Mounjaro - Hunger coming back?

Hong Kong Yanpep International
Hunger returning after the first few days on Mounjaro is normal at the starting dose - the suppression becomes more consistent once the dose builds over weeks 2-4 and stays there.
 
Hunger returning in the first week after initial silence is pretty standard - the first dose flattens appetite dramatically but it takes a few more weeks to find a consistent level.
 
The cycle-linked hunger spike on Mounjaro is so consistent across accounts that the 'is the medication failing' moment followed by figuring out the timing is almost a rite of passage. The medication is still working - the hormonal fluctuation is just louder than the suppression for a few days. Tracking it cycle over cycle usually shows it stabilizing over time.
 
Food aversions softening at the second or third bump is the expected pattern - the early aversions are partly the adjustment effect and partly the novelty wearing off. Electrolytes tend to get overlooked when intake drops that much that fast. What's the water and sodium intake looking like alongside the Mounjaro?
 
The reversal of everything rather than just hunger when stopping is the clinical reality that gets lost in the weight-loss framing - the medication manages a chronic condition, and calling it a weight-loss tool sets the wrong expectation for how to think about long-term use.
 
Mounjaro did wonders for my cravings at first. I've dealt with intense hunger my whole life. Emphasis on 'at first' though, because tolerance is apparently a real thing with this. Maybe not everyone builds it, but mine's barely doing anything now. Wish this got talked about more so people go in knowing the hunger and cravings can creep back, sometimes just as bad as before.
 
Noticed hunger fluctuates sometimes on this medication. A few days here and there of unusually strong hunger, but looking back it tends to follow a period of barely eating anything, or lines up with a hormonal cycle. Currently on a fairly low amount and hoping appetite doesn't disappear entirely.
 
Started this back in May. Ten kilos gone so far, currently sitting at 7.5mg though it does feel sluggish to me as well. Last week I accidentally left leftover medication sitting in the pen, didn't notice until the following week. That whole week hunger hit hard though, constant cravings, wanting every meal. Right now I can barely finish one or two tops of food. Still have another 20kgs I want gone, but honestly not sure what happens once I stop taking Mounjaro. That leftover week really made me stop and think.
 
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