Mounjaro stalled. Now what?

60 lbs on Ozempic and then Mounjaro not matching it is the opposite of the usual experience and worth flagging for the OP. Some people genuinely respond better to sema than to tirz - the dual mechanism is not universally better for everyone. If Mounjaro has stalled for a year at the highest dose, the direction might actually be back to sema rather than pushing higher.

45 pounds on 1mg sema and then a long stall before Mounjaro breaking it open is the pattern that keeps coming up for people who switch mechanisms. Three years at 15mg with a stall is the point where either the dose needs reassessment or a third mechanism makes sense.

Hit the one year mark on this with zero weight loss to show for it. Improved my eating and upped my activity too. Still nothing on the scale. My A1C did get better at least.