r/MenOnThePen

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Extreme fatigue and brain fog after increasing Mounjaro to 4.5 mg — anyone else?

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About two weeks ago, just before going on holiday, I increased my Mounjaro dose to 4.5 mg.

Since then I’ve been unusually tired, but since coming home last Friday it has become pretty extreme. I feel completely drained, have very little motivation, and my head feels like it’s full of cotton wool. Basically a combination of fatigue and brain fog.

There are a few other factors that could be contributing. I’d just had two busy weeks away, got home on Friday, spent all Saturday organising a big party, saw friends again on Sunday and then went straight back to work this week. The weather here is also very humid, grey and rainy.

What’s strange is that I tend to feel quite a bit better after exercising or going to the sauna. Ibuprofen also seems to reduce the foggy/awful feeling.

I was already more tired than normal during the holiday, although I assumed that was just because we were constantly doing things.

So I’m trying to figure out whether this could be related to the dose increase or whether I’m simply crashing after a very busy couple of weeks.

Did anyone else experience significant fatigue or brain fog after increasing their Mounjaro dose? How long did it take to settle down?

And if you found anything that genuinely helped with the fatigue, I’d love to hear it.

u/Advanced-Rope1638 — 1 day ago

Please, for the love of God, work out

For the love of God, work out. Men and women. If you’re losing a significant amount of weight, please don’t just focus on eating less.

I see so many successful weight loss posts, and genuinely, congratulations. But sometimes the amount of muscle people lose along with the fat is heartbreaking. I’m not trying to be mean or criticize anyone’s appearance. I’m saying this because preserving muscle matters.

Resistance training plus adequate protein can help you preserve lean mass while losing weight. Muscle is also metabolically active, and maintaining it becomes especially important when you reach your goal weight and want to maintain your results.

If all you do is drastically reduce how much you eat, while not getting enough protein and doing no resistance training, you can lose muscle and bone mass along with fat.

You worked so hard to lose the weight. Don’t just become a smaller version of yourself. Build and preserve the body underneath it.

Please lift weights. Start light if you have to. Go twice a week. Walk. Do bodyweight exercises. Whatever you can realistically stick with.

Lose the fat. Keep the muscle. Get stronger.
Your future self will thank you.

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u/Niel_cafferey — 4 days ago
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Anyone experiencing Raynaud’s as side effect?

Started November 2025, worked up to a 1mg and kept it there as it’s working slowly but surely.

My question is: has anyone experienced Raynauds syndrome as a side effect? This is when a finger or toe will lose bloodflow temporarily to the capillaries making the skin look white or very pale. Until bloodflow returns naturally.

Before last winter I had Never experienced it before and I usually tend to run hot, but now any exposure to cold makes my hands and feet extremely cold and it’s hard to warm them back up. And I will notice skin is sometimes patchy with lack of bloodflow.

my doctor has checked for circulation, and autoimmune issues and nothing came back. So reaching out here to make sense of it.

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u/abcalu — 3 days ago
▲ 17 r/MenOnThePen+1 crossposts

Loose skin

I’ve lost around 20 kg since January and I’m really happy with the progress so far. But I’ve recently noticed these little “flaps” hanging from the underside of my upper arms.

I’m guessing it’s a combination of some remaining fat and loose skin after the weight loss.

Do any of you guys recognize this from your own weight-loss journey?

Did it improve as you lost more weight, or did the loose skin stay? And did building up your triceps/arms make much of a visual difference?

I still want to lose roughly another 10 kg, so I know my body isn’t at its final result yet. I’m mostly curious what other men experienced and what you would do about it: keep losing, focus on muscle afterwards, just give the skin time, or something else?

Would love to hear your experiences!

u/Advanced-Rope1638 — 4 days ago

Pen Teardown.

Pen teardown.

As an engineer I like to know how stuff works, so the pens intrigued me.
So I’ve taken 5 apart to see, and they are quite clever!
What is clear is they cannot and do not ‘count clicks’.

Pic 1 is all the parts. As suspected there is a glass vial inside the main barrel of the pen.

Pics 2 and 3 are like a double slip clutch mechanism and this is how the pen stops turning when the maximum deflection or travel of the plunger is reached.
The 2 black bits are the same, even though the one inside the dose twister looks different in the picture.
They slot together when this mechanism is all together as in pic 6.

If you look at pic 4 you can see the threaded plunger rod and the squared off bit at the end. This same squared off bit is also present at the other end of the rod.
When you turn the dose twister the 2 black slip clutches engage with each other in the white plastic part inside the main body of the pen handle and turn around the plunger rod which is held firm by a locking system in the main body of the pen that I haven’t got to yet. The black half of the clutch part in the twister turns as you twist

When you the press the purple nob as you inject, the top part of the clutch locks so it doesn’t turn, this then locks the lower part which presses the rod down into the pen.

In pic 4 you can see the threaded plunger rod with the squared off ends. As you use the pen, once you twist it up to the squared bit it can’t move any further unless forced.
This is what locks the pen.

You can see in pic 5 what happens when you force it past the lock. A bit breaks off.
This means we were able to advance the twister further up the rod and get the extra travel on the plunger required to get the extra dose. But this was in no way measured or accurate. Just that the difference wasn’t really an issue.

The new pens are exactly the same with the simple addition of the spacer as seen in pic 7. You can just see that this spacer is 1 dose in size, thereby extending the effective travel of the plunger and eliminating the extra dose.

And that’s it. Very simple yet clever and accurate. Got hold of a Lilly insulin pen and took that apart as well and they are the same with the only difference being the plunger rod is black and longer so it goes all the way to the end of the vial.

:-)

u/EdTheDuck94 — 3 days ago

TRT + Mounj

For those who started TRT whilst on mounjaro.

Did you notice it aided in the weight loss?

I’m due to start TRT soon and curious what to expect

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u/steuk20 — 4 days ago
▲ 8 r/MenOnThePen+1 crossposts

Back from hols….. :-/

Just back from a week away travelling around Norfolk and South Wales (Random I know….)
Weighed myself this morning first morning back.
Scales says I put on 1Kg.

I know it can’t be fat, I continued to track my intake (MyNetDiary) and was in deficit most days. I know it must be some gained water weight and maybe some inflammation from travel etc. For it to be fat I would have had to consume 7,700 calories over maintenance and that simply didn’t happen even allowing for the odd miss log or under calculation.

But it’s just a bit cr@p…..

Oh well, at least I might see a big drop this week back in the routine eh?

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u/EdTheDuck94 — 6 days ago
▲ 40 r/MenOnThePen+1 crossposts

Next step?

Hi everyone,

Since January, I’ve lost 20 kg (44 lbs) and I’m really happy with the progress so far. I’d like to lose at least another 10 kg (22 lbs), but my longer-term goal isn’t just to be lighter — I’d love to build more of a rugby-player physique: solid, strong and muscular rather than super lean.

A bit of context:

- I’m using Mounjaro, currently 4.5 mg

- My testosterone has gone from 12 nmol/L in January to 25.5 nmol/L now, completely naturally

- I train 3x a week using eGym strength machines

- I average around 12,000 steps a day

- I eat roughly 2,000 kcal a day

- I make a conscious effort to keep my protein intake high

The fat loss is going really well, but I feel like my muscle growth is lagging behind. Obviously, I know that being in a calorie deficit isn’t the ideal environment for building a lot of muscle, so some of that is completely expected.

Still, I’d really like to maximise muscle retention and, if possible, build some additional muscle while I continue losing the final 10 kg.

So my question is: what would be your best “body hack” for my situation?

Would you change the training volume, switch away from eGym to more free weights, increase calories slightly, change protein intake, add creatine, or simply accept that serious muscle growth needs to wait until I’m closer to my goal weight?

Interested to hear what has actually worked for people who have successfully combined major weight loss with building a stronger, more muscular physique.

u/Advanced-Rope1638 — 8 days ago

BMI still says I’m a chub

My ideal is 80kg, nothing wild. My BMI still shows as overweight though! Anyone else just frustrated by that?!

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u/suckonthis85 — 9 days ago
▲ 61 r/MenOnThePen+1 crossposts

Week 70 - Updates, data & Photos

The Last Year of Data

Graph Data - Vert axis is KG

December 2024 -> August 2026 (Those are my long shorts)

Hello Hello Hello,

70 weeks of injections and lots of progress, decided to show my face this time

Background: SW: 138.7kg CW:81.9kg, Lost 56.9kg 41% of starting weight using a dose up to 7.5mg.

My process: I added interventions as I felt more motivated, so I started with Mounjaro and weight tracking, added walking more each day, added calorie tracking, I then added some body weight strength training, then traditional resistance training, then a couch to 10k programme, then marathon training and now most recently mobility training as part of strength training.

Recent Update: I think I mentioned last time I started to titrate down, I'm currently on a 6.25mg dose, with an aim to get down to 5mg in the next month. I started a marathon training block and proceeded to injure my knee. I'm getting quite close to my extended goal of 80kg, so happy to continue trying to lose while I titrate down.

Any questions about anything, happy to answer

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u/Neowarcloud — 10 days ago