Mounjaro 6 Months Later: What We’ve Learned

It’s been approximately 6 months since our office began prescribing Mounjaro for our weight loss patients. While it continues to be a great option, would like to provide our readers an update on our experience with this medication:

  1. Insurance coverage is needed. We urge our patients to check their coverage before having a prescription sent. Without insurance, retail cost is $1,000+ for most clients.
  2. If your insurance does not cover it, we have other options.
  3. Lab work is required before beginning the medication, and routine blood monitoring is required throughout usage.
  4. We will primarily be monitoring kidney, liver, and pancreatic function.
  5. We also recommend using CGM ( Blood sugar monitoring ) on anyone who is on a high dose of Mounjaro.
  6. “Tolerable Nausea” is the most commonly reported side effect from our clients.
  7. If anyone experiences stomach aches or pains, we recommend they stop taking the medication and be seen for blood tests.
  8. Kidney function issues are more frequent than we initially anticipated.

ORIGINAL POST:

Each year, the FDA approves newer and better options for weight loss. The most recent approval to hit the market is Tirzepatide, which is sold under the brand name Mounjaro. Currently, this medication is only approved for the treatment of diabetes, but for those who can get it – can also show dramatic weight loss as a result.

FAQs

Who are the suitable candidates for this medication? Anyone above age 18, diagnosed with diabetes, who is not pregnant can be approved for it (insurance may or may not cover costs).

How often is it administered?Mounjaro is a weekly injection

What is the dosing?2.5 mg a week for the first four weeks. If tolerated well, patients can then increase the dose beyond the 4 weeks.

What are common side effects?

Low blood glucose

Nausea

Diarrhea

Decreased appetite

Vomiting

Dyspepsia

Constipation

Abdominal pain

Injection site reactions

Hypersensitivity reactions

How experienced are doctors in using this medicine? This is a newer medicine, so the experience is limited, but we take all precautions before starting and monitor patients regularly after we start the treatment.

Who is not eligible to use this medication?Any history of thyroid cancer or pancreatitis is contraindicated.

Any special precautions for Diabetics?It can lower blood sugar, mainly when used with insulin. So patients will need closely monitored. It can worsen retinal problems, so regular eye checkups are recommended.

Any special precautions for those with kidney disease?This medication can lead to worsening kidney function, so they need close monitoring.

How does it work? It acts by mimicking two proteins produced in our body, making the body control blood sugar better- GLP 1 and GIP agonist.

How much weight  are patients losing? They are losing on average 15 to 20% of their starting weight!

Can it be used with Adipex and other weight loss medications?Yes, we can use them with Adipex or other weight loss medications but that is determined on an individual basis.

For more information on Mounjaro or Medical Weight Loss, contact our office at (317) 548-4666

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