April 2025 Mounjaro Starters - Thread 4!

[QS90]

I have the worst mental block with the spelling of this medication!! Almost did it wrong again but THINK it's correct now. Obviously 3rd time's the charm!!

Great work / losses / NSVs so far everyone!

@mjaronewbie It's not stupid, you just made a mistake. You will be fine, this isn't a life ending event (I'm the same, I overly worry. Don't mean for it to sound patronising).

Is the needle still in you? If not, I wouldn't worry. Your body should heal, without intervention - as far as it's concerned, it's just another "flesh wound".

I wouldn't inject again for a few days, as it might be hard to tell your current dose x

Couple of milestones for me today 🥳

I am 12st 3lb which means I have lost 10% since starting, a mini target I had in my head as a big achievement for health improvement.

This is also the weight I got down to about 6 years ago by low carbing (then put it all back on again due to forced proximity to the biscuit tin and snack cupboard during COVID ☹️). Prior to that I had not been below 12st for more than 20 years. So while I still need to lose more than another stone to even be overweight instead of obese in BMI terms (very short!) I’m thrilled that I’m still on the right track and that I’ve got no intentions of stopping here!

There are already a few pill forms out there. There's Rybelsus which is already on the market and Orforglipron which is coming very soon. https://www.oxfordonlinepharmacy.co.uk/blog/what-is-orforglipron-or-the-glp-1-pill

@Squiffy01 They are explicitly testing Orfoligon for maintenance in people who have been on injectable Mounjaro for obesity atm. Here's a trial on that:

https://clinicaltrials.gov/study/NCT06584916?term=ATTAIN-MAINTAIN%20&rank=1

People can generally tolerate pills better than injections, and they are much cheaper to deliver - anything shelf stable is better than a cold storage supply chain. So there's a big incentive to get pills going.

@upinthecloudsagain my provider is Juniper. I'm not mad keen on them generally - I don't find that I use all the extras and they send a lot of AI slop that I hate - and it is expensive but... I chose them based on their inspection results and their maintenance programme.

You are doing amazingly! I started at around your weight - just a few lb lower, and dropped nearly 2 stones now. You will be there before you know it! 😊

So I received a message from Mounjaro..

To support you in maintaining your weight loss and the healthy habits you've developed, our prescribers may continue your treatment for as long as you need, provided your BMI remains above 23.5 and you remain eligible for treatment.

Please note that once your BMI falls below 23.5, we are unable to continue prescribing the medication, as this is the threshold set by our policy. This decision is based on current medical guidelines and is in place to ensure your safety and the appropriate use of GLP-1 medications.

Every case is assessed individually, and the continuation of treatment remains at the discretion of the prescriber, taking into account all the information provided during consultations and your treatment journey.

We regularly review and improve our processes in line with the latest guidance and policies around GLP-1 medications.
This may involve conducting thorough check-ins to monitor your progress, adjust your treatment if necessary, and address any concerns you may have along your journey.

I have just replied with this…

If I maintain a bmi above 23.5, say 25 and come off the medication for 6 months and in that time put on 7lb. Would I be able to go back onto a low dose of Mounjaro to get the weight back off? This is assuming my medical history remains the same. If I submitted photos obviously I look very different now, much smaller than my original photos as I’ve lost a significant amount of weight.

Trying to pin them down! 😂

The trials for the tablets are very exciting- it’s going to save the NHS so much money in the long run if we can manage obesity effectively, and I for one hope all the fast food chains go out of business!!! 😝

Juniper prescribes down to BMI 20 for people who started off with obesity with them. They advise you to think about maintenance when you pass BMI 25. You can stay on their programme for as long as you want, so long as you don't go under BMI 20. That's their current policy.

Which I think is very reasonable as a) I have no desire to go below a healthy weight and also b) it seems very unlikely that I could reduce so low even if I wanted to. I just want to prevent obesity, not pursue thin-ness.

Wk16 and another 1lb lost. Very slow going but still going. We're still living on takeaways & microwave stuff (kitchen renovation) so hopefully from next week I can get back on track with some proper food!

Major NSV for me, it was my teenage DS's birthday & he wanted to go to a water sports / adrenaline activity park & I would probably have just watched & taken photos etc but this time I thought I would take part. He was so happy I was doing the activities & I had such a good time. I put a wetsuit on & swam & climbed over inflatables, went on a zip line & drove go karts. I haven't had so much fun in ages & my DH quietly said to me afterwards 'You couldn't have done that 3 months ago' & he's absolutely right! He's been so supportive & encouraging & has shown me the same affection & respect whatever my size & I'm so grateful for that.

I'm so close to a 2 stone loss & it makes me really excited to think about the next 2 stone.

SW 16.6
CW 14.8

This thread has been a huge support & motivation so thank you to everyone who posts x

I'm a good three stone off maintenance yet but it's interesting to read. I'm away from home and no scales for a week (I usually weigh daily) so will be interesting to see what happens when I get back. On holiday with teens in Cornwall but it's just me and them so unlikely to want much alcohol and since being on mj I don't really have a problem watching them eat an ice cream or whatever and not having one myself. It's SC so I'll have access to a fridge and can cook what I want...though I'm mostly existing on rice cakes and homous in this weather!

Thats such a wonderful and inspiring experience @PhantomErik - especially creating wonderful times for your teen and your DH seeing your joy - truely life expanding. I am thinking of all the things I didnt do with my DCs because of my weight.

Anyway my NSV - I have had loads of social events over the last few weeks - I have so enjoyed getting dressed up (all fabulous outfits from charity shops that I will donate back as I am only 1/2 way through) .... I have over hauled my skincare routine, went for a make-up consultation, whitened my teeth, been to a salon for some basic grooming .... I feel glorious and socially confident. Loving this whole self care thing.

@PhantomErik love the user name! Are you by any chance a POTO fan?

What does NSV stand for? I can’t work it out!

Im back in shorts that haven’t fit me since 2022 which is a great feeling. Plus I finally feel confident in actually getting my legs out again!

It means non scale victory. Basically anything that doesn't correspond to numbers on a scale. Like clothes fitting better, or not needing a seat belt extender on a plane

Non Scale Victory

your shorts are a perfect example 🙌

NSV = non scale victory.

ie no weight loss, but your old shorts fit again or you don’t need to squeeze past the shower door or ask for a seatbelt extender on a plane.

Thanks all! I got the concept but just couldn’t work it out!

whoop to NSVs! 🙌

I really loved hearing about your adventures, @PhantomErik . ❤

I will share that even though I returned from my holidays at the same weight I left, 75kg, I dropped down through 74kg to 73kg (all just rounded obv) this morning now I'm back on home food.

It would be excellent to get to 68kg by the end of August. The sense of control this drug gives you is curious. I've simply never thought about weight in this way. I'm not sure I like it? It's almost an attractive feeling but there's something a bit detached and inhuman about it.

@PhantomErik thats so lovely and your DH sounds like a great guys.

Monday appears to have become my weigh in day, even though I jab on Thursdays.

sw 14st1lb
cw 12st13lb
tw 10st7lb

i am below 13 stone for the first time in what must be 20+ years! Feeling fantastic. I remember getting to 12st7lb on WW which I did 25 years ago so that’s my timescale.

@Lundier yes, I understand feeling a bit strange about it all. I think it’s because I’m changing my relationship with food and my body. I’ve always been “the fat one”. I was looking at some old photos of me as a teenager at the weekend thanks to Live Aid memories, and DM and DGM used to tell me I was overweight and I needed to get a grip on it. I was a size 16 in sixth form, which in those days was indeed large and that was the biggest size in lots of clothes shops. And yet I look at the pictures now and see a teenager of a perfectly normal size. My BMI was in the “ok” range.

One of the reasons I’m ok with a steady 1lb a week loss is that it gives my brain a chance to keep pace and adjust to the reality of my new body size.

It's great seeing a new category on the scales isn't it, but I agree it feels strange and needs some mental adjustment as it can really mess with your sense of identity.

I am going to see an 11st something in the next few weeks (currently 12st3 and losing a nice steady 1-1.5lb/week like you) and I have not been below 12st since I got together with my DH 20+ years ago. The only times in my adult life I have been close to a 'healthy' weight it was usually because I was utterly miserable about something and couldn't eat. So for me fat=emotionally OK, thin=mentally unwell. Thin + happy have just never gone together for me, so even the possibility is completely mind blowing!

SW 94kg
CW 76kg
TW below 70kg

I feel like I’m nearly there. Dropped almost 2 dress sizes. Feel so much better. Back in shorts that haven’t ever fitted me, almost threw them away. The best thing is not experiencing that gnawing hunger.

I don’t think I’ll aim for the size 10 of my early 30s but to be comfortably in a 12 will be fab. Interestingly I haven’t been lucky enough to not develop a scraggy neck, especially as I had a decent double chin before.

W15 D6. Been trying to maintain on 5mg but found that I’ve lost 10more pounds since I start maintenance.

been thinking of dropping from 5mg to 2.5mg as i think it’s still too strong for maintenance. I’ve been trying to do intuitive eating where I eat when hungry and with healthy choices. However it is probably working too well

on top of that I think maintaining and trying not to gain back the weight I’ve lost I haven’t mentally been able to get pull back on the exercise aaand making sure I don’t. Stuff my face. And worrying that having a burger takeaway willl mean I’ll get fat again

I know it’s the mental side I need to fix. I’m ok making healthy choices and exercising.

think I’ll drop to 2.5 mg after I finish this 5mg pen and then I’ll monitor to see how it goes!

Does anyone know what a maintenance actually dose is? Is it different for everyone?

Could you stretch out your 5mg inj to 10 days or 2 weeks - or use a needle or clicks to get 10x2.5mg from a 5mg pen

Maintenance is different for different people. So now it’s trying to see what works for me :)

Well done for getting to maintenance! Can I ask how many weeks the accidental 10lb(!) took to come off?!

4 weeks....to be fair it was a big whoosh at the start and started slowing down..but still losing! so have ordered a 2.5 for my next pen.

Main challenge i have is just not having the appetite to be fair and that combined with eating healthily and not snacking and still being active/exercise as part of my habits mean that its just continued to dropped.