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What to do when Mounjaro isn't working anymore

Wednesday, November 27, 2024

Large lady upset

If you're using Mounjaro (tirzepatide) and feel like it’s not working as effectively as before, you’re not alone. Many people experience slower progress with weight loss over time, and the initial effects of the treatment, such as reduced appetite and a sense of fullness, may feel less noticeable. However, this doesn’t always mean the medication has stopped working.

Understanding why these changes happen and knowing how to adjust your treatment or lifestyle can make a big difference. This guide explores the reasons behind slower progress, offers actionable advice, and helps you determine whether Mounjaro is still the right treatment for you.

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How Does Mounjaro Work?

Mounjaro is a medication that helps with weight loss by mimicking the action of two hormones–GLP-1 and GIP. These hormones play an important role in controlling blood sugar levels and regulating appetite. Mounjaro works by:

  • Suppressing appetite: It makes you feel fuller for longer, which reduces the urge to eat between meals.
  • Regulating blood sugar: Stabilising blood sugar levels helps reduce cravings and energy crashes.
  • Supporting fat loss: By helping the body process glucose (sugar) more effectively, Mounjaro encourages fat burning.

Mounjaro supports weight loss by curbing appetite, stabilising blood sugar, and promoting fat burning. By mimicking natural hormones, it helps you achieve sustainable results, making it an effective tool for managing weight alongside a healthy lifestyle and regular exercise.

Is Mounjaro Still Working?

It’s common to wonder if Mounjaro is still effective when your weight loss slows down or stays the same for several weeks (a weight loss plateau). However, this doesn’t always mean the medication has stopped working. If you’re still losing weight, even at a slower pace, or maintaining a healthy BMI, your treatment is working as it should.

Initial Rapid Loss

During the first few weeks of treatment, most users experience significant weight loss. This initial progress is usually due to a sharp reduction in appetite and calorie intake, combined with the body’s metabolic response to the medication.

Slower, Sustained Loss

As your body adjusts to the treatment, the rate of weight loss naturally slows. This stage is a sign of progress stabilising, not a lack of effectiveness. Continued weight loss at this stage may be slower, but it’s still meaningful and sustainable.

Maintenance Phase

Once you achieve a healthy BMI, Mounjaro shifts its role to maintaining your progress. It helps prevent weight regain by continuing to regulate appetite and stabilise blood sugar levels, making it easier to maintain a healthy lifestyle.

So if your weight loss has slowed but not stopped, or if you’ve reached your goal weight and are maintaining it, Mounjaro is still delivering results.

Common Reasons for Slower Progress

1. Natural Weight Loss Plateaus

As your body adapts to a reduced calorie intake and weight loss, it adjusts by lowering your metabolic rate. This is a natural response that can slow progress temporarily. Plateaus are common in any weight loss journey and often resolve with small adjustments to diet or activity levels.

2. Reduced Sensations

Over time, the appetite-suppressing effects of Mounjaro may feel less noticeable as your body becomes accustomed to the medication. However, this doesn’t mean it’s not working. Even if the effects are less obvious, Mounjaro continues to support weight management in the background.

3. Lifestyle Changes

If the initial weight loss felt effortless, it’s easy to let healthy habits slide. You might be unknowingly eating larger portions, skipping workouts, or eating more high-calorie foods. Regularly reassessing your habits can help you stay on track.

4. Improper Dosing Schedule

Some people stretch the time between injections to save money, especially if they’re still seeing some progress. However, deviating from the recommended weekly dosing schedule can reduce the treatment's overall effectiveness.

5. Underlying Medical Conditions

Health issues such as hypothyroidism, polycystic ovary syndrome, or insulin resistance can hinder weight loss, even when using Mounjaro. If you suspect a medical condition is slowing your progress, consult your healthcare provider for advice.

How to Maximise the Effectiveness of Mounjaro

1. Reassess Your Diet

A healthy, reduced-calorie diet is essential for weight loss with Mounjaro. It’s important to ask yourself these questions:

  • Are you eating balanced meals with plenty of vegetables, lean proteins, and whole grains?
  • Are you tracking your calorie intake?

Small changes, like reducing portion sizes or cutting back on high-calorie snacks, can have a big impact on your weight loss journey.

2. Increase Your Physical Activity

Regular exercise helps burn calories and boosts your metabolism. Aim for a mix of cardio and strength training to support fat loss and improve overall fitness. Even small changes, like taking the stairs or going for a walk after meals, can make a huge difference over time, especially if they become a part of your routine.

3. Stick to a Weekly Dosing Schedule

Mounjaro is designed to be injected once a week. Spacing out doses might seem like a cost-saving measure, but it can reduce the medication’s effectiveness. Return to a weekly schedule before considering any other adjustments.

4. Track Your Progress

Keep a record of your weight, measurements, and habits. This can help you identify patterns and areas for improvement. If your weight is plateauing, it might be time to change your diet or exercise routine.

5. Seek Support

Joining a weight loss group or consulting a dietitian can provide motivation and tailored advice. Having a support system can make it easier to stay on track, and you’ll be more likely to stick with your dietary changes.

When to Consider Adjusting Your Dose

If you’ve maintained a healthy lifestyle and stuck to your dosing schedule but aren’t seeing progress, it might be time to increase your dose. Signs that an adjustment may be needed include:

  • Persistent hunger: Feeling hungry in the days before your next injection.
  • Weight plateau: No weight loss for several weeks, especially if your BMI is still above the healthy range.
  • Gradual weight gain: Consistently gaining weight over a few weeks, not just temporary fluctuations.

Speak to your healthcare provider before increasing your dose. They can assess your progress and ensure the adjustment is appropriate.

Why It’s Important to Avoid Premature Dose Increases

Increasing your dose without addressing lifestyle factors can:

  • Lead to unnecessary side effects: Higher doses may increase the risk of nausea, diarrhoea, or other Mounjaro side effects.
  • Increase costs: Mounjaro is expensive, and using a higher dose unnecessarily wastes money.
  • Reduce long-term effectiveness: Increasing your dose when you don’t need to can limit your options if you need further adjustments later.

Focus on optimising your current dose before considering an increase.

Is Mounjaro Right for You?

If you’ve tried all the above strategies and still feel Mounjaro isn’t working, it’s worth discussing alternative treatments with your healthcare provider. Some people may respond better to different medications or approaches.

Frequently Asked Questions

1. How Long Does It Take for Mounjaro to Show Results?

Most people notice weight loss within the first few weeks of treatment. However, the rate of weight loss varies depending on factors like diet, activity level, and dosage.

2. Can I Skip a Dose?

Skipping doses can reduce Mounjaro’s effectiveness. If you miss an injection, administer it as soon as possible, unless your next dose is due within 48 hours.

3. What Should I Do If I Experience Side Effects?

Common side effects include nausea, diarrhoea, and mild stomach discomfort. These often improve over time. If side effects persist or worsen, speak to your healthcare provider.

The Role of Patience in Weight Loss

Weight loss is a journey, not a race. It’s normal to feel frustrated when progress slows, but patience is key. Focus on long-term goals and celebrate small victories along the way.

  • Set realistic expectations: Weight loss isn’t linear. Fluctuations are normal, so don’t be discouraged by temporary setbacks.
  • Stay consistent: Stick to your treatment plan and healthy habits, even when progress feels slow.
  • Reach out for help: Whether it’s a healthcare provider, a dietitian, or a support group, don’t hesitate to seek advice or encouragement.

Remember, every step forward, no matter how small, brings you closer to your goals. Weight loss is as much about building sustainable habits as it is about shedding pounds. With patience, consistency, and the right support, you can achieve lasting success and maintain a healthier, happier lifestyle for the long term.

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Conclusion

When it feels like Mounjaro isn’t working anymore, it’s often a sign to reassess your habits and treatment plan. In most cases, the treatment is still effective, but weight loss slows down as your body adjusts.

By maintaining a healthy lifestyle, sticking to a weekly dosing schedule, and consulting your healthcare provider when needed, you can continue to see progress and achieve your weight loss goals.

For more information about Mounjaro UK, including costs, dosages, and how to buy Mounjaro online, visit our Mounjaro page. Whether you’re just starting your journey or managing long-term weight maintenance, we’re here to help.

Authored on 26 December 2024

Robert Bradshaw

Robert Bradshaw - MRPharms BSc(Hons) Pharmacy

Superintendent Pharmacist

GPhC Number: 2036118

Reviewed on 26 December 2024

Kiran Jones

Kiran Jones - MPharm, MRPharmS

Pharmacist / Medical Content Writer

GPhC Number: 2071585

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