r/mounjaromaintenanceuk

Just wanted to give a shout out to Swift.

Had a maintenance call with Dr Saira Baño (previous provider won't prescribe me anymore at BMI 22, even though they now say they promote maintenance). They are everything I'd hoped. Flexible around dosing schedules, no pressure, can order whenever I'm ready (I have two previous 'stash pens' in fridge to use up first). Also, £10 off every order for life (if you're on it for life) if you've had a maintenance call.

💯 recommend 👍

I have, with much dithering on this matter, come to realise that after 4 + long decades of struggle around food and weight Mounjaro is to be a permanent feature in my life.

My partner (and I) were not delighted at the prospect of needing to find £150 ++ per month forever more (or certainly for the next ? 6 / 7 years ? until hopefully cheaper generic versions become available in the UK. Also my partner is sad that they now get to drink alone as I am pretty much teetotal as alcohol gives me the ick.

But, with coming off completely in mind, I recently titrated down to 3mg and OMG the resulting food obsession and grazing!, it put me mentally right back where I began and the reason why I started this med in 2025 in the first place, 60lbs ago.

We are now both in agreement fortunately - me going back to those dark days is just not worth it. The peace I feel on 5mg makes me so happy, satiated, content and living binge free. A no brainer at the end of the day.

Hi, I'm currently taking 8.75mg from 15mg pen. I'm almost at target and plan to stay on the sane dose for a while and then start to VERY SLOWLY try and titrate down. If I stop ordering and use up the pens I have, that would give me a break of over 6 months.

I know they'll prescribe me at 2.5mg initially but my questions are :

1. Should I have a maintenance call with them now?

2. Wait and do it when I restart, assuming they would prescribe if I'm within the 12 month window?

3. Should I buy at least 1 pen from them as my last pen purchased now, before taking the ,"break" thats not really a break, while I try and titrate down and use the pens I have?

I plan on being on this medication for life so I don't want to leave myself stuck. Any pointers would be most appreciated. Thanks

Someone just posted a nice message in my original maintenance post and it made me realise how long I have been officially maintaining. 172 days!

Time flys.. I’m even wearing through some of the new clothes I bought when I was sure that was me done and at a size I was sticking to.

Overall it’s not been as hard as I expected- so far! Definitely struggled to get my head in the space. But after speaking to people here, I realised I was mostly overthinking it. I’ve been very steady at 66.5kg for the last 2 months and around that before that.

I had a blip/panic in February when I was ill with cold/cough virus 3 times in the space of 7 weeks and had a sudden drop in weight. It scared me a little. Ive never felt vulnerable while ill before (except the first time I had covid in 2020 which was on the cusp of being out in hospital).

Then my mum died around a week after that panic. I was still recovering from the virus. It was a shock and I had to drop everything and travel. It’s been interesting and actually very good to be on Mounjaro in this grief.

It forced me to remember to eat and make a healthy choice. It stopped me from turning to numbing myself with alcohol. It stopped me grabbing whatever food was available at the time, instead I was conscious I must grab myself something nutritious to get me through the day. It stopped resorting to takeaways to avoid cooking. I also believe it has in some ways helped me think clearer without so much noise in my head. All of that has helped me physically and mentally support myself through this very difficult and lonely time.

On the day my mum died, I had a scheduled appointment to join a new gym, I was treating myself to moving to a gym that has a pool and sauna, to give me an incentive to go. I’d been slacking off in the winter not wanting to go out in the crap Scottish weather to the gym.

I decided to just go to the appointment anyway, as it was a deal that was ending that day. It was a very bizarre feeling, leaving the house that day. I even had to walk past the old hospital building that I was born in, on the day my mum brought me into the world.

But it was a good thing I went that day. I joined and since then Ive been treating the sauna like therapy. And doing weight when I arrive then sauna and swim after. I’m off there now.

My mum was able to see what I had achieved before she went. And TBH, it was her decline in health in her late 60s that made me think about my own declining health and made me make the choice to go for this. Nothing else was working and I could see me going in the same direction. I wish it had been invented earlier. I think it would have helped my mum. She was never as big as me but did suffer from obesity and several other conditions that it would have helped her with, including alcohol use.

I hope you are all doing well.

What a wild few months it’s been.

Hi folks. I think I need about 1.25mg per week to maintain. Without mounjaro I'm gaining.

Does anyone gave any recommendations for a provider that will prescribe this off label please? Also evidently a 2.5mg pen would last 2 months, so how do people get around this? Cost is a factor so I don't want to be throwing half a pen away each month.

Thanks!

Hi, I will be coming to the UK in a few weeks and was looking at purchasing a couple of pens to bring home. I am currently on 5mg but was hoping to get a couple of 15mg pens. Has anyone done this before, or are there any recommended companies that would do this for me? I have a set address so delivery won't be an issue. The prices where I am are about 3x the cost in the UK! Any advice is welcome 😄

I've just had my second year anniversary with mounjaro last week. I've been with swift doctor for about a year. I'm only about 5 lbs from hitting a healthy bmi and I am starting to think about maintenance. Part of the reason I'm with swift is because I'd read they were for good for continued support through maintenance. I've receieved the emails from them about a consultation with them for this, but I'm wondering what other people's experiences have been?

I'm currently on 12.5 and this is the highest I've gone. I'm now injecting about every 10-12 days. I'm wondering if swift would actually allow me to do this officially and let me space out my injections this far? I would like to move down a dose or two if that's possible just to save a bit of money, not sure if they do that either? What kind of maintenance plans have people been put on?

I'm not sure what to expect. While I'd love to get to a point where I don't need to take these meds anymore, I have PCOS and know that this is likely a lifelong medication for me. I'm wholly prepared for this, but just trying to think about what that realistically might look like for me. Any advice would be helpful.

Hey, I have been on MJ for well over a year with good results. At the end of last year I decided I was happy where I was even though I had another half stone to lose to be at target. I stayed on 7.5 to maintain then dropped to 5. That’s where the problems started and I could feel the incredible hunger coming back just like before MJ. I went back up to 7.5 but it didn’t work this time so increased to 10mg (which I had fantastic results with in the past and never needed to go higher) but this time not so.

I have now decided I would actually like to lose that extra half stone, or close to it even, then I won’t have to panic as much if I do put on a bit plus i am now thinking I could probably do with it appearance wise! But my problem and question is how do I do it? Has anyone else noticed MJ not working for them when they go up a dose after sitting on maintenance for a while?

I know half a stone plus may not seem like much to lose but because I am starting to get all this food noise again I know it won’t be long until it’s more than that. Can anyone offer some advice on what I should do? Thanks

Just looking to see if this is a normal experience.

I had my evorel increased from 75 to 100 about 6 weeks ago due to hot flushes and night sweats, and I’ve gained 6lbs. I have noticed a change in my appetite too, and craving more sweet things again.

Has anyone else experienced similar and did it settle? Or should I look at increasing my maintenance dose to get things back in check?

**I have not named the pharmacy here as I am not sure if they have interpreted the guidelines in my favour in this instance or if it is completely above board and I am just lacking understanding how this works**

Reading many posts from UK peeps on approach to MJ supported maintenance I realised that rather than waiting a few more months whilst I ran my mini stockpile down, contacting my pharmacy ahead of maintenance to see how the land lay with them and what they could do for me was advisable.

Plus as I have come to the conclusion I am in need of MJ for life I was kicking myself a bit as had I realised sooner that I am a “lifer” i.e. within six weeks of ordering my last pen I would have reordered a couple more 15mg, especially as the GD is soon disappearing. 5mg from a 15mg pen that still has the GD comes in at c. £20 a week.

So I contacted them via their chat / message function expecting as it was 10 weeks since my last order, to be told I had to reorder at 2.5mg but basically they said so long as I confirmed date of my last jab (which was 3 days ago) and stated clearly my current pen had lasted so long due to me micro dosing (they also made clear to me that they would never agree to a micro dosing schedule) they are fine to issue me with another 15mg pen this time and indeed this has just been approved.

I am guessing if I do this again, wait another 10 weeks or so, therefore leaving no doubt what I am up to, it will be a firm start back at 2.5mg … but the way they worded it made it sound like I might be able to keep ordering in this way now that I am already on 15mg??? …. it would be very beneficial for my finances if that were the case and has left me feeling that these wonderful GP led pharmacies do really want to assist and will be as flexible as they possibly can be. If this is something they can do in future - within official guidelines - then I am really counting my blessings.

I’m about to order my next 7.5mg pen from MM. I’m in maintenance, although I wouldn’t mind dropping a few extra pounds 😅 I’ve most recently been on 6mg but I’ve been working my way through a bit of a stash so f 5mg pens. Next week will be my first 7.5mg pen in a while and I’m planning to take 6mg. My last two from the stockpile are 7.5mg pens, but they’re the old style pens with the golden dose, which I always use. With the new style pens, when I take 6mg out of the 7.5mg pen, am I right in my calculations thinking each pen would last me 5 weeks (240 click total, 48 clicks each 6mg dose)? Also, with these new pens not having the golden dose, will I still need to draw the last dose using a syringe? Sorry if this is a bit of a daft question, I can’t seem to work it out.

TMI ahead…

I’ve been slowly titrating down over the past four or five months and have been on 5mg for a couple of weeks now, but during that time I’ve noticed I’ve been regularly getting stomach pain and diarrhoea in the evenings, not long after dinner.

I’ve not been eating anything different than I was, and it’s mostly been chicken, salads, fish cakes every now and again, nothing I’d expect to be setting my stomach off.

I did wonder whether it’s just my old GERD acting up. Haven’t had issues with it at all since starting MJ, so maybe now that I’m back on a lower dose it’s rearing its ugly head once more?

Anyone experienced something similar?

So I had my maintenance call with Dr. Mel at Pharmulous today and I am so impressed.
She was so incredibly knowledgeable and it was great that she could talk about her experience on the drug too. She answered all questions that I asked and made me feel a lot more confident about tackling maintenance.
I’m currently on 10mg and my next pen I’m going to go down to 7.5mg. I need to be eating around 1700 calories to maintain and I can’t manage that on 10mg which she completely understands. She said that if food noise returns on the 7.5mg and I’m eating too much, then going up to 10mg whilst on maintenance is absolutely fine.
Actually feeling a bit less daunted about maintaining my weight now!