Mounjaro maintenance: should I contact providers now or after dose finding?

[ThisPeachFawn]

I'm very nearly at my target weight and I plan on staying on mounjaro long-term. I've got 3 unopened pens in the fridge, which I'm going to use to click count to find my lowest dose for maintenance, but I'm not sure what to do about maintenance providers. Am I best contacting them now and explaining about the stash and the fact I don't know what my maintenance dose will be yet so I don't want to order any pens until I know what that is? Or should I just use the pens to find my maintenance dose and then find a maintenance provider? Will it make a difference?

For reference, the highest I've gone dose wise is 8mg and I've shopped around with providers throughout so I've used some maintenance providers before eg Swift and Pharmulous.

Any advice regarding managing maintenance and providers would be greatly appreciated. Thank you 😊

Take a clear photo of your stash showing prescription boxes and the pens next to them. Include some ID and the date of the photo.

@TheSlimmingPumpkin thank you!

If you're planning to click count and use the pens for more than 4 weeks, be aware that most prescribers won't accept this. Most places need you to order at least every 6 weeks to keep ordering a dose higher than 2.5.

So, if you've got 3 unopened pens, you can show the prescription boxes to any new provider and (hopefully) they will let you have a break in ordering for 3 months. Any longer than that and you may have issues.

Definitely worth contacting providers in advance though, as it still lets you use up at least some of your stash. Although there is no guarantees. I had this with a provider who said I was fine to use up my stash, then after a break when I came to order normally, they wouldn't prescribe! It all got sorted out in the end, but it was stressful.

I would contact one of the maintainance providers (I use Swift) and explain your situation - it’s £30 for a consultation. You can take a gap on ordering and they are broadly supportive of titrating down ie stretching pens.

@OneThirdLess that's my concern. In an ideal world my maintenance dose would be 2.5mg or lower but there's no guarantees that will be the case. I don't want to come down the doses using my existing pens and discover my maintenance dose is actually 5mg or higher but then I can only order 2.5mg because of the gap.

@MeridaBrave that's really good to know thank you. I'll definitely get in touch with Swift and a few others from the monj list and see what they say and then go with whoever will allow me to use up my stash first.

If you find your maintenance dose is 5mg, then order early so that you have a 2.5 and a 5 by the time you need it.
I have been counting clicks and am on my last 10mg pen. I will make it last two months, at least. I’m down to 20 clicks, or 3.33 mg. I might make it down to 2.5 before it runs out, but I’ve already ordered a 2.5. My next pen will be 5, then 7.5, then maybe another 7.5, depending what dose I end up on. I’ll then work my way through those before starting back at 2.5.