Similar background here, UC with j-pouch surgery years back and now RA, managed with a biologic. Monjaro just hasn't done for weight what a lot of people here describe. Never really got that strong appetite suppression others mention, even at the top amount. Food noise dropped a little at first but stayed pretty present. Plateaued around 25lbs, though a1c is now in the normal range and inflammation overall feels improved. Digestion's slowed down too, which personally counts as a welcome side effect.
Still need to shed another 30lbs, staying committed to that. Planning to stay on this medication class indefinitely regardless.