Switching from Mounjaro to a daily GLP med
Hi all,
Mounjaro has in the past been pretty effective for me for IWL, T2D, food anxiety, and metabolic dysfunction, but the side effects are becoming intolerable. About 12 hours after injection, like clockwork, I experience severe bone-crushing fatigue for at least a day and a half, usually two.
This isn't from lack of hydration, nutrients, or protein. I eat full and nutritious meals. The fatigue seems to be a direct reaction to the surge of medication in my system before my body adapts. I suffer from moderate ME/CFS and already experience bouts of severe fatigue, so with the added mounjaro fatigue it's overwhelming!
I have had to take several breaks from Mounjaro due to the fatigue and am currently trying 7.5mg every 10 days as I couldn't cope with 2 days of shot fatigue per week even at 5mg. I am only managing to maintain weight on this dose and dread going up.
For this reason I'm tempted to try a daily medication instead as it will remain at a steadier level in my system and hopefully be less of a shock to my body.
My options in the UK are:
Saxenda/Liraglutide daily shots
Foundayo pill
Wegovy pill
I have experienced very few GI side effects so I imagine I will tolerate a pill. Despite my energy limiting disability I think I could manage daily shots or the finickyness of the wegovy pill if my GLP fatigue lessened. I would be happy with slower weight loss or even maintaining if I could just avoid the crushing fatigue.
What I'm stuck on is which to try next - each one seems to have its drawbacks and there are reports of fatigue for every GLP med.
The cost is less of a concern as any of the above would be cheaper than Mounjaro.
If you were in my position, which would you try next and why?