My weight loss has been very slow. I have been on Mounjaro now for eight weeks, having taken my ninth injection last night. As of this morning, I have lost 6 ½ pounds. Considering the extent of my obesity at the beginning, I definitely anticipated initial weight losses at a more rapid pace.

I think the underlying problem has been that when I found my appetite quite suppressed and found myself experiencing fewer cravings between meals, I almost explicitly decided that I could eat what I wanted (sweets excluded) and that the drug would limit my quantities sufficiently to promote rapid weight loss. (I also tried to avoid snacks or to keep them down to just enough to take the edge off my appetite.) And what I wanted was sandwiches on good bread. What I wanted was my favorite tasty food at my favorite restaurants, which invariably serve large portions which I somehow felt obliged to finish.

I have now turned back toward lowered carbohydrates and, what I surprisingly find more difficult, avoiding restaurants because of their portion size, and I think things are turning downward again. That last half pound out of 6 ½ put me at a new low.

I remind myself that I asked for Mounjaro not expecting to get a beach bod by August, but expecting that BP, lipids and T2D - the whole metabolic syndrome army - would also be improved eventually - perhaps to the point of dropping most of my other meds.