Mounjaro

[GAZZA12]

I'll start with a brief history of my health conditions and then ask a few questions.
Diagnosed Type 2 roughly 10 years ago, probably due to lifestyle overweight and inactive and hereditary factors. I was initially prescribed Metformin but as this gave me diahorrea I was given slow release. Since I've had other meds added including Dapaglaflozin, Liraglutide and Artosatvin. Liraglutide can give me a stomach reaction if I go long periods without using it or generally after a night out on the beer.

Since I've lost a lot of fat but maintained a good muscle mass due to a physical job and much fitter than I was when diagnosed. Most of my fat weight is on my stomach which feels like loose skin rather than fat.
Due to shortages my Liraglutide hasn't been taken for a few months and I was prescribed Mounjaro, which has given me Diahorreah for a day, I have cut down my meal sizes as a result.
My Hba's were doing well but went up probably due to not taking Liraglutide or my other meds much in the last month.
I will struggle in work if I cannot refuel properly through the day.
I find I fall asleep when I sit down after a physical task.

1. Will Mounjaro give me bowel issues for the whole week it lasts?
2. Shall I avoid some or all the other meds to see if they work?
3. I try to avoid bread but my stomach can react and I leave it out for too long. What alternatives should I eat. (I never eat White Bread).
4. I'm worried about other side affects such as sweating which has eased significantly since I couldn't take Liraglutide.
5. Will Mounjaro allow me to go significant periods without eating even in work? I find going long periods without a substantial meal and the eating a a big dinner also can trigger Diahorrea.

I've tried going through this with my Nurse and Consultant and all I get is a new drug or offers of other tests and clinics ( like a sleep clinic) which not always materialise.
I find I often feel better without the meds especially stomach wise, and if I'm planning a night out will avoid them just to be on ths safe side or take plenty of Imodium

 

[Leadinglights]

Welcome to the forum
I'm not sure many people are taking mountjaro yet even though they have been told they will have it due to availability.
When you had your original diagnosis did you also make some dietary changes to help reduce your blood glucose and have you continued with it. Ideas have changed in that time as to what can be an effective way and many follow a low carbohydrate approach. By reducing carb intake but having plenty of protein and healthy fats they are able to reduce their HbA1C but still have plenty of energy and don't need to keep adding more medication.
Have a look at this link to see if what diet you have could be modified to help your issues.

Freshwell Low Carb Project - Home

lowcarbfreshwell.com

 

[GAZZA12]

Welcome to the forum
I'm not sure many people are taking mountjaro yet even though they have been told they will have it due to availability.
When you had your original diagnosis did you also make some dietary changes to help reduce your blood glucose and have you continued with it. Ideas have changed in that time as to what can be an effective way and many follow a low carbohydrate approach. By reducing carb intake but having plenty of protein and healthy fats they are able to reduce their HbA1C but still have plenty of energy and don't need to keep adding more medication.
Have a look at this link to see if what diet you have could be modified to help your issues.

Freshwell Low Carb Project - Home

lowcarbfreshwell.com

The issue with reducing carbs too much is the IBS, I've tried a number of times and found if I avoid Wholemeal bread too much I get a bad reaction and get very watery stools.
I was unemployed when diagnosed so didn't follow the diet or exercise advice well and being stuck at home and inactive meant I gained weight. Only once did I significantly reduce my hba's and that was when I had odd jobs.
In the last five years I've been working constantly in relatively active jobs which means being far more active in life and the distraction of being occupied so I don't pick on food etc.
I have lost weight/fat on the areas I use in work or more likely muscle has replaced fat my limbs and bum are normal, my belly is a wobbly mess now. So weight is stable.

 

[Leadinglights]

The issue with reducing carbs too much is the IBS, I've tried a number of times and found if I avoid Wholemeal bread too much I get a bad reaction and get very watery stools.
I was unemployed when diagnosed so didn't follow the diet or exercise advice well and being stuck at home and inactive meant I gained weight. Only once did I significantly reduce my hba's and that was when I had odd jobs.
In the last five years I've been working constantly in relatively active jobs which means being far more active in life and the distraction of being occupied so I don't pick on food etc.
I have lost weight/fat on the areas I use in work or more likely muscle has replaced fat my limbs and bum are normal, my belly is a wobbly mess now. So weight is stable.

Everybody seems to have different ways of managing the symptoms of IBS but quite a few people have mentioned they are better following a low carb diet which has improved their symptoms. The charity Guts UK has some advise re diet for IBS and other gut issues.

 

[LayniBee]

I'll start with a brief history of my health conditions and then ask a few questions.
Diagnosed Type 2 roughly 10 years ago, probably due to lifestyle overweight and inactive and hereditary factors. I was initially prescribed Metformin but as this gave me diahorrea I was given slow release. Since I've had other meds added including Dapaglaflozin, Liraglutide and Artosatvin. Liraglutide can give me a stomach reaction if I go long periods without using it or generally after a night out on the beer.

Since I've lost a lot of fat but maintained a good muscle mass due to a physical job and much fitter than I was when diagnosed. Most of my fat weight is on my stomach which feels like loose skin rather than fat.
Due to shortages my Liraglutide hasn't been taken for a few months and I was prescribed Mounjaro, which has given me Diahorreah for a day, I have cut down my meal sizes as a result.
My Hba's were doing well but went up probably due to not taking Liraglutide or my other meds much in the last month.
I will struggle in work if I cannot refuel properly through the day.
I find I fall asleep when I sit down after a physical task.

1. Will Mounjaro give me bowel issues for the whole week it lasts?
2. Shall I avoid some or all the other meds to see if they work?
3. I try to avoid bread but my stomach can react and I leave it out for too long. What alternatives should I eat. (I never eat White Bread).
4. I'm worried about other side affects such as sweating which has eased significantly since I couldn't take Liraglutide.
5. Will Mounjaro allow me to go significant periods without eating even in work? I find going long periods without a substantial meal and the eating a a big dinner also can trigger Diahorrea.

I've tried going through this with my Nurse and Consultant and all I get is a new drug or offers of other tests and clinics ( like a sleep clinic) which not always materialise.
I find I often feel better without the meds especially stomach wise, and if I'm planning a night out will avoid them just to be on ths safe side or take plenty of Imodium

I had my first Mounjaro injection on Monday. I'm staying at 2000mg Sukarto a day, my Lantus insulin has been reduced from 30 to 24 units. In the space of 2 days I went from grazing all day to having a boiled egg or a yogurt for breakfast, then a small dinner in the evening. I felt nauseous on the second day, then fine. I've been advised to drink a lot of water, apparently it can make you a bit constipated. My waking glucose is usually over 10. Yesterday it was 7.0 and today it's 5.8.

 

[everydayupsanddowns]

Sorry to hear you’ve been having problems getting hold of a regular supply of meds @GAZZA12

Hopefully the shared experiences of other members will offer some reassurance of how different meds work for them.

I think that unless your Dr has suggested switching from one medication to another because of an adverse reaction (like an upset stomach) there seems to be evidence that combining the effects of several meds together can offer a bigger impact.

There’s a Dr’s ‘cheat sheet’ from NICE here with evidence-based recommendations of combining different meds together

https://www.nice.org.uk/guidance/ng28/resources/visual-summary-short-version-choosing-medicines-for-further-treatment-pdf-10956472095

In terms of ‘fuelling’ for work - drowsiness can be a symptom if high glucose levels. Do you have a meter to check your BG levels after meals? I wonder if perhaps an adjustment to your fuelling strategy might make it easier for your body to absorb the energy (rather than it staying in your bloodstream leading to fatigue)?