This is the conversation I had when I messaged them directly…
MExpress: 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 replied: My main concern wasn’t quite answered, and maybe I need to ask a further question-
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
MExpress: After a gap of 6 months you would be seen as a new patient and would need to have a BMI of 30 or above or 27 and above with co-morbidities, in order to re-start treatment at the lowest dose of Mounjaro 2.5mg.
If the gap is less than 6 months we would review your order at the time it is placed and advise you on the most appropriate dose to take.
So my conclusion is that if you come off it for six months and don’t order from them (MedExpress) you will need to regain weight up to a BMI of 30 (2 stones for me) to be able to start again.
This means I will have to stockpile meds and keep up an order every 5 months or so when maintaining if I want to make sure I’ll be ok if I put a little bit of weight back on.