I'm spiraling

Around 2023 to early 2024 I started gaining weight, going from 280s to 352 lbs and became diabetic. My dr recommended mounjaro since my diabetes was caused by my weight gain and mounjaro helps manage type 2 diabetes as well as help you lose weight.

I started Mounjaro 2.5mg on 8/13/24. Then on 9/20/24 I switched to 5 mg and my weight was down to 346 lbs. On 10/8/24 I started using 7.5mg, my weight now 342 lbs. I remember 7.5 mg pretty fondly lol. While on it I went down to 330 lbs and my A1C went from 7.1 to 6.1. It was great.

Then my dr had me up my dose to 10mg on 1/03/25. I felt such mental resistance but figured I was being paranoid. It didn't help that my first week on it was the worst I've ever felt on mounjaro. It took the whole week for me to adapt to it. Still, I continued slowly losing weight, reaching 327.8 pounds 2/14/25. The thing is, I started wondering if it was even working because I feel hungry all the time. Even after 7 doses I'm hungry 24/7. I feel like I'm going crazy. Then today I weighed myself and actually gained weight, now I'm 331.1 lbs.

To be fair I have gone up and down a few pounds throughout this experience but combined with my doubts whether mounjaro is even working for me anymore and this constant feeling of being hungry I'm freaking out!

My next appt with my dr isn't until 6/23/25, but I know he's just going to up my does again and I'm like is that even going to do anything? Am I going to have an even worse reaction getting used to it only to continue feeling hungry and possibly gaining back all the weight I lost anyway? I'm sure it will be fine, but I'm anxious and every time I talk to him about my feelings and concerns, he doesn't really give me a response other than just upping my dose. Man, he didn't even tell me mounjaro could exacerbate my acid reflux until I was on dose 7.5 or 10mg. But considering my weight gain also exacerbated my acid reflux it feels like it cancels out lol.

I know part of the reason I'm freaking out is because I was so close. Around the time I first gained weight and reached 330 lbs I started experiencing nasal drip, something about where the fat was pressing on my stomach worsening my acid reflux and triggered it. So, I've been really looking forward to getting under 330 lbs in the hopes my nasal drip will clear up. And it did, sort of, it's tricky because I ended up abusing Mucinex and experiencing rebound nasal congestion for a while, but once I went cold turkey my nasal congestion mostly cleared up. Then I started noticing it getting worse again, which is why I weighed myself this morning. Seeing 331.1 lbs on the scale I was like yeah, of course it's getting worse again.

I'm not going to pretend I've done everything right. I haven't been counting my calories, or even food tracking, I'm not really exercising, and I've been inconsistent with even weighing myself. I have been slowly, very slowly, changing. Since Jan I've started eating more beans and lentils during lunch on the days I work, I've been more consistent with eating vegetable and fruit, something I've always struggled with. I try to exercise at least 5 mins a day and for a while I did notice myself moving more as a result, but weirdly enough these last 2 months or so I've slowly stopped moving lol. I keep laying down and I'm not sure what happened. I'm trying to get back on track this week and it's been ok so far but getting off Mucinex messed up my sleep schedule again.

Getting nasal drip originally messed up my sleep schedule but around oct/nov 2024 I started using habit nest's sleep and evening routine sidekick journal and prioritizing my sleep and it was good. I started getting around 6-6.5 hrs of sleep, way better than I was doing before and slowly I was improving. I was really looking forward to my nasal drip fully clearing up so I could let go of the anxiety that I'll suffocate in my sleep and just no longer feel the discomfort of a clogged nose while trying to sleep, which would surely improve my sleep even more. Then I cold turkeyed Mucinex 3 weeks ago and my sleep schedule was a hot mess again. This week I'm slowly getting back on track, but it's always easier to fall back into old habits than create new habits...

Anyway, I know I'm probably relying too much on mounjaro to help me lose weight and not on changing the behaviors that led to my weight gain in the first place. I'm definitely taking my time and moving slowly though! I'm still anxious that I'm always hungry, and kind of salty my birth control no longer works with this higher dose that I'm not even sure if working lol. I take lutera-28 to help me with excessive period flow, and every time my mounjaro dose goes up my lutera becomes a little less effective, but it's pretty much stopped working since mounjaro 10 mg because wow that was a rough period. I haven't had a period that bad for that many days in a long time. I want to see if my period this month will be that bad or if it was just a one off. If it's still bad I'll have to make an appt and see if there's anything I can take that's more effective or if being on a high mounjaro dose just means excepting my periods will be bad going forward...

Wow I sure went on and on lol. I feel better though. Now to look into whether increasing my mounjaro dose will help me or not. A part of me wants to not deal with this and just keep trucking along until my june appt... I'll have to start tracking my weight more consistently again and see if I continue gaining weight or if this was just a temporary increase. I better start at least food tracking again, maybe in March lol. I need to start prioritizing my sleep again and even though I don't like exercising at least get my 5 mins and try to walk on my lunch and or break again. Maybe journal more lol.

Thanks for listening~