Once you are stable on your target dose with manageable side effects, you can begin gradually reducing carbohydrates over two to three weeks until you reach ketogenic levels
Tanaka T, Warner BM, Odani T, Ji Y, Mo YQ, Nakamura H, et al
The study was published in the Obesity Journal
If pancreatitis is suspected, stop taking Mounjaro immediately and seek urgent medical attention Severe pain in the upper right abdomen , possibly with fever or yellowing of the skin/eyes (jaundice), which could indicate gallbladder disease Persistent vomiting lasting more than 24 hours or inability to keep down fluids, risking dehydration Blood in vomit or stools , which may indicate gastrointestinal bleeding Signs of dehydration including dark urine, dizziness, confusion, or reduced urine output Severe diarrhoea with more than six loose stools in 24 hours Unexplained weight loss beyond expected therapeutic effects For these urgent symptoms, call NHS 111 for immediate advice or 999/attend A&E for severe symptoms such as suspected pancreatitis, gastrointestinal bleeding, or severe dehydration
Weight loss does not always occur steadily, so its possible that a participant could lose 20 pounds within a few months and then the next 10 pounds more slowly