MJ - using it long term to maintain.

[LiveLoveLifeForever]

I’ve been on MJ since June last year and not gone above 5mg. I’ve not really lost any weight since Dec but I’ve changed shape. In total I’ve lost 3 stone, bmi down from 33.7 to 27, dress size 16/18 to 12. I’m still officially overweight by just under a stone but at 57 I’m ok with this although maybe another half a stone wouldn’t hurt. I’m eating a protein rich, low sugar diet and have recently joined a gym. I’m torn about coming off it as I honestly think it gives me more help than just supporting weight control, if you follow Dr Tyna Moore she talks a lot about this. But, it’s expensive, can I stay on it forever and if I stop now will I struggle to maintain my loss?

Yes you can stay on it forever, I intend to.

I guess it’s a bit of an experiment OP. I don’t know what I will do when the time comes.

If you are stable/maintaining happily, why not stay on 5 mg for a while? Perhaps after several months then reduce to 2.5 mg and see what happens? Then after a period of time (6 - 12 months?) on 2.5 you could (maybe) try coming off? See what happens to your appetite? The body might be used to your new weight by then. However I would want an agreement from pharmacist that if it didn’t work and you gained weight you could go back to 2.5 mg/5 mg.

It’s really hard to know what to do as it seems more uncharted territory. Some seem to manage fine without a maintenance dose but many need it, it seems.

I'm never coming off it, I'm prescribed it for diabetes but have lost 2 stone, it's totally transform my relationship with food and I'm not constantly at the beck and call of an urge to stuff my face.
I live in fear of it ever being unavailable

Thanks for tip re Tyna Moore, I’ll take a look.

I thought her video here was good. She criticises (other) doctors in the US who start at 2.5 and increase at 2.5 per month as being unnecessarily high for the majority of people. She does say most doctors in the US aren’t sure about how to prescribe maintenance or micro-dosing. So, I guess, here in the UK we have to try and figure it out even more for ourselves unless we are lucky enough to have a doctor who really knows their GLP1 stuff, which I would imagine is rare.

This was it:

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I am with Oushk and have been from the get go and have just had my maintenance call with Hira Malik - they offer three maintenance options which you agree with them in an online face to face consultation. The options are to stay on their books for a small fee with the option of going back on the injection if you need to, titrating down or staying in the same dose you are in before maintaining. They will take on maintenance from other providers. As a lifelong yoyo with very loud food noise and huge anxiety about developing maturity onset diabetes I am going to titrate down over several months with a view to staying on the lowest dose to stop the food noise and if I can eventually manage on my own. I know myself very well, I have insight into why I have a problem with food. I have done every single form of diet, I have had hypnosis and I have had counselling. Nothing but Mountjaro has silenced the food gremlin on my shoulder and liberated me so I now know how people without this operate. I have used a combination of calorie watching, Zoe nutrition improvement and IF to lose the weight I have lost since September so it has required behaviour change but the difference has been that I don’t have that nasty little voice telling me I have been ‘good’ so deserve an extra slice or ‘bad’ so I might as well go for it and really blow myself out of the water. I don’t want to drink more than one glass of wine of an evening and I still enjoy treats and good food, I just stop when I have had enough.