Continuing Mounjaro... Part 22

[Jimmyneutronsforehead]

It's thread 22 time! As usual please fill up the previous thread before we make a start on this one.

Huge congratulations to every one who has made losses, and well done to those who have graduated the mounjaro club! We would love you to come back and share your tips for maintenance so we can all continue to learn and grow from each other.

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

Miss Mounjaro UK has the most up to date price comparison charts: https://www.missmounjarouk.com/

This one's the most recent I will also post the image.

Just to copy from the previous thread as it's highly useful information:
https://www.diabetes.org.uk/guide-to-diabetes/enjoy-food/carbohydrates-and-diabetes/carbs-and-cooking
https://www.healthline.com/nutrition/cooling-resistant-starch#TOC_TITLE_HDR_6

MabelSpan:
For those who love their carbs, I grow my own veg, including lots of potatoes so eat them most days. You can dramatically increase the amount of resistant starch, a type of fibre, in your potatoes, rice and pasta and bread simply by cooking then cooling, ideally overnight or freezing in the case of bread and then reheating or toasting in the case of bread.

Please remember to do this safely if this is something you would like to do.

In light of being in close proximity to someone who has had complications from Mounjaro, I just want to say for any newbies: We are a wonderful community of Mounjaro users with a wealth of knowledge between us, but we're not a medical service. We are all people who have acknowledged the risk to benefit ratio, and are following our clinicians advice. If you do have any serious side effects listed on the information sheet that comes with your medication, please seek medical advice.

There are no questions too silly, no loss too small to celebrate, no hurdle not worth the challenge and huge congratulations to everyone who has made it this far in their journey and once again, welcome to thread 22.

Sorry meant to add both pages.

This is very common if you eat too much fried or heavy carby food, you need to avoid it if you’re on these meds, I have noticed a correlation on all these threads where people eat food like this and they suffer the gastrointestinal symptoms for days after. A small amount can do it. But if you did a weekend then this is likely the root cause.

Something won’t have changed in your body but you will need probiotics to restore your gut health or it just keeps coming back , you should get some , Amazon will deliver or pop to a chemist, and also speak to your doctor if it continues.

You need to eat healthy on these meds from what I can see, lots of veg, salad, fruit, protein. Once you stray into the sort of fried and overly carby stuff there is a bad price to pay. You can still have a small bowl of pasta or sandwich or whatever, but things like halloumi and chips will cause many people signficant issues.

probiotics are important, I take one daily, but a couple of years ago, I was put on heavy antibiotics, I then got the runs, and after I finished the course I had the same as you, nothing could stay in me, it was awful and I went to the doctors, who mistakenly gave me more antibiotics, different ones, my daughter told me to take probiotics as I’d lost all the good bacteria in my gut, and this fixed the issue.

I am really sorry, but the symptoms the PP is describing are concerning and can be linked to this weekends diet.

I am concerned for this PP, because a lingering pain after using organs that help breakdown fats and oils like the pancreas and gallbladder absolutely needs to be investigated and shouldn't be mistaken for a normal side effect. Until the PP has had her bloods checked we just can't say that for certain.

We absolutely should avoid these foods when on mounjaro, because we're at an increased risk of developing cholecystitis and pancreatitis due to the medication, but eating oily and fatty foods and it causing pain isn't normal and shouldn't be ignored.

My own DP has not long since been hospitalised for pancreatitis due to mounjaro, and his only symptoms were an intense stomach ache that left him feeling miserable. He was given a lot of caution in hospital by every medical professional that saw him that he had to cut a lot of things out of his diet permanently now because the risk of reoccurrence was significantly higher and sadly pancreatitis has a significant ratio of serious complications and a risk of becoming a chronic condition without the proper management of lifestyle from here on out.

I feel like I've got a duty to everyone on this thread to make sure that we're providing factual information so every individual can make an informed choice as to how they proceed, but for this PP especially I am insisting that they contact 111 this morning and await further clinical advice.

Sorry yes, I did say see your doctor, I wasn’t undermining your advice, she could have developed a signficant problem due to it.

@Jimmyneutronsforehead Really good advice that we should all heed if we are unwell!

Thanks for the advice everyone. Sorry to hear about your husband @Jimmyneutronsforehead

I don’t actually have any stomach pain, thankfully. Just epic diarrhoea. Thank you for being so vigilant though!

@Jimmyneutronsforehead - thanks for the advice. I think it’s excellent that you’re reminding us of when to be sensible and seek advice. I hope your husband is okay.

DP is doing wonderfully. I'm very jealous because he's lost more weight since stopping mounjaro than I have in a month of mounjaro and we were very close in weight to each other, he's taller so his BMI is going to be lower than mine.

He's realised he can squeeze in about 30g of fat a day before he gets uncomfortable which isn't much and it's found passively in things so even though most of our diet aligns with eachother it's the little things that he's seeing the biggest difference with. Stuff like milk, meat, vegetable oils, nuts, eggs etc. Still really grieving butter.

Well said @Jimmyneutronsforehead, I think there is a danger that MJ is, in our heads, becoming something less "serious" than medications prescribed by the GP. People have got used to getting information on it from social media and advising each other but we do have to remember that serious side effects, though very rare, can be life threatening

@toomanycushionshere When I worked in the NHS I was told that "hearing hoofbeats is more likely to be a horse than a zebra" meaning that, most of the time, the diagnosis or solution is likely to be something unexceptional like a horse but you don't know if you have a rare case until you have checked the horse isn't a zebra!
It's more than likely your symptoms are not serious but it's important to take medical advice to confirm this and, in the meantime, keep up your fluids, add electrolytes if you haven't already and stick to a bland diet. Probiotics may be a good shout too.
Good luck

@Jimmyneutronsforehead Over my years of dieting I have tried so many things and had some of these when doing Slimming World. They are called Butter Buds
They are horribly processed but add a bit of butter-type flavour to things like jacket potatoes if DH was desperate

Congratulations! Very close to goal now here - just 3lb to go to reach 10 stone from 14 1/2 at the end of April. Going to drop down from 7.5mg (highest I got to) down to 5mg and see how it goes from there.

I had Invisalign fitted 2 weeks ago and without planning it, that seems to be my maintenance plan over the next 4-5 months, if I come off MJ altogether. I have to take the aligners out to eat, which will mean zero mindless snacking! The downside is that it’s physically painful to eat atm, so I’m getting zero enjoyment from the small amount I can manage…

@QueenOfHiraeth he's willing to try anything.

A good portion of his post-admission new lifestyle dysphoria was a monologue about how he'll never be able to have a sandwich again without butter, he'll never enjoy a nice tuna jacket spud without butter, he'll choke on dry crackers, life isn't worth living, call the morgue and tell them he's walking down down and he expects a trolley ready when he gets there because he just doesn't want to live a life without butter. All the woe is me stuff. I told him I'd visit the next day wearing all black so we could properly mourn.

I'm going to order some, and if he doesn't use them I will but you might just have saved this poor butterless man's life.

I’m after some advice , was on 5mg and weight loss dropped to less than 1lb a week so upped to 7.5 . Have been on this dose for 3 weeks and weight loss is still less than 1lb a week . It’s very frustrating when hearing other people losses on half the dose . I’m wondering if I’m not eating enough ?

Hi. I will be away with work for four days and will have an unused pen with me. Will it be OK unrefrigerated as I don't think I will have access to a fridge.

That’s not really how weight loss works. If you’re not losing you’re eating too much unless a medial problem, what are you eating?

Weight loss isn’t an exact science eg you can’t consistently lose 1lb per week until the end of time. Sometimes your weight loss stalls or plateaus. Sometimes your body needs to adjust to your lower weight, before you start to see big losses again. Sometimes you find it easier to lose weight at the start, but afterwards when you have less overall body fat, it’s harder to lose the same amounts of weight as you don’t have much fat remaining.

Still trundling along, very slow losses but losses nonetheless.

At 7.5 dose now but it hit me like a train so the 2nd dose I did at 45 clicks, just over 6mg I think.

Started 22nd Jun 85kg
CW 70.9kg
TW 60kg

Had horrific constipation this week on top of my already chronic slow motility. 10 sachets of Movicol, 6 dulcolax and half a carton of prune juice and I've lost a kilo that has been keeping me at just under 72kg for a fortnight.

Have a good weekend all x

Weight loss is bonkers, I give up trying to understand it. I stayed 9st 12lb for 12 days, and then have dropped 4lbs over the course of four days. How is that even possible?

I'm due to take my next dose tomorrow and I'm not sure what to do so any advice would be welcome.

SW 11st 7.8lb
CW 9st 8.2lb
GW 9st

I have a new 5mg pen in the fridge. When I get to goal I intend to come off MJ completely. I'm not sure whether I should start tapering down or now?

I've done 4 weeks at 2.5mg, one week at 3.33mg, 5 weeks at 5mg.

I've got a full pen of 5mg and I've got enough credit with MedExpress to get another pen (for free) and I need to order that soon so was thinking of getting 2.5mg.

But should I stick on 5mg for a few weeks or tritate down? I can't make the decision. I think my 5mg was a little less this week and I've been hungrier and a better appetite and to be honest I've not hated that. I've liked wanting food a bit more.

I suppose it depends how confident you feel managing your calorie intake and feeling a bit hungrier.

You're so close your goal weight, but if 8lbs over your goal weight was comfortable and you feel like you can maintain that better than you would be able to maintain 9st bang on then you could start titrating down but do it slowly so you can gauge how well you're managing your hunger.

If you're really certain that you do want to get down to 9st then you would need to decide whether you feel like you're able to lose that without the suppression of mounjaro. It would definitely mean being extra vigilant with calories in vs calories out and you will feel it more.

The truth is you're so close already that you've probably already learned about your body's hunger cues and learned ways to manage your appetite while you've been on this journey so you should feel so proud of yourself and confident in your abilities. We're all going to have to be vigilant about calories in vs calories out any way when we get to maintaining, it's just a fact.

I'm still so far away from my GW so if it were me I'd stay on the 5mg until I was my goal weight, but when I am closer to my GW my perception will probably shift so I think on that note there's only you can make the choice but I just want to say well done either way.

You could always get the 5mg pen and count clicks, but you're stumped if you go for 2.5 but actually decide later down the line you need more.

Has anyone on here used IQ Doctor? They currently have 20% off for new customers which works out great value

@SnacklessWonder I would order a 5mg pen and use it to titrate down slowly, 2.5mg for 8 weeks. That should help you maintain.

That is a great deal.
Think I'll give them a go.

@MelainesLaugh
ive just placed an order today with them. Think it was 23% off as a new customer. Only cost £153.21 for a 12.5 pen including delivery.