MJ was NOT my miracle drug!

Mike_02

Active member
Hey everyone, I wanted to share my experience with Mounjaro. Please keep in mind that your journey might be way better than mine! It's kinda long, so bear with me.

I started Mounjaro around June 2025, weighing about 220lbs. Now I'm down to 172lbs, which is awesome! For the first couple of months, I was on 2.5mg, then I upped it to 5mg, and have been on that ever since. When on 2.5mg, I injected every week. On 5mg, I switched to every 11 days.

I didn't need to increase the dose because it wasn't working, but because of the bad side effects I had on the lower dose, like killer headaches, major anxiety, throwing up, etc.

Basically, I'd feel like crap for around 3 days after each injection:

Day 1: Horrible headache, super tired, mostly sleeping.
Day 2: Still stuck in bed most of the time, but I can at least get up a bit.
Day 3: Slowly getting back to normal.

After that, I felt mostly okay, except for some lingering anxiety and depression (more on that later).

I was prescribed Mounjaro for weight control but also because it's being researched as a possible treatment for endometriosis (which I have).

I can't take estrogen meds because they mess with my bipolar disorder. So, I also take a progestin-only birth control to deal with endo pain. Since starting Mounjaro and the birth control, my endo pain is gone! And weed seems fine too, lol.

Mental Health

I've got bipolar, BPD, ASD, ADHD, and anxiety, so if you can relate to any of that, here's what I went through on Mounjaro.

BPD: Surprisingly, my BPD symptoms have gotten better. I used to have emotional outbursts almost every week, but now it's more like once a month. So, that's been a plus. I still get angry sometimes, but it's usually because my blood sugar is low.

Bipolar: Before Mounjaro, my bipolar was well controlled. But the longer I'm on it, the more I've noticed a deep depression. No mania or hypomania, just lots of numbness, feeling disconnected, and not being interested in anything. It sucks and has made me think about stopping the medication. I spent like 4 years getting stable before this!

TW: I've had thoughts of suicide, but I wouldn't actually do it. Still, it makes me cry because I don't want that to happen. I'm lucky to have support.

Anxiety/OCD: This is where things got rough. I've always had anxiety and occasional DPDR, since Mounjaro, my intrusive thoughts are way worse.

I was recently diagnosed with OCD. I've always had OCD tendencies, but never enough to be more than just anxiety. I get paranoia (intrusive thoughts I know aren't real) and intrusive thoughts about my mental state and relationship. Doctors think it might be from dehydration, low blood sugar, and how the drug affects digestion and dopamine.

Physical Health

Migraines & Vision: Mounjaro has given me some brutal migraines. Sometimes I get visual problems like:

* Seeing things out of the corner of my eye (like thinking my cat is there when it's just a rug or nothing).
* Seeing objects "moving" when they're still.

Low Blood Sugar: Watch your blood sugar! One night I felt super dizzy and anxious. It felt like a panic attack, but I knew it wasn't. My blood sugar was super low. Low blood sugar has been a big issue for me on this medication.

Sleep: Sleep has been terrible. I'm tired all day, then wide awake at night. I've used sleeping pills sometimes, which I need because sleep is so important for my bipolar.

Dehydration: I have to drink way more water than before. Mounjaro can cause serious dehydration, and it can really mess with your body and mind.

Update:

I've been off Mounjaro for about a month! I'm at 172lbs, and I've been hitting the gym 5-6 times a week. The longer I'm off it, the better my mental health is. I'm slowly feeling like myself again, which is great. I still have off days, but they're less often. I'm thankful for the weight loss, but I wouldn't do it again! This whole experience has made me determined to make the gym work! As for the endometriosis pain, it's back, and I don't know what to do about it yet!

If you have any questions, feel free to ask! And remember that this was just my experience. Yours could be different, so don't get discouraged.
 
Congrats on the weight loss, Mike_02! Glad you're feeling better now that you're off the meds. I have a question: If you had bad side effects on 2.5mg, why did you go up to 5mg? Do people try different doses to see how their body reacts, or is this common with Zepbound too?
 
Mike_02, thanks for sharing your story! I started Mounjaro at 2.5mg at the end of August 2025. Each month, my doctor increased my dose to 5mg, 7.5mg, and now 10mg. I couldn't lose weight before because of hyperinsulinemia and PCOS. I started at 304 pounds, and now I weigh 222 pounds! I've lost 82 pounds in about six months. It's been falling off really fast. I've been super dehydrated despite drinking tons of water, and now I get why. I have to force myself to eat because I'm never hungry and nothing sounds good. My mobility is much better, but that's about it. Doctors always said if I lost weight, things would be better, but they're not. My joints are still stiff. The medication has helped my type 2 diabetes a lot. Now I'm trying to avoid muscle loss, which is a big concern with this med. The weight keeps coming off, and it doesn't seem to be stopping. Good luck!
 
Have you been able to stick to your calorie goals? We all know hitting the gym helps, but your diet is what really controls weight!
 
I stopped taking my psychosis meds and gained like 60lbs. I also have endometriosis with severe pain. I'm thinking about trying Mounjaro.
 
Good for you prioritizing your mental health, Mike_02!

If the weight comes back, you could try MJ again, maybe at a low dose. Some people get benefits from as low as 1mg per week, and the side effects are often milder the second time around.
 
for reconstituting, your math with 1ml bac water is fine. but honestly? more bac water = easier dosing. aim for 1.5ml or 2ml at first. once you get comfortable you can dial it down. aiming for 0.2-0.25ml per dose works once you've done it a few times. there's a calculator at injectionshop that helps too.
 
I didn't realize it was being tested for endometriosis. It didn't help mine at all, actually; it had no effect. I take dienogest on and off for endo, and it seems to help. I take occasional breaks since we need estrogen, and without it, I started getting osteoporosis. Good luck to you! Thanks for sharing your story. Oh, and Mounjaro made my chronic migraines worse, but only on injection day, and a triptan would fix it.
 
Thanks for posting this, Mike_02; it's really interesting. I've been on MJ for 5 weeks at 2.5mg. I have ASD, anxiety, and depression (which was okay before I started). I've noticed a huge improvement in my anxiety, mood, and sleep since starting. It's been life-changingly better. The part of my anxiety that never shuts up, that makes me overthink and hesitate, is gone. I can leave the house without a panic attack, crying, or needing someone with me. No anti-anxiety meds have ever done this. I didn't expect it at all, so it surprised me. I was more worried about the problems you had because I heard it could lead to that.
 
It helped my endo a lot. I can stand for over 10 minutes now! I dropped about 25lbs. What trial is it? I want to know more!
 
I'm also thinking of starting MJ because I have hyperinsulinemia and PCOD. I'm bipolar type 2 and have been managing it okay with venlafaxine for about a year, so this is making me reconsider. Did your doctor mention this side effect? I'm worried about starting now because I've been doing okay mentally for a while, and I don't want to relapse. I'm a doctor myself, a junior resident, and I just started working and have exams, so I don't know what to do.
 
I totally agree about the lifestyle changes. It's not just about the weight loss, it's about changing your relationship with food. I don't crave junk anymore. I am making healthier choices all around. It's a gradual downward slope and I love it!!
ZepBounder said:
It has just melted off so fast.
 
I feel you, Ant_Crew. The mental side effects were rough. If you're stable now, maybe wait until after your exams? Being a resident is stressful enough!
 
takes 4–6 weeks to feel the full effect. give it time before bumping up. you want the lowest dose that works so you've got room if tolerance builds. another 2 weeks at 7.5 first.
 
take mine on sundays, want to switch to wed or thursday for better weekend appetite control since weekends are my weak spot. med feels weaker last two days too. 0.5mg wegovy week ten coming. take early or late?
 
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