Mounjaro - 3 months in!

Seven months in on Mounjaro at 10mg and I'm down 90 pounds. Started OMAD and keto a month ago after getting stuck, and now I'm losing two to three pounds weekly. Still have 40 to go but this pace feels right.
 
Timing matters with Zofran—take it before you feel sick, not after. Haven't done my first Ozempic shot yet (3 weeks out) but Zofran's helped me before. I'm thinking of taking it before the injection and keeping it handy the next 24 hours, but also want to see how I do without it. Nervous about the nausea though. Pharmacist said bodies need a couple doses to adjust.
 
gets less confusing once you're actually living it. feels like a transition phase where appetite control hasn't settled yet. not rushing the dose helps. give it another week or two, body settles smoother, less side effects when you do bump up.
 
with prior exposure you'll handle 10mg fine. go 2 weeks at 10, then jump to 15. restarting often needs higher dosage than before. good luck getting there.
 
Market's unstable right now, so I've been hesitant to jump. Did well enough on one thing but the switch threw me off balance - barely moving the scale these days even at max dose. Frustrating when you were dropping weight before. A week or two might help my body catch up, but honestly the uncertainty keeps me from pushing higher.
 
Just got my A1C results back. Feeling great! Now that I'm only using Mounjaro for my type 2 diabetes, my doctor took me off Farxiga about two months back.
 
93 lbs and holding through a maintenance stretch is the full picture. The last months becoming about maintaining rather than losing is what long-term looks like - the medication keeps doing its job even when the number stops moving fast.
 
Dropping Farxiga this early is a strong sign the metabolic effect is running deeper than the scale alone shows. The A1c result confirms it.
 
When you add hormones your body stops making them naturally - it's equilibrium. I was on Mounjaro 4 months and only lost 12 lbs, then gained 15 back (whole other story). Hunger usually calms in 6 weeks or so, at least it did for me. Could be worth a second round with a slower taper.
 
Type 1 diabetes substantially changes the weight loss picture with GLP-1 agonists - the insulin dynamics and the fact that dose titration is constrained by hypoglycemia risk mean the weight response tends to lag behind Type 2 outcomes. Prioritizing glycemic stabilization first before optimizing for weight is the right sequencing, and the joint benefit on both fronts tends to show once the dose is established.
 
Three months to 233 from 308 is genuinely strong progress - the step-up pattern with slow escalation is exactly the approach that keeps side effects manageable while the losses accumulate.
 
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