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MOUNJARO INJECTION
I am non diabetic female. Had 29.1 BMI with 82 kgs weight and height 168 cm. I already lost 8 kgs last month and now 1.2 kgs more. Can i increase mounjaro doses every month? There will be any issue if i keep increasing? I started with 5 mg in 1st month and now taking 7.5 mg in 2nd month. What all tests also can i do for regular checkup during these injections?
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Weight reduce is best
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Weight loss is good
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you Can consult me on practo
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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You need to do liver function tests, hba1c, serum lipid profile, serum amylase, full blood count every 3 months.
If abdominal pain or discomfort after meals, get ultrasound done to exclude gall bladder issues like cholecystitis or gall stones.
Follow life style measures as well for weight reduction.
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I completely understanding your concern but why r u wanting weight loss so much drastically.
It's good to having 1 kg per week weight loss and you are overachieving the target.
So plz don't increase the dose even I suggested decrease it from 7.5 to 5 again.
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You are:
• 38 years
• BMI was 29.1 (overweight category)
• Lost ~9.2 kg already (excellent response)
• On Mounjaro (tirzepatide)
• 5 mg first month → 7.5 mg second month
First: That is very good weight loss.
Now regarding dose escalation:
Mounjaro dosing is not meant to be increased every month automatically for faster weight loss.
It is titrated based on:
• Tolerability
• Side effects
• Weight response
• Metabolic parameters
Standard escalation schedule (if tolerated):
2.5 mg → 5 mg → 7.5 mg → 10 mg → 12.5 mg → 15 mg
But escalation is done only if needed, not just because the next higher dose exists.
You are already responding well.
If weight is steadily reducing on 7.5 mg, there is no mandatory need to increase further.
Increasing unnecessarily may increase risk of:
• Nausea
• Vomiting
• Pancreatitis (rare but serious)
• Gallstones
• Muscle loss if rapid weight drop
• Excessive appetite suppression
Next Steps
✔ 1. Do NOT Increase Automatically
Stay on 7.5 mg for at least:
• 4–8 weeks
Assess:
• Weight trend
• Appetite
• Side effects
Increase only if:
• Weight plateaus for 4+ weeks
• Hunger returns significantly
• No side effects present
⸻
✔ 2. Important Monitoring Tests
Every 3–4 months:
• Fasting blood sugar
• HbA1c
• LFT (ALT, AST)
• Serum creatinine
• Lipid profile
• TSH
• Vitamin B12
• Vitamin D
If abdominal pain occurs:
• Serum amylase/lipase
If rapid weight loss:
• Check for gallstones (Ultrasound)
⸻
✔ 3. Monitor Muscle Mass
Rapid weight loss can cause:
• Lean muscle loss
Add:
• High protein intake (1–1.2 g/kg body weight)
• Strength training 3–4 times/week
Health Tips
✔ Aim for 0.5–1 kg per week loss
✔ Avoid crash calorie restriction
✔ Stay hydrated
✔ Watch for persistent abdominal pain
✔ Do not chase maximum dose unnecessarily
✔ Maintain protein intake
Your progress is excellent — but the goal is sustainable fat loss, not fastest weight loss.
If you’d like, I can calculate your ideal target weight, safe rate of reduction, and help decide whether you should hold at 7.5 mg or escalate — a structured online review would ensure you avoid complications while maximizing results.
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Not sounding like you are having this under guidance.
Rapid weight loss comes with a whole lot of issues including severe protein deficiency and drastic changes to body composition requiring need to deal with overhanging skin around the torso, neck, arms and legs, usually by a plastic surgeon.
Ongoing use is associated with serious stomach, pancreas, thyroid problems including thyroid cancer and others.
All these are meant to be understood BEFORE starting treatment.
Please at least read the information sheet that comes with the medication box.
All the best.
www.jgsr-health-education.in
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Hypolipidemic drugs has pros and cons .in your case benefits more than risks.please consult me on practo for further evaluation and testing. You need to evaluate properly.
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Kindly do connect and consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Important tests for monitoring (every 3–4 months):
• Fasting blood sugar & HbA1c
Liver function test (LFT)
Kidney function test (KFT)
Lipid profile
Thyroid profile (TSH)
Vitamin B12
Vitamin D
Serum amylase/lipase (if abdominal pain occurs)
Important precautions:
• High protein diet to prevent muscle loss• Adequate hydration• Strength exercise or walking• Avoid very oily heavy meals• Monitor for persistent abdominal pain, vomiting, or severe weakness
.
If you are tolerating 7.5 mg well and still losing weight, you may continue the same dose for another month before increasing.
For personalized dose planning and monitoring guidance, text me on Practo anytime.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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