In case anyone is still struggling to get MJ prescribed with no gallbladder, I've had the following advice emailed today from IQ Doctor, after they approved my third order with them.
(I've been on MJ for 8 months with none of the digestive issues they mention).
Thank you for completing a consultation with IQ Doctor.
Upon reviewing your answers, I can see you have mentioned that you've
had your gallbladder removed. I would like to take this opportunity to
provide some information on the use of Mounjaro after gallbladder
removal.
Patients who have had their gallbladders removed can often use
Mounjaro, though there are some important factors to keep in mind to
ensure safe and effective treatment:
Digestive Changes : Without a gallbladder, bile flows continuously
from the liver directly into the small intestine, rather than being
stored and released as needed. This can sometimes alter the way fats
are digested and may increase the likelihood of gastrointestinal
symptoms. Mounjaro may also cause digestive side effects, so it may be
beneficial to start on a lower strength and continue on this strength
for as long as possible before needing to increase.
Risk of Pancreatitis : While removing the gallbladder may reduce the
risk of gallstone-related pancreatitis, Mounjaro itself has a rare but
potential association with pancreatitis. It’s important to be aware of
symptoms like persistent abdominal pain, nausea, or vomiting and to
seek medical attention if they occur.
Dietary Considerations: After gallbladder removal, many people find
that a balanced, lower-fat diet helps manage digestive comfort. This
approach can also support weight management, which complements the
benefits of Mounjaro.
Hydration: Mounjaro can reduce appetite, which sometimes affects
thirst as well. Staying hydrated is especially important to support
healthy digestion and to avoid any risk of dehydration.
We recommend starting with a lower dose of Mounjaro and seeing how
your body adjusts. It may be wise to continue with the lower strength
while ever you are making progress.