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What to expect on Mounjaro (tirzepatide) from your first injection through maintenance: appetite changes, side-effect onset, and weight-loss milestones.
First injection at 2.5 mg. Sub-therapeutic for A1C control. Some appetite reduction.
Titration through 5 → 7.5 mg. A1C-lowering effect begins. Weight loss starts (4-8 lbs typical by week 12).
Most patients reach 10 mg. A1C drops 2-2.3 percentage points. Weight loss 8-12%.
Maintenance at 10 or 15 mg. SURPASS-2 cohort averaged 2.3% A1C reduction and ~12% weight loss at 40 weeks.
Maximum effects sustained. Re-evaluation by endo typical.
Editorial summary based on pivotal trial titration schedules and real-world reports. Individual timelines vary. Not medical advice.