r/MounjaroAus

I will never touch Mounjaro again after horrific abdominal pain and diarrhoea

I have been on Mounjaro since March 2025 with a starting BMI of 30.1. My current BMI is 25.1. I am short and don’t carry the excess weight well and I was having some other health issues and my doctor recommended losing some weight. Initially I had lost more than 15kg but had noticed the weight starting to creep back on so on Sunday 9th August I decided to give myself a 2.5mg dose. I had the usual feeling of fullness/indigestion type feeling for the first two days post. On the morning of the 10th I had an episode of diarrhoea. I wasn’t too concerned until later in the morning I had to turn around from a lunch date with friends and become friends with my toilet. I also had significant abdominal cramping pain. I continued to have profuse diarrhoea and severe abdominal pain for the next two days. Eating even crackers was rewarded with intense diarrhoea and pain. I wasn’t keeping up with fluid intake. On the 15th I presented to hospital and was admitted post CT with proctocolitis. Intravenous fluids and pain relief were most welcome.

I continued on clear fluids for the next two days and then was allowed to try a light diet. I again had severe abdominal pain and diarrhoea which only stopped when all the ‘offensive’ food had been evacuated. The pain was again intense and I was forced to resort to strong pain medication. I had one of the most miserable nights of my life.

My bloods remained normal - no raised inflammatory markers. My stool specimens have come back normal. My temperature was normal. No signs of infection.

Today the 19th of August I still have a slight constant stomach ache. However I have managed to eat a light diet at lunch and dinner with no return of symptoms. All being well I will be discharged tomorrow morning after 5 nights in hospital. I will still need to be on a light diet until the niggly pain in my stomach goes away.

Was it Mounjaro that caused this week of misery? I know my doctor was very puzzled with how I was presenting and was surprised my first trial of a light diet was such an abysmal failure. I just know I’m never going to have another dose of Mounjaro to test it out. I will say perhaps I don’t have the full picture yet as I still need to have an endoscopy/colonoscopy in a couple of weeks to rule out other causes.

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u/Terrible-Hair4232 — 18 hours ago

Tomorrow is the day!

I’ll be doing my first injection tomorrow and I’m still undecided about whether to do it in the morning or evening. I have Fridays off work, so I was thinking Thursday might be a good day to start.

I’m a little nervous about setting up the pen and getting the clicks right 😅

I’ve got around 15 kg to lose (SW 78kg), so I’d love to hear from anyone who’s recently started. Any tips, advice or encouragement would be very much appreciated!

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u/hydeandseek30 — 22 hours ago

Best value?

What's the best value mounjaro to get? I'm going to the cheapest chemist I can go to.

Can you ask your doctor to write a script and get the mounjaro in another country like India legally? Has anyone ever done this?

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Finding prescribers who actually understand MJ as a lifetime med

So I’ve been on MJ for about 4 months. I have been “dieting” for my whole life and the only time I was at a normal weight was when I was in my late teens eating 1000 calories a day and burning 1000 calories at the gym (I didn’t know any better at that time).

MJ has given me so much mental freedom and I finally feel like a normal person around food. I’m about 5kg from my first goal, but could stand to lose another 5kg after that.

I’ve seen 2 GPs and asked them about their thoughts on Mounjaro long term. Both of them want me to get off it once I hit my goal, even though I told them that I see this as a long term, forever kinda deal.

I really want to find a GP who is supportive of being on this medication long term. Im happy to go with online options or a in person GP in Melbourne. What I want to avoid are steep costs. I’m click counting 5mg from a 15mg pen and not paying for the GP appointments. If I go with online providers how much could I expect to be paying with them?

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My Journey - Tracking & Commentary

Hi,

Hope this isn't the wrong place for this kind of content, but I thought it might be useful to keep track of my own journey on this such that others can have a data point to compare to. I'll be open and honest about everything good and bad.

Pre-Mounjaro

Body type: Obese

Age: 42

Height: 183

Wight: 120kg (Mostly in belly fat)

BMI at start: 36.2

Comorbidities: Depression, Bad back (lumbar spine, 1x disc degradation leading to bone on bone contact), Asthma, Sleep Apnea (since age 27, ironically before I was even overweight), fatty liver disease

For context, in 2020 before my back was injured i was ~83kg.

Tracking: Effects and weight using Glapp. Food intake with myfitnesspal.

Mounjaro Commenced August 2026

2.5 mg dose.

Week 1:

Hunger & Food Noise: Hunger disappeared. Food noise reduced dramatically. Although I still need the odd snack, I am no longer using snacks to avoid work or other responsibilities. It seems there has been a mentality shift (could well be a placebo).

Food Intake: With my hunger basically gone and food noise reduced heaps I was eating much less. And I was making better choices because I am tracking with myfitnesspal. (e.g. feel like takeout? macdonalds is like a days intake in a single sitting. switch to a burrito bowl for half the calories.)

Weight loss/gain: 1.87kg loss

Mood: Mood has improved. Probably because I see a way out of the situation I was in before.

Side effects: In the first week these were quite bad. These would all come and go: Dizziness, Bloated, Belching, Headaches, Abdominal pain, Nausea, Vertigo. Reflux was off the charts for about 4 days. Diarrhea was quite bad for 24 hours about half way through the week, I was shitting water. I must say that one of the effects of eating much less is that energy levels are not as high. I probably wouldn't be able to lift much at the gym.

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u/Perfect_Scene2455 — 1 day ago

Curious question 🤔

For those of us who get the red/itchy injection site rash - does how much you lose weekly match how red/itchy your rash is? Because I swear the itchier mine are the more I lose that week! Probably in my head but curious if anyone else has the same experience 😂

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Did anyone else gain weight while on Mounjaro?

I initially lost 12kg on Mounjaro… and then I gained 17kg. All my progress lost. I stopped taking it because I was so upset and gained more weight. Now I’m at my heaviest ever. I’ve never been this heavy and feeling so embarrassed and demotivated. Don’t even want to go to my GP for a repeat because I’m embarrassed that I’m fatter than the last time she saw me months ago. She won’t give it to me if I’m gaining weight. Help.

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u/WillowsByTheTree — 2 days ago

Dose splitting

Hi, currently splitting 5mg doses from a 10mg pen by click counting. Up to my fourth dose on Saturday, will the pen lock up after a while? Like how it does after the final dose.

I also wasn't able to get the "golden dose" from my 2.5mg as I wasn't able to buy any needles in time. I noticed that pharmacies keep their needles secure and won't sell if I'm not on the registered diabetes scheme. Not sure how I feel about the safety of using Amazon, what do you guys use?

Thankss

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u/r0xos — 1 day ago

Maintinance.

So I started Mounjaro about a year ago and managed to hit my goal weight. I gradually weaned off it and came off completely a couple of months ago.

Alas, the food noise returned with a vengeance, as did the binge-eating stuff. My doctor and I agreed that I’d probably benefit from staying on a maintenance dose, so I restarted at 2.5 mg.

After only three weeks back on it, I’m already back at my goal weight. The 2.5 mg is doing exactly what I need it to do in terms of controlling the food noise and binge eating, so I’m reluctant to mess with something that’s working. At the same time, I don’t want to keep losing weight.

I’m curious how others in this position have handled maintenance. If you need to stay on Mounjaro to keep the food noise under control, but don’t want to lose any more weight, how do you actually maintain? Have you found that your weight eventually stabilised while staying on the same dose, or have you had to deliberately change how or what you eat to stop yourself continuing to lose?

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u/calex_1 — 2 days ago

New pen without golden dose

Hi all

Yes.. im so sorry yet another post about clicks and left over liquid gold..

I have read a ton of other posts...but I still don't really get it

And before I inject something into my body

I kinda wanna get it..

So..I have one of the new 5mg mounjaro pens that unfortunately doesn't have the golden dose..

But there is some left after my 4th dose

It will go to 18 clicks before it stops and won't twist any further

So on a 5mg pen.. what is the dosage on the liquid gold that is left in the pen when it twists 18 clicks?

Thank you SO much!

u/svenskaflicka84 — 3 days ago

The old 'Should I move up?' question...!

I’d be interested to hear what others would do in my situation.

I’m 49 and in perimenopause (not taking anything for that). I’ve been on Mounjaro 2.5mg for about 11 weeks and have stayed on that dose because it has continued to control my appetite pretty well.

I started at 147kg and I’m 139.4kg today, so I’ve lost 7.6kg (just over 5% of my starting weight).

My loss has slowed down quite a lot though:

  • June: 4.5kg lost
  • July: 1.9kg lost
  • August so far: 0.5kg lost

For roughly the last three weeks I’ve mostly been bouncing around 139–140kg, despite eating considerably less than I did before Mounjaro (daily calories are at ~1500 if not less on the days I don't feel like eating much). I'm prioritising protein and low carb.

The confusing part is that my waist and hip measurements have gone down and my face is noticeably slimmer, so I can see that my body is changing a bit even though the scale is barely moving.

Until now the appetite suppression on 2.5mg has been really good. This week I’ve noticed a bit more hunger, including in the first couple of days after my injection. It’s still completely manageable, just a little different from previous weeks.

Side effects on 2.5mg have been mild and manageable. I’m also taking 500mg modified-release metformin.

I’m not particularly interested in losing weight as fast as possible. I’d happily stay on 2.5mg if my weight continues trending down, even slowly. My concern is that the scale seems to have more or less stopped doing that recently. Not completely, but it's obviously very slow. 0.5kg or so in the last three weeks.

Moving to 5mg will also cost me about $100 AUD more per month, so I don’t want to increase just because that’s the standard schedule if 2.5mg is still (mostly?) doing the job.

For people who stayed on 2.5mg longer than four weeks, did you eventually start losing again after a few weeks at the same weight? Did you notice your measurements/body changing even while the scale was stuck? Or did a plateau/slight increase in hunger turn out to be the point where moving to 5mg made a noticeable difference?

What would you do: give 2.5mg a bit longer or discuss moving to 5mg?

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u/DisastrousZucchini30 — 2 days ago

Has anyone gone down a dose when travelling? (italy)

I'm going to italy next week for 3 weeks and then my wedding is 2 months after, I still would like to lose 4-5kgs but I'm happy with me weight at the moment

I am using a 10mg pen and the click method for 6mg which has been a good sweet spot to me, mild symptoms apart from when I eat fatty/heavy foods I will feel nauseous for a bit

I am tempted to only dose about 4mg on the trip because I don't want to be super sick from all the rich food

Has anyone done this and what was your experience like?

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u/lamemoons — 2 days ago
▲ 0 r/MounjaroAus+1 crossposts

GLP-1s in Australia

Hey, where is everyone getting GLP-1s in Australia? I was going through my weight loss clinic but it was kind of suss and I don't know if it's a real doctor. I'm now looking at Juniper, I had to answer more questions before my call and they seem more legit. They're a bit more expensive but they seem to have more peopel with actual results and more adds on - want to know if anyone has gone with them or where most people are going?

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u/Several_Increase3125 — 3 days ago

Your Coffee/Caffeine Intake On Tirzepatide ?

What is your Coffee/caffeine Intake Since Using Tirzepatide? I am 6 days into my first shot of 2.5mg of Tirzepatide and my caffeine intake has significantly decreased. I work a desk job and I used to drink at least 3 strong coffees throughout the day to keep me going. Now I’m down to one coffee per day without trying to reduce my intake. I feel like I have more energy day to day.

View Poll

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u/mdedogy — 3 days ago

Mounjaro plateau? When did you decide to increase your dose?

I’m currently taking 3.33mg of Mounjaro. I responded really well at the start of my journey, but my weight loss has slowed down to around 0.4kg per week over the last 4–6 weeks.

My doctor has been fantastic and really supportive throughout. His approach has always been that I can increase my dose incrementally if I feel like I need to. He was happy for me to stay at 2.5mg for as long as I wanted, but that if I noticed my hunger coming back and it stayed that way for at least 2 weeks I could go up by 5 clicks. That’s how I ended up at 3.33mg.

I’ve recalculated my TDEE, my diet has stayed relatively consistent, and I’m drinking around 2–2.5L of water a day.

I’m wondering if I’m just in a plateau and should give it more time, or whether it’s reasonable to consider going up to 5mg after being around 78kg for the last few weeks.

For those who have increased their dose after hitting a plateau did you notice a difference in weight loss/hunger? And has anyone eventually been able to titrate back down again after reaching their goal?

I’d really appreciate hearing about other people’s experiences.

SW: 97kg
CW: 78kg
GW: 65kg
Height: 165cm

u/ddrippingingold — 3 days ago

5mg worked for 3 months, but now weaker suppression + worse diarrhoea?

Please help. 5mg originally gave me excellent appetite suppression and removed all cravings for 3 months. I then dropped to 2.5mg because of diarrhoea, but lost all the benefits so then went back to 5mg two weeks ago.

This time the appetite suppression is weaker on 5mg (food nose and cravings still present), and the diarrhoea worse, lasting longer.

I desperately want to increase to 7.5mg to achieve the suppression I got previously, but the diarrhoea is debilitating.

Im worried the prescribers will stop prescribing glp-1 meds if i come clean about it as i have had kidney injury in the past (they’re strict in the UK)? I am desperate to lose weight.

What should i do? Should i just wait a few more weeks to see if the diahrroea reduces? Or just jump up to 7.5mg? I want the cravings and food noise gone again.

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u/Chance_Weird3459 — 3 days ago

New pen who dis?

Can someone please confirm for me that this is one of the shitty new pens? I’ve been getting the golden dose for awhile now but think this one I just picked up is one of the new ones? Is the black stopper the problem?

u/Handmaids-Revenge — 4 days ago

Plateaued, increased dose, not going down?

I’ve been on 2.5, 3.75mgs and each time starting the doese that week my weight has gone down each time. I got down to 63.2kg but then my weight slowly went up to 64 over and was like this for a bit. I started 5mg a week ago and my weight has gone up now to 64.15.

It’s a strange feeling for me to go up a dose and not see immediate weight loss on that week? (Even if 0.1kg!)

Ideas? :( my food habits are the same. I still feel like snacking though so that hasn’t gone yet on this new dose. Though I do stop when I’m full etc

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u/swanvalkyrie — 4 days ago

Plateau questions

Titrating up to 3.33, just used up my two golden doses, hence the random dose. I am wondering what everyone considers a plateau. I responded fast early on, and then it just totally dropped off. I get people say water weight but wondering what others experiences are.

How long do you wait through a plateau? What are you changing up? Lower cal, higher steps etc.

my doc out me up the 3.33 because I was responding fast but haven't spoken to him in a few weeks. Wondering if it won't be enough.

u/Alarmed_Ad_66 — 4 days ago