Lost too much weight on Mounjaro
I have type 2 diabetes but have never really been significantly overweight. I would say I was “chunky” at my heaviest which was about 150lbs. For reference I’m a 5’4” 32 year old woman. At my healthiest, I was about 115lbs, mostly muscle from exercising daily.
I’ve always struggled with binge eating and intense sugar cravings which has been my biggest issue for controlling my blood sugar. My previous PCP switched me to Mounjaro and it helped quiet the cravings and food noise SO much. I started at 5mg and even though my doctor saw improvement in my A1C, he wanted to see more so he moved me to 10mg. At this dose I really started struggling with eating, and have lost so much weight that I’m basically skin and bones at 90lbs. My hair is gone, I have no energy, and I had to stop working out because I lost all my muscle mass.
I switched to a new PCP recently because my previous one wasn’t worried about the extreme weight loss despite me raising concerns. New doctor is VERY concerned and had me stop the Mounjaro altogether. She wants me to try long acting insulin instead. I’m waiting for the pharmacy to fill my prescription, but in the two weeks since my last Mounjaro injection the sugar cravings have come back full force. Blood sugar is 300+ all day because I keep binging on sweets.
I want to go back on Mounjaro, it’s the only medicine that’s helped get my cravings in check and lower my sugars, but I need to put weight back on so I can exercise again. My poor physical health has caused my depression and anxiety to worsen to the point where I’ve taken a LOA from work to try to get my health in order.
I’m wondering if anyone else here has struggled with excessive weight loss to the point where they’ve become malnourished like I have. Are there meal replacement shakes I can try? Do I need to add calories wherever I can since I can’t eat enough volume of food?
I’m really struggling. Any advice is greatly appreciated.