Will I be allowed Mounjaro again after a break?

[ICriedAllTheWayToTheChipShop]

I reached my goal weight recently and, because I had a real nightmare with delivery and I felt Mounjaro was becoming less effective, I decided to come off it and see if I could maintain without. It's been three weeks now and the food noise is almost unbearable. I'm just about managing but all I think about is when I can next eat and what I can have. Stopping when I've had enough is getting to be a real struggle.

It's like a return to the bad old days, and frankly, it's fucking horrible. It's only now that I've experienced the lack of food noise with Mounjaro that I've actually realised how shit it was to have that on my mind all the time before.

Anyway, I went back to Cloud Pharmacy, where I got my last few orders, and placed a new one. I was honest about my current weight, and the fact that I've had a three week break. I just really hope I'll be allowed to restart it, because otherwise I can't honestly see myself being able to maintain. Has anyone experienced similar and been ok?

You’ll be able to restart but the manufacturers advice is to start again at 2.5. Depending on what dose you’d been using when you stopped you may find this less effective than last time you were on it as your body will have a tolerance to it.

I guess that makes sense. I feel like any dose would be better than none, and 2.5mg did help when I started out on it. I've just been asked for a photo to verify my current weight, so I'll have to see what happens now.

Did you gradually reduce your dose or did you just stop?

I just stopped, which was probably my mistake.

Yes I suspect so. I expect you will be allowed to go back on it.

If you BMI has gone up over 30 again you should fit the criteria. Maybe choose a pharmacy that supports maintenance? Maybe they do. I don't know.

Cloud have sent this to a patient below so they may allow you to restart one dose down which might be ideal for trying for maintenance and tapering down.

If they don't there are other pharmacies that will allow you to restart with a BMI > 21/22 as long has you can show proof of previous prescribing history. Try looking on monj.co.uk page for section on restarting after a break.

I took an unofficial break for 3 weeks while I was on holiday. I was on 10, and thought I would drop my next dose to 7.5, but it wasWAY too much and made me feel really sick and tired.

This is what worries me about mj. Id love to try it but im worried id need to be on it forever and dont think that can be healthy.

It is not without risk taking the medication, but it comes down to a balance of risks @ssd. The risks of taking the medication cannot be looked at in isolation.

For me that balance after 30+ years of dieting failures was the very real risk of staying morbidy obese vs the medication and its risks.

Especially as I am in mid 50s, getting older, and was starting to experience those health risks in the last 5-10 years - medicated high blood pressure, medicated acid reflux causing B12 deficiency and nerve damage, mobility issues, and who knows what else going on that hasn't been detected yet.

The risks fell heavily in favour of taking the medication for me.

If I was borderline obese or thought there were alternatives I hadn't tried before I would perhaps had made a different decision, but not closed my mind to taking if necessary for my health.

Well, my order has gone through successfully at the same dose as my last lot, so I'll see how it goes.

As for whether being on it for life is healthy or not, like a PP I have weighed up the risk of that against the risk of regaining the weight and then having to lose it again, and to me, it's a no-brainer. The toll on the body of yo-yo dieting is no joke. And I may try to come off MJ again in the future by titrating down instead of going cold turkey! If I can maintain my goal weight for a few months perhaps my body will get used to it and stop trying to make me regain it all.