Mounjaro September Support (2)

[doodleschnoodle]

Continuation of Mounjaro September Support www.mumsnet.com/Talk/weight-loss-injections/5155143-mounjaro-september-support

Thread 2, here we go!

1700 will be right for your height and current weight, as you lose make sure you go in and just resave your profile/goals every couple of months, sometimes it doesn't automatically reduce your allowance and it will lower as you get smaller.

You want ideally to be allowing yourself enough calories to not feel deprived, that's what leads to dieting fatigue and giving up.

Hey guys! I just did my first dose a week ago. And about to do second. I had started fasting 6pm-12pm (so 18 hours more or less) already for a few weeks before. I haven't weighed myself in years but I guess I'm about 15st after two babies in quick succession. Would love to get down to 10st, but maybe that's a bit ambitious.
I seem to be losing a lot of my stomach.
Today i purchased some scales!
Here for support and motivation.

I went for a meal for my son's 1st bday yesterday and felt I had to have some cake, well I have never felt so full after that. I find I can easily do one big meal a day or two smaller meals.

Also the first dose - I felt like I had been hit by a bus for 24 hours, hope second dose isn't as bad!

@BankHolidayReset I’m in similar dilemma. Today will be my first injection from the 5 pen. My suppression is still okay but also I’ve had no problematic side effects, so my plan is to try 5 and see how it feels.

So happy to have a stone off my weight in my first month, but most of all just loving being the person who can sit at a table of nice food and just enjoy a moderate amount.

I’ve just ordered a 5, planning on taking the bonus dose from 2.5 on Saturday as a fifth dose. My reason being I might do 2.5 from it at the start and increase if needed, suppression is still really good.

So I’ve done the bonus dose of the 2.5mg this morning. Wasn’t too hard to force the pen but had to use a little force with the plunger - will have a cracker of a bruise I think.

Weighed this morning and had a 2lb loss so in 4 weeks I’ve lost 16lbs. Delighted. I think that’s my losses slowed down but I’ll be happy with a steady 1 or 2lbs off a week.

SW - 14st
CW - 12st 12lbs

@pistachio89 I totally understand the not weighing!

I guessed my weight for the initial assessment because I was too depressed to get on the scales. I weighed myself on day one and am actually a stone lighted than I thought (still obese though!).

I assume the provider will track my weight for the next prescription, so I will have to think about how I manage that (maybe add a stone!).

I am on day five and am hoping to lose 4lbs this week - aim in 10lbs a month.

Please let me know how it goes. I've had a few side effects to from 2.5 but totally manageable. I'm worried there's no need for a 5 but still have a few weeks to go but taking into account t ordering and delivery I will have to make my mind up soon.

Can someone explain what the bonus dose is?

And when you say suppression, do you mean lack of hunger?

Monday morning weigh in. I've lost 3lbs this week, with a total loss for the month of 12lbs. Hoping to have lost a stone by next week!

SW: 14 st & 13 lbs
CW: 14 st & 1 lb

Goal weight (somewhere around a BMI of 23-25) seems very far off.

Decided to increase dosage slightly from 2.5 to to 3 and see how I feel. (I have a 5mg pen ready for next week, it'll be 36 clicks). This past week the snacks have been calling me. Have managed to resist, but would rather up the dose a little now than struggle on at 2.5.

Bonus dose had just over 2.5 this morning. A bit of a faff, as I ended up injecting twice - managed the 'hard twist' just fine for the first 2.5, then with the little bit left I could twist again and use that. It'll be in the region of 3, so a good start. I see why people use insulin needles to extract their bonus doses. I'm just not sure I'm brave enough yet!

So what I did in a similar position (I'm a couple of weeks ahead of you) was buy a 5mg pen. It was £10 more expensive than the 2.5, but it gave me the flexibility to decide to increase if I wanted to. As long as you're happy counting clicks, you don't have to jump to 5mg straight away. I'm planning on moving up slowly - to try to avoid side effects and because I want to stay on the minimum effective dose for me. So I'll use 3mg per week at 36 clicks. 4mg would be 48 clicks.

It does mean I probably won't use all the pen before the 30 day limit is up, and any waste will annoy me, but it's still better than a less effective 2.5mg pen.

Hope this helps! Everyone's journey will be slightly different - our bodies are all different in size and shape and how they respond to the medication. Trust how you're feeling and talk to your provider if you've got any concerns at all.

First weigh in after my first week and I’ve lost 7lb! I feel better and my clothes are slightly more comfortable.
I found the effects were starting to wear off by the weekend, so Ive just had my second 2.5 dose a day early.
3st to go…

Weigh in this morning before I start the 5mg pen tonight.
SW- 13stone10
CW - 12stone9
GW - 10stone7

So I've lost just over a stone in a month which I'm really happy with! This past week I've definitely had less good effects as I've been craving chocolate like crazy (hormones!) and felt hungrier. So think I need to go up to 5 but am quite nervous of the side effects! Hoping I'll be ok though. I'd love to lose at least another stone before Christmas but have always found with weight loss I lose quickly in the beginning then it slows down as I have less to lose.

The 'bonus dose' is the medicine left in your pen after you have injected 4 times. After 4 doses then pen is considered finished, but many people use the remainder as a 5th dose, hence the term. There is usually just over a full dose remaining. Actual amount will vary, depending on how much you used when priming. Some people use a 1ml insulin needle to extract the dose from the pen and inject. Others do a 'hard twist' which is just like turning the knob to 1 as usual, but you have to twist hard to get it there (forcing the pen mechanism). I did it earlier, it wasn't difficult.

Suppression can mean lack of hunger, it can also mean a lack of desire to snack or to feel full after a small meal. For me, it's the latter. I get hungry, but don't eat as much at a mealtime. I used to crave carby snacks but my cravings are much reduced and manageable.

@HippoPortlyMouse amazing thank you for the clarification!

Just a quick question,
When priming, you're told to do the 2 clicks and press the button all the way back to zero.
It seems a fair bit of liquid comes out of the needle.
Is it necessary to press it all the way back to zero if a drop has appeared? I don’t want to waste any!

Does anyone find that food tastes different?

Let's assume your pen contains exactly 5 doses. It's 2 clicks to prime, which if you prime 5 times (including bonus dose) is 10 clicks, which is 0.1ml. That's 3.3% of the pen in total. So if you prime as advised each time, your bonus dose will be less by 0.1. Most bonus doses are actually in the region of 0.7 - 0.8, so you'd still get a full bonus dose at the end.

That said... I never prime properly! Once I see a couple of drops on the needle, I know it's working!

I did my second jab yesterday and had a horrid night, really restless , and I have this little niggling ache in my right upper quadrant. Obvs am going to speak to my GP to rule out anything important with my pancreas/ gall bladder/ liver, but has anyone else had similar and it turned out ok? It feels a bit like that ache you can get sometimes after drinking a lot... It's not intense so much as annoying. I obviously haven't been drinking whilst on the meds, but did drop a lot of weight last week (7lbs).
I also feel sick, but that could be a result of 2 hours' sleep and then schlepping to work. Hope it sorts itself out soon.

I’ve taken my 2nd dose two days early as I’m bloody ravenous and want to eat everything. Am going to use bonus dose to make up the space and go to 5mg a week early perhaps if no side effects emerge

I'm on day 6 of week 4 and feeling pretty rubbish - after 3 weeks of feeling pretty good. Since Friday I've had a lot of pain in my gut. Not gas, I'm not constipated, don't have the runs. But my appetite has completely gone, to an extent that doesn't feel healthy. I've been eating small amounts of what I can, including protein, lots of veg, whole grain carbs (e.g. puy lentils). And lots of water.

So far today I've only had a small bowl of greek yogurt, with a few raspberries, some nut granola and a 'breakfast mix' with milled flax, chia, pumpkin and sunflower. And tonight is a fish pie with leeks, carrots, peas and spinach. Even while I was prepping it I didn't feel tempted.

I'm due my bonus dose on Wednesday but I think I'll not take anything more until I'm feeling better, and then maybe start with a half does of 1.25mg.

Despite eating like a mouse I haven't lost any weight this week either.

I'm wondering if I have done my injection wrong for the last 2 weeks. I've been doing my thigh, but the first 2 weeks was the top of my thighs, the last 2 weeks have been in the lower thigh. I think I've been injecting into muscle rather than fat for the last 2.
Could this be the reason I'm so hungry?? Is that a thing about going into muscle?
I'll be doing it in my stomach from now on, plenty of fat there.

How long in the needle? Mine is tiny and wouldn’t get through to muscle.

I have attached a photo of where it could be.

If you are injecting in the wrong place it could be that (though I doubt it’s going into muscle) or it could be that it’s still early days.

Ah, hello period. Are you the reason I've been extra hungry the last few days and not seen movement on the scales? Have you come to make me regret forgetting about you and thus increasing my dose this morning? I guess we'll see!

I had my 2nd 2.5mg pen on Friday. Saturday I was so ill. Sunday I had mega suppression and now on Monday I feel peckish again 😭