Continuing Mounjaro... Part 20

[Jimmyneutronsforehead]

Huge thank you to ObsidianTree for all prior threads, and congratulations on your hard earned losses, you've been a huge inspiration to us and we're excited for your maintenance updates.

FYI to any newbies please visit previous threads, they are full of invaluable advice from our wonderful community, the threads are full of gems of information and loads of peer support.

Pointers for newbies:

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 link below:

Promo codes :
https://www.mumsnet.com/talk/promo-codes-bargains

Linking Wallywobbles site, as theyve very kindly compiled all threads so far, pointers for newbies, weightloss tracker, links to discount codes, tips and tricks and high protein recipes.

Site with all the info :
https://wattnext.notion.site/e880d9342b7a4bab94c244b34e0e5841?v=cc1edc3f1c2b41dab3011c8d9063df0a

Please continue to fill up part 19 before hopping over to this thread.

I thought I might stay on 2.5 but by the 4 weeks the appetite supression was definitely not what it was, and weight loas had stalled so I was sure I was ready to go up to 5mg.
The 5 mg has been ok for me, and I've had the same dilemma about possibly staying on 5 or go up to 7.5. Weight loss is still very slow even though the appetite supression is still good, again it is definitely less than 3 weeks ago ( I took injection 3 from the 5mg pen Friday). So based on that I have just bought my next pen 7.5mg.
Its really hard to know whether or not to go up. I think I am going to keep basing it on the level of suppression for now. Hopefully 7.5 is a sticker for me

@SnacklessWonder I don’t understand! How can you have suppression and still feel really hungry?

Not a dig; I have very few side effects so I’m always keen to learn!

@Ifyounevergiveup because I'm hungry all the time, feeling the hunger pangs but I'm indifferent to food so can easily ignore the hunger, and full up really quickly. I do wish the hungry feeling would go away but it doesn't distract me like it did before. I can ignore it now whereas it drove me insane before.

@Eyf I have never heard anything about previous bariatric surgery being an issue. Do you know what their issue is? I know a medic who has had sleeve surgery and has used Ozempic since before it was available for weight loss here, so several years, with no problems.
I did a training course on bariatrics years ago and it has struck me, more than once, the similarities between eating on GLP1s and how we used to advise the gastric band patients to eat back in the day.

I messaged them about it and they said it’s because they feel bariatric patients MAY need more help with weight loss!? I didn’t understand it to be fair! Made no sense to me.

I lost the majority of my weight through a gastric sleeve but put on some weight after my last unplanned surprise pregnancy.

This is a huge help!

I don’t think some people realise you can gain weight after bariatric surgery either!

I’ve used Oushk for my last 2 pens, you can select either RM or DPD, and you choose the specific day you want delivery on as well. If you choose DPD they use a PIN code so you either need to be in or have a specific neighbour nominated to receive it for you. I like it because I schedule it for a day I know I’m WFH. Because you can select a future date too, if they do a sale code you can take advantage of it and schedule your delivery for say 4 weeks in advance.

I've just put in an order for 5mg with Oushk ...so I will at least have options then I can decide if I'm still fine on 5mg or if I need 7.5mg ...I think i might do a third month at 5mg anyway a bit more hunger /less suppression will be good practice for maintenance!

Thanks ☺️

I had actually placed an order with Oushk and selected a delivery date not long after posting ...it seems they offer a great service !

Oo I’ve just seen a MJ user on TikTok say that providers can now provide indefinitely with maintenance doses, apparently the two year rule has been scrapped?

That is true! I actually ordered a 3rd 5mg pen but it’s still in my fridge so I am planning to use it to titrate down when I’ve hit goal.

Oh I get it, it’s like it’s numbed. That’s interesting!

I’m only on week one, I’ve got around 6 stone to lose. I stupidly bought two 2.5mg pens, at the end of the four weeks could I take two doses of 2.5mg then get a 5mg pen?

You could, it’s just not the most cost efficient way of doing it!

Anyone tried to cancel on VOY and used the 30% discount that they offer as an incentive to stay?

did 4th week jab of 2.5mg on Saturday and have the bonus jab to use next week. Need to order 5mg and just easier to stick with Voy. Not lost much in first month so hoping next month makes a bigger impact!

@Eyf I see many similarities with this and bariatrics. The slowing of gastric emptying is similar to a gastric band so many of the eating guidelines for the band are useful with MJ too. The metabolic effects and reduction in appetite have some similarities with the gastric sleeve too.
The biggest similarity is that people who don't understand both think they are either cheating or a miracle cure that does not require mental hard work and changes to eating! I think as many as 50% of bariatric patients regain so it would seem logical to try GLP1s

Ignore what 'they' say, 2.5mg is wonderful for many of us!

That being said, you've answered your own question. You're still really hungry so it's time to move up. At least there's nothing to say you have to take the full 5mg if it doesn't agree with you.

2.5mg was wonderful for me with no side effects (well just feeling cold), but I decided to get 5mg since it's the same price and I was afraid 2.5 would stop working.

I used the 3mg in my bonus dose and felt awful. Have used 4 doses now from my 5mg pen and highest I have taken is 3.75mg and I expect to continue on that for a while as still getting excellent suppression (too much maybe).

I've my next 5mg ready for me in the fridge.

We are at the same point and same weight. You started at my heaviest weight but I had got 10lb of it off before MJ. We also have the same target.... are you me? 🤔😁

Is anyone here with Boots? I know they're one of the more expensive but I'm thinking of switching to them because of being able to collect it from a pharmacy (Asda is too far for me) and know that it's been stored at an appropriate temperature and I don't have to worry about missing a courier.

I'm wondering things like is it easy to switch to them, what kind of proof do they want of BMI (mine is about 38 so qualifies easily but current provider were difficult about my photos initially), will they honour the level I'm at or make me go back to 2.5, do you just go to the counter and give your name to collect, and is the box big as I walk there and would have to carry it home.

Thanks

Official weigh day for me. Did 3rd 2.5mg last night. 2lb off this week.

SW: 11st 7.8lb
CW: 11st 0.2lb
GW: 9st 4.0lb

So 7.6lb loss in two weeks. I'd like it to be more, but trying to be realistic that 7.6lb is quite a good chunk of my overall goal and 2lb loss a week is good, but can't lie I was hoping to tip into the 10st bracket today.

Made the decision that I will move up and order the 5mg pen and lower the dose if it feels too much. I do feel that I could lose the 2lb a week without MJ as I have done in the past so will see how I get on over the next month or so.

That's good to hear. Hopefully more providers will scrap that stop at BMI 25 nonsense soon!

End of week 1.
First injected before bed and had a terrible nights sleep first night.
Slight headache first couple of days, probably tiredness related.
Incredibly high suppression first 2 days that it was actually difficult to eat.
Good suppression all week.
I've been eating pretty much clean all week
Start weight: 13.2
Current weight: 12.9
So 7lb lost!

I was due second jab yesterday but I've still got such good suppression, I'm thinking I might do it every 10 days. I would still get the 4 doses within the 30 days from opening. Wasn't keen on doing the bonus dose anyway.

Has anyone done this on leaving longer between doses?

Ha ha, Mounjaro twins! 😁

Not used boots but I know with Oushk you can pick exact day of delivery and have the option of DPD and Royal Mail so you have a lot of control. Their prices are quite competitive too.

Also if you’re around Manchester you are able to collect in person.

Maybe worth looking at some of the other pharmacies and if they offer collection around where you live?

Did my third dose of 2.5mg last night and I am RAVENOUS today, hungriest I've been since I started. Today is going to be a tough day.

If you’re hungry, have a decent meal and see how you feel afterwards. The aim of MJ isn’t to never feel hungry, it’s completely normal to be hungry.