r/MounjaroMaintenance

I'm curious how many people chose their maintenance range and how many were limited by where the medication could get them...

I have a "realistic" goal (nearly there!), a "stretch" goal and beyond that, there is a goal my doctor suggested (that sounds ridiculously implausible to me lol)

So, did you get to a weight where you didn't want to lose any more weight and had to actively change something to stop it?

Did you get to a weight you were happy with and the weight loss just stopped on its own around the same time?

Did the weight loss just stop at some point and you just accepted that's where you would stay?

Serious question because the range I'm seeing online is all over the place. Branded is obviously astronomical. But compounded seems to vary wildly too depending on source. What are people actually paying per month and where are you getting it from?

For those of you who stopped or are tapering GLP-1 did anyone else feel like the hardest part wasn’t the hunger coming back, but the fear of losing the person you had become? Would love to hear how you’re navigating that.

I’ve been on Mounjaro for about a year now, I’ve seen excellent progress early and long term so far however I’m at 12.5/week for two months now and was on 10mg for 3 months before that. I have been steady at 258-262lbs daily(I was 326 when I started). I started working out and eating less but I can’t seem to lose that last 20lbs. The shots at 12.5 have not done anything to my bowels/cravings to show that they are working lately. I know this is a maintenance page however I can’t see to find a page where people have been on it “long term” where there are replies to posts. I may not be looking in the right places but any actual helpful responses are welcomed!

Here is my Dexa from yesterday compared to last June at my initial goal, as well as Jan 2025 when I had already lost 40lbs! Just look at my elbow placement....I wish I had done a DEXA at the start.

I'm 5'4", SW 205, CW 125. Body fat is 28% currently. My current goal to be about 130lbs and 25% body fat. This goal is based on nothing...just sounds nice, so if anyone has advise let me know.

My original goal was 135, which I hit last June. I kept losing about 2 pounds per month for the first few months of maintenance, despite increasing cals and lowering dose. Kept increasing cals and lowered dose again to 7.5mg in November. Now that loss has slowed to less than 0.2 pound per month if I keep my cals around 1850-1900 per day, or even a little more.

I'm keeping a close eye on the Foundayo pill roll out and may switch to that in late summer if my pcp agrees.

I get quarterly DEXA scans and lean mass is holding steady, while fat is sloowwwlllyyy dropping. I strength train 3-4x per week for about 40 minutes and walk 3-5 miles per day. I turn 59 next month, and started menopausal hormone therapy in Jan, so I'm hoping that the MHT will help the muscles grow a bit faster. My OB has recommended adding testosterone gel to my MHT, and I'm getting the blood work next week to see if it's safe for me. While it is for libido, it may help the muscles as well. My libido has been gone for so long that I'm honestly more excited about muscle gains than sexy time, lol.

After almost a year of maintenance and body recomp, I have more definition in my arms, which have always been skinny, and my bra strap area is leaner, much less pooch over the strap. Shoulders are looking nice, just in time for summer. My boobs are mostly gone (a moment of silence for our fallen sisters, please), but the booty is still there, both with muscle and fat. Inner thighs and lower belly still holding onto the typical female softness, which is fine with me. Quads and hams have a modest amount of definition. All in all, I am tickled pink.

https://preview.redd.it/ll2rynsat40h1.jpg?width=826&format=pjpg&auto=webp&s=46981ecdf4e95898062a94296b14e6a1a81c3482

Such a shame. Since I take microdoses from a 15mg pen for maintenance, it took me a while to realize that the 'golden dose' or fifth dose no longer exists in the new pens. It’s too bad; it was a great way to save money. At least I'm glad my GP knows about my 'microdosing' and agrees to prescribe the higher-dose pen so it's more cost-effective—with one €446 pen, I get three months' worth of doses. Anyway, Lilly clearly didn't want to keep giving us that extra option, and don't tell me it wasn't safe; I've been using the golden dose for a year without ANY issues. Oh well. R.I.P. golden dose

Hello,

I have done a lot of research and read a lot of stories of endometriosis females micro-dosing mounjaro for anti-inflammatory benefits and their symptoms hugley improving. The stories are overwhelmingly positive and i have decided after listening to lots of podcasts on benefits/side effects I am going to try micro-dosing mounjaro for my endo relief. I have done a lot of research and am going into this very prepared on nutrition / strength training.

Please can someone help me by recommending an online pharmacist who will prescribe it to someone who is not obese / BMI over 25? I have looked online lots but all of them recquire a live photo of you and I won't get it prescribed as i am not visibly overweight. Or a pharmacy where i can send a photo of myself looking heavier to get a prescription / not a photo today.

Any recs would be so so helpful - i am really suffering with symptoms and dont want to have to go on menopause drugs as my endo surgeon suggested.

Thank you x

Back in Dec 2024, I went for my annual checkup and asked my new doc for help in getting my weight under control. I've always been a bit husky since I was young, and had gotten up to 230 lbs (5'10" M) at this time. He suggested giving a GLP a try, and to be quite frank I hadn't really thought about it, or knew anything about it at that time. So I started taking Zepbound under his direction, when a week later, he calls me back with my lab results and says my A1C is 6.6.

Of course, I've gone through this world a bit oblivious to what an A1C is, though upon looking back at previous labwork it looks like I had been testing in the 5.7 range for about 10 years up until this time. I had a blood clot 15 years ago, and the doctors at that time could not come up with a reason why, but now I'm of the belief that this may have been an early warning shot of metabolic issues ahead.

Anyway, so I continued along with the Zepbound, and ended up losing about 45 lbs, in a very steady, pretty much (for the most part free of side effects) for about 9 months.

We took a relatively straight route to 15.0 mg, as I think that was the trend amongst many prescribing GP's back then given the Lilly directives at that time. Never really lost any weight on 15.0, as most of it came off at the 7.5 and 10.0 levels over those first 9 months.

I'm now on Mounjaro (given my 6.6 score back then, and the fact that my insurance ended my Zepbound coverage in July 2025), and over the last almost 9 months I really haven't lost any additional weight, and it feels like the weight loss benefits of the GLP are likely no longer applicable for me.

At 180 lbs, and with pretty good labwork (A1C is currently holding steady at 5.4) across the board except for a higher than ideal LDL, which I think is in part because I've been focused a bit on eating less carbs and more fat than in the past. A year and a half after starting the GLP, I'm left pondering next steps, if any. I have no issues with continuing on with the drug, as I'm sure it's likely providing benefits in terms of glucose control, inflammation, etc. But do I need to be on 15mg, or should it be a smaller dose, and does it matter? And how would I tell?

Again, no real negative effects to the drug at this point on my end, but just trying to figure out future plans, recognizing that as time goes on circumstances could always change.

I've never seen an endocrinologist, but my understanding is that as long as I'm taking Mounjaro that there is little testing they could do to give me any sense as to insulin resistance levels or other notable diabetic markers, which given my current situation, may not be all that important to know anyway. Any thoughts on the value of seeing one at this time?

Appreciate any and all thoughts, thanks!

Awhile back, as I wanted to stop losing weight, I went back down to 2.5 mg from the 5.0 mg shots. Then I started spacing those out, injecting 2 every 3 weeks. So now I have a stash of 40 pens in my fridge, and every 90 days this just increases.

Is it legal to give some to someone with a Mounjaro prescription? (Please don't DM me though! I would most likely give it to a friend at work).

Eventually they'll start expiring. I could of course skip picking up my 3-month supply a few times, but it is very cheap through my insurance ($25 for a 90 day supply), and I'm not sure if my insurance company would think it odd that I am not filling my prescription on schedule.

I tried a compounded tirzepatide for the first time this week (lowest dose) and had a pretty bad reaction body aches, chills, feeling extremely cold, and now a sore throat.

Now I’m hesitant and thinking about switching to Mounjaro next week instead.

Has anyone: • Switched from compounded tirzepatide to Mounjaro within a week or two? • Had side effects from compounded but not the brand name?

Body:

​Hi everyone. I wanted to share my story and perhaps find others who are navigating the same "metabolic minefield" I am.

​The Context:

I’m 27M, 184cm (6'0"), currently 101kg (222lbs). My latest InBody scan shows I have 39.7kg (87.5lbs) of Skeletal Muscle Mass. That’s 131% of the average for my height. I train heavy (chest, back, shoulders, arms) and I’m extremely active—I live in Tokyo and averaged 29,000 steps yesterday alone.

​The History:

I’ve been the "chubby kid" my whole life. I was overweight as a child, a teen, and now as an adult. My family history is riddled with Diabetes. I’ve successfully lost weight before on pure willpower, reaching 87kg (191lbs) naturally. But here’s the kicker: even with all that muscle and activity, my body spent the next 3 years slowly creeping back up to 101kg. It wasn't a sudden binge; it was a slow, agonizing metabolic surrender to burnout and stress-induced night hunger.

​The Diagnosis:

I recently found out I have Grade S2 Fatty Liver (CAP 285). This explains a lot. My body isn't just "lazy"—it’s genetically programmed to store fat and fight my insulin. My "hunger" isn't psychological; it feels like a biological short-circuit that wakes me up at 3 AM.

​The Current Journey:

I’m on Mounjaro 2.5mg. I’m choosing to stay on the lowest dose because I want to keep it as a "metabolic buffer." I’m still eating 2,500kcal a day to protect my hard-earned muscle mass. I don't want a "starvation" transformation; I want a permanent repair.

​The Fear (And why I'm posting):

I’m terrified. I’m scared that once I hit my 82kg (180lbs) goal and stop the medication, the "3-year creep" will start all over again. I’m afraid that my genetic predisposition to Diabetes and my childhood obesity "memory" will eventually outrun my discipline.

​Has anyone here with a high muscle base managed to maintain their goal weight after stopping?

​Did fixing your fatty liver/insulin resistance actually silence the "emergency hunger" for good, or is this just a 10-month band-aid?

​How do you deal with the body dysmorphia of being "the big muscular guy" who still feels like the "chubby kid" inside?

​I’m determined to make this the last time I ever have to "lose weight." I want to just live at 82kg. Any advice from long-term maintainers or those with similar backgrounds would mean the world.

Please help me. Im wondering if anyone has experienced trouble regulating blood sugars on Metformin and Mounjaro.

I am diagnosed as a type 2 diabetic (since Jan 2025). I’m 23 year old female 115lbs.

I tested negative for antibodies (meaning I’m not type 1)
I was tested negative for MODY.
I’ve struggled with anorexia for 6 years. My weight has fluctuated from 150 to 95lbs over those years.
I’m unsure if the stress on my body from under eating has caused my pancreas to develop diabetes.
My A1c was 9.2 last year.
I was put on glimiperide and Metformin but still experienced high blood sugars at night (280+) and lows in the morning when I worked out (40s-60s). I gained 15 lbs (135lbs)
My endo prescribed me short acting insulin but quickly stopped because I experienced frequent lows (~30mg/dL)
I was taken off glimiperide in August and started mounjaro. I’m on 7.5mg weekly since then.

I’ve lost 20 lbs. I’m also a runner. I like to run at high mileage which helps my sugars stay somewhat stable. I want ro gain weight but the Glp1 makes that hard.
I eat a low carb diet with artificial sugars. I eat a high fiber/fat/ and protein diet.

My A1c is 6.5. My C peptide is on the lower-normal end now. My endo says I may be developing type 1.5 diabetes. She put me on long acting insulin nightly before bed.

I’ve experienced lows 20 hrs post-insulin so I’m hesitant to take the long acting insulin regularly.
I’m experiencing overnight highs again- despite the mounjaro and metformin.
I want some help. I know this is a lot of information at once. My doctor doesn’t seem to care much. Every time we meet she just increases or adds a medication.
Has anyone experienced a similar situation?

Are there any women struggling with severe hair loss? My hair all over my body hasn't grown, or has grown extremely slow since 2022. I'm almost to maintenance & would love to hear from women that had this issue & it grew back during maintenance.

I was wondering if anyone is currently going through a prior authorization renewal with CVS Caremark for Mounjaro for weight loss.

I had been on Zepbound for over a year until Caremark stopped covering it in July 2025, like they did for a lot of people, and I was then forced onto Wegovy, which unfortunately did not work well for me. After that, I managed to get a PA approved for Mounjaro, but that authorization is due to expire this month.

At the moment, CallOnDoc is telling me that my plan does not cover Mounjaro for weight loss, while Caremark is saying it can still be covered with a PA renewal.

I know coverage varies from plan to plan, but I was wondering if anyone else is currently going through a similar renewal process with Caremark and might have any advice or insight on how it went for them.

Thanks.

Hi guys. Some advice needed here: I was on Mounjaro for eight months last year. Male, starting weight: 88kg 6 foot. Elevated blood pressure, feeling permanently ropey, keen to try it. Six months, lost approx 13kg, down to 74/75 kgs. Lots of exercise, not many side effects, felt fantastic. Then: price hike, ran out of money - had to stop just before Xmas without maintenance. Ideally, I would have maintained for as long as poss - all the research tells me everyone should be on GLP1’s, period. But I had to stop, no choice. It was ok for a couple of months, but then food noise became deafening, & it all came creeping back on. I’m now back to 82kg. Not catastrophic - but it’s going up relentlessly, & the feelings of lethargy are real & like a dead weight. Gutted. But then more funds become available (I’m freelance) - I think: I need to restart - to, at the least, get to that place of maintenance which I missed last time. BUT…I’ve been rejected twice. First by Medino, then by Cloud. Apparently, i’m outside their criteria for helping now because it’s been more more than three months since my last dose & I’m (presumably) not heavy enough to qualify. So my question is: do I have to end up back where I was before I’ll even be considered for another go?? If so, what a bonkers medical stance to take. I am actively prevented from using the medication as a preventative measure - only as an ‘all hands on deck’ panic button when my body is already waving a number of red flags. Nuts. Any advice? Who can I go to that is likely to be more flexible?