing and cycling) because it hurts my knees, but then gaining more weight because I’m not active enough.

I’m not at all worried about the doom-sayers who claim we’ll pile it all back on again - even if they turn out to be correct we’ll be no different to the millions of people who lost significant weight via Slimming World or WeightWatchers or Slimfast or gastric sleeve surgery or plain old calorie counting and failed to keep it off long term - not being certain whether the loss is maintainable or not isn’t a reason to not try at all.

Oh! And @Xiaoxiong I did the same as you! Filled out the initial form for Zava with my weight at 13st (a guess) thinking I was not-quite-obese but the joint pain would qualify me for the lower starting BMI (for people with comorbidities) and when I took my feet-on-the-scales photo for their doctor to review I found I was actually 13st 4, a BMI of 30.1 😬

(the heaviest I’ve ever been at a first weigh in was 14st 1lb after the birth of my firstborn, who was 12 days overdue and a whopper at 9st 9lbs. My mobility was incredibly compromised at the end of that pregnancy and I was only in my early twenties so I deffo don’t want my now middle-aged, non-pregnant weight to get up towards 15 stone again. That baby is now the age I was when he was born and he’s 6ft 3 of wiry muscle, like a human whippet 😂)

Wishthiswasntmypost · 05/09/2024 16:11

I was 3 stone (yes you read that right) heavier than I'd have estimated 😳😲

Wishthiswasntmypost · 05/09/2024 16:12

I've always been an optimist...look on the bright side...kind of person 😄

Xiaoxiong · 05/09/2024 16:18

@Wishthiswasntmypost You say "The only reason I can see to do that is a punishment for my lack of control". I think this is at the bottom of a lot of these comments - MJ makes it "too easy", it's "cheating", it's a "quick fix". People may tell themselves that they say these things because they don't want people to yo-yo and pile the weight back on again but I think there's a healthy dash of vengeful puritanism as well - those fatties need to suffer to lose the weight or it's not fair. I even saw one person saying something along the lines of "I work bloody hard to maintain my weight so it's not fair that someone just uses MJ to lose it" which I thought was very revealing!!

@ChaChaChooey I'm glad I wasn't the only person who was lying to myself and then getting this medication prescribed was the moment of truth!! Also I do feel like you that the MJ "journey" so far has made me reflect on why and how I gained weight. Pregnancies, stress, boredom, age, all have had their roles to play but the reduction of "food noise" has helped me work through it (and also the Voy counselling, I'm trying to get my money's worth there too!)

Wishthiswasntmypost · 05/09/2024 18:16

@Xiaoxiong I think we read the same post! I didn't mean to express that I agreed with that sentiment BTW. Its very odd the people wound up by the idea this might be successful for some people. But that replicates the general fatism that exists. A disgust of fat people and their indulgence

ChaChaChooey · 05/09/2024 19:18

Wishthiswasntmypost · 05/09/2024 16:12

I've always been an optimist...look on the bright side...kind of person 😄

😆

I have definitely had times where I convinced myself I looked OK/hadn’t noticeably gained weight (until a candid photo proved otherwise!)

3 stone out is nonetheless quite impressive - maybe we are losing touch with material reality in this very-online era and we need to bring back ‘Guess the Weight of this Random Thing’ competitions at school fetes? 😂

re: judgy people: I had (what I thought) was a really good friendship that ended after I lost my second lot of baby weight.
The strange thing was that I had only gone back down to what I had weighed when we first met, but I guess she had gotten used to me being the same size as her and when that wasn’t so anymore it made her feel bad about herself? I don’t think I ever said anything to contribute to that feeling, although I suppose I was positive/encouraging whenever she brought up wanting to be more active so perhaps that came across as me agreeing with her negative inner voice?

(FWIW I would never have been negative towards her re: food or exercise partly because that was my third time at losing 3-4 stone so clearly I have my own weaknesses and partly because I actually suspected she had an undiagnosed underlying condition that made it extremely difficult to lose weight & easy to gain it, especially as she had a variety of low level symptoms that would point to something hormonal eg PCOS)

Once I was back in my pre pregnancy jeans she gradually faded me out until it was a total ghost & then blocked me everywhere - weirdly I am still really good friends with her long term boyfriend (met them both together) and he has never once mentioned her ghosting me. He sometimes mentions her in passing and we both act like he’s talking about someone I only know of via his anecdotes, rather than the godmother of my youngest child 🤷‍♀️

Wishthiswasntmypost · 05/09/2024 22:02

That's very sad. I wonder how her self esteem was. She obviously couldn't cope with how it made her reflect on herself. I'm really capable of being happy overweight but I had reached a point where enough (3 stone) was enough. Bigger clothes, tight clothes cycle...social media photos of a fat woman and horror...it was me ...

I feel much happier slimmer now and got chatted up this week!

Xiaoxiong · 06/09/2024 08:33

Did my weekly jab Wednesday morning and I'm down another kg today. In the weeks I lose nothing, I lose nothing - it's flat all week, but in the weeks I do lose it seems to follow the pattern of
Day 1 jab, appetite not very suppressed
Day 2 no loss, appetite suppressed
Day 3 loss, appetite very surprised
Day 4 smaller loss, appetite suppression wearing off
Day 5-7 plateau to next jab, have to pay attention to not overeating as suppression mostly gone

In looking at this pattern it does seem to follow the 5:2 eating pattern where day 2 and 3 are my "fast days". The difference is that previously having tried 5:2 I had found it almost impossible to cope on the fast days, out of my mind with hunger and boredom and obsessing about where my next meal was coming from and invariably failing to stick to it.

dogdaydisaster · 06/09/2024 09:34

Really interesting reading. I’ve not been brave enough to go anywhere else than here so not seen those threads. As for me, I’ve always been bigger than most, but of course if I could go back to teenage me I’d tell myself how bloody gorgeous and curvy I was. I had a diet obsessed mum, and was at slimming clubs aged about 12. So diet culture has been in my head for 40+ years. And as we know, diet after diet means weight gain over weight gain.

I have a family who think I’m great whatever size, but I’m bored of never being able to get nice clothes from any shop I try. I’m bored of being the last up the big hill when out walking. And my knees are starting to tell me it’s time to take action.

It’s happening very slowly, but it is happening. I’m 8 weeks in and have lost an average of 1.5lbs a week. Food suppression is so/so but noise greatly reduced. Side effects are generally manageable and I’m feeling positive.

I have an interesting dilemma. I have the 5mg bonus left in the pen and the 7.5 in the fridge. I’m keep to jump up and see if things speed up, but part of me is thinking I might try the 5th week as a bit of a mini test, to see how the resolve/willpower can support me now I’m 8 weeks in- test whether my brain is in a different place? What do you reckon?

ChaChaChooey · 06/09/2024 11:20

When I moved from 2.5mg to 5mg I did the bonus dose on a slightly shorter time frame than usual, so day 4 or 5 rather than day 7. I then did the first higher dose 5 days later.

Would similar work for you @dogdaydisaster? It would mean your regular injection day changes (I know some people have side effects on day of or day after injection and need to time to fit with work commitments but personally not wasting the extra was a higher priority to me than convenient timing!)

I need to order again and I think I’ve decided to stay at 5mg with Zava for one more month and then move to a provider willing to facilitate a longer term maintenance plan (probably moving back down to 2.5).

Xiaoxiong · 06/09/2024 12:04

@dogdaydisaster I'm going to do the same this coming week - do the bonus dose a day earlier than usual because I have a business trip and don't want to bring the pen just for one final dose, and then the following week do the next dose up a day earlier as well. So far I haven't had any side effects from the jab though.

My mum has also struggled with her weight her whole life and obsesses about my weight (and now DS2's weight as well, which I'm trying hard to keep away from him!!) With adult hindsight I now know her concern for my weight came from her own struggles and not wanting me to struggle like she did as we are so similar in size, shape and metabolism. I find it hard not to be concerned about my DCs weight as well - one is effortlessly slim and healthy without really thinking about it, the other is always thinking about food and has a big appetite and I really don't want him to be taking MJ when he's in his 40s like his mum!! It's hard to disentangle concern for health vs. putting "diet culture" into their heads.

Marmalade100 · 06/09/2024 14:18

Can I ask what people are doing about moving forward ? I'm on last dose of this pen tthe next in the fridge. Zava don't let you do maintenance so with 1 stone 8 until I'm at top of healthy BMI which will be 11 stone,I'm starting to wonder. My target is 10 as I don't want to look too haggard at my age and plus my body shape of wide shoulders and hips would make me look odd any lower. Zava do double pens so maybe that would be an option after this one..

Wishthiswasntmypost · 06/09/2024 14:34

Not sure I understand...are you worried thy won't supply enough to get you to 'normal' BMI? Or pondering your goal as you don't want to look too haggard?

I've set my goal in the overweight range as I don't wish to be that thin.

ChaChaChooey · 06/09/2024 14:37

I’ve been looking around at who offers what for maintenance and I think I am going to move to this provider because they have a clear, published policy (they will let you go down as far as 19 BMI before suspending prescribing and I have no interest in going that far because the last time I was at the low end of the 9s my head looked too big for my body):

https://www.thefamilychemist.co.uk/maintenance-therapy-on-weight-loss-medications-wegovy-and-mounjaro/

I’m currently at BMI 26 so I expect to be asked to provide evidence of my current prescription and my original starting photos from July (as well as current photos)

Maintenance Therapy on Weight Loss Medications: Wegovy and Mounjaro 

Our Mounjaro and Wegovy patients are always querying about maintenance doses and just general information. Find out everything in this blog!

https://www.thefamilychemist.co.uk/maintenance-therapy-on-weight-loss-medications-wegovy-and-mounjaro

Marmalade100 · 06/09/2024 15:09

Wishthiswasntmypost · 06/09/2024 14:34

Not sure I understand...are you worried thy won't supply enough to get you to 'normal' BMI? Or pondering your goal as you don't want to look too haggard?

I've set my goal in the overweight range as I don't wish to be that thin.

When you get to healthy BMI apparently Zava will stop prescribing. I just didn't know if that meant right at the top end or until you get to your goal. If it's when you hit it or a couple of pounds below then I'll need another prescriber.

Marmalade100 · 06/09/2024 15:11

And I'd like to do a maintenace dose for a couple of months so as not to just stop taking it straight away to wean off

Marmalade100 · 06/09/2024 15:14

ChaChaChooey · 06/09/2024 14:37

I’ve been looking around at who offers what for maintenance and I think I am going to move to this provider because they have a clear, published policy (they will let you go down as far as 19 BMI before suspending prescribing and I have no interest in going that far because the last time I was at the low end of the 9s my head looked too big for my body):

https://www.thefamilychemist.co.uk/maintenance-therapy-on-weight-loss-medications-wegovy-and-mounjaro/

I’m currently at BMI 26 so I expect to be asked to provide evidence of my current prescription and my original starting photos from July (as well as current photos)

Thank you, that's helpful. I'll have a look.

HeBeaverandSheBeaver · 06/09/2024 16:50

Need to have a vent

Saw my friends again today and still no comment. I wore a tight fitting top on purpose so they must have noticed!!!!!!

It's annoying me now

I didn't do this for compliments I did it for myself. But surely it's obvious!!!

Ilovethewild · 06/09/2024 18:01

Started 7.5 today,

sw 118.1
cw 105.7
gw 70

.3kg loss last week, but nearly 2 stone down in 2 months, so I’m reminding myself it’s going in the right direction and now summer hols are done, I can get back to usual days/meals and good food choices.

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