How To Switch From Ozempic OR Trulicity OR Rybelsus To Mounjaro (Switch Between GLP-1 Agonists)

[@tabithawilliams-manuel2982]

I started Ozempics Sept 16, 2020. In 7 months, I lost 100 lbs, I lost a total of 147 lbs by 13 months (October 2021) and I have maintained my weight loss for a year. HgA1C went from 7.9 to 5.5 in 6 months. HgA1C is now 4.9.

[@HealthRX]

That is beyond impressive. Keeping if off is the hard part, so kudos to you.

[@tabithawilliams-manuel2982]

@@HealthRX yes, it is. Thank you!!

[@vanessasalinas453]

What dose were you on? Did you diet or workout? I've been on 0.25 for over a month & I've only lost 3 pounds!!

[@samanthawilliams1226]

Heyy, do you have an update now? Are you maintaining the weight loss as well? And how?

[@tabithawilliams-manuel2982]

@samanthawilliams1226 Yes. I'm maintaining my weight with eating in a calorie deficit. I had gotten off track with exercise, but started back last week.

[@TheEasyDoc]

TLDR: Switching between different GLP-1 agonists like Ozempic, Trulicity, Rybelsus, and Mounjaro can be done using guidelines from the National Library of Medicine, and it is important to follow your doctor's specific instructions when switching between these medications. 00:00 💡 Switching between different GLP-1 agonists like Ozempic, Trulicity, Rybelsus, and Mounjaro can be done using guidelines from the National Library of Medicine. 00:24 📝 Follow your doctor's specific instructions when switching between GLP-1 agonists, as individual circumstances may vary. 00:42 📝 Guidelines for switching from Ozempic, Trulicity, or Rybelsus to Mounjaro can be extrapolated to include Mounjaro as it is very similar. 01:02 📝 Switching from Ozempic, Trulicity, or Rybelsus to Mounjaro may not have specific guidelines, but healthcare professionals can provide advice based on medication properties and clinical judgment. 01:45 📊 Focus on the flowchart on the left side of the screen. 01:53 🔄 Switching between GLP-1 agonists involves discontinuing the old one before starting the new one, and adjusting for the frequency of medication. 02:28 💡 Switching between GLP-1 agonists involves discontinuing the current medication and starting the new one the following day. 02:59 👩‍⚕ Wait for old medication side effects to resolve, start new medication at lowest dose, consult doctor before switching; switch to Mounjaro 7 days after stopping old medication, titrate up to maintenance dose.

[@Laura-sn7mh]

3 months on Ozempic. 30 lbs down and A1c went from 6.8. To 5.8 🙌🏻🙌🏻🙌🏻

[@HealthRX]

Not bad! All the best.

[@rosemarygaeta8205]

Laura 👋 did you have any side effects from ozempic? I'm starting on sunday. I'm switching from trulicity. I need to lose some weight. Congratulations! On your loss. That's really impressive

[@Laura-sn7mh]

@@rosemarygaeta8205 yes. Some stomach cramps with diarrhea when I tried to go up to .5 after one month. So I just went back down to .25. But both my parents have taken it for one year and zero side effects.

[@rosemarygaeta8205]

@@Laura-sn7mh thank you Laura, I've been on trulicity for years so hopefully I'll be ok. Both my parents were diabetic too.

[@joannecockburn8645]

Hi I've recently switched from saxenda after 10 weeks and lost 35lb I've been on ozempic 5 weeks took 0.5 this week after 4 weeks of 0.25 and in the 5 weeks I've not even lost an ounce do you have any advice please ? I'm in the uk and bought from an online pharmacist

[@VUDACRIS]

Hey id like to hear your opinion please. I'm switching from Semaglutide to Tirzepatide. I'm currently on 2.4mg of Semaglutide. How many mg should I start off with on Tirzepatide?

[@mariamalameri3782]

I was using saxunda 1.2 if I switch to manjaro should I start with 5 or 7.5?

[@jimmycasey6400]

Thanks for the video! I am switching from Manjuro 15 mg to Ozempic what milligram should I start on in your opinion

[@tracytrujillo5368]

I just switched. I’m excited to see if I see a difference in weight loss

[@christianandino316]

How did it went?

[@loveisallthatmatters21]

Was there a difference?

[@laurenmcolletti]

Does this go for switching from Tirzepatide to semaglutide?

[@magalyhernandez9057]

Can you tell me if Ozempic .5 equivalent to mounjaro 5 ?

[@ChloeBensonBeautyBoxes]

I want to do the opposite. I’m taking Mounjaro (injection) and I want to switch to daily pills (Rybelsus)

[@trinabobina7674]

Hi! Thank you so much for your Mounjaro information videos. The only thing that has me hesitant is that I think I had read something about fertility effects in a study on rats. Do you know if mounjaro has any effects on fertility?

[@angelahannan6594]

I have been on 2.0 dose of Ozempic for about 5 months now (and on OZ for over 1 year now) but weight loss has slowed to a crawl. I am going to switch to Mounjaro and wonder what the starting dose should be: 7.5 or 10? I know to check with the doc but was wondering about your thoughts. Thank you 🙂

[@khaledjamal1225]

Do 5.0 better

[@atk_1]

I am switching from 3.0mg Trulicity to 5.0mg Mounjaro but my blood is higher than before. Getting headaches

[@crowmoon9922]

Hello, suddenly my insurance will no longer cover mounjaro 5mg. I stiil have my old bottles of rybelsus 7mg and 14 mg. Would you recommend starting on the 7mg Rybelsus first? Also since im switching from injection to tablet should i wait a week before starting or is that not necessary? Thank you in advance, i really appreciate any help. 😊

[@marijaco4146]

if you are taking ozempic at say 1 mg. When you switch to trulicity are you starting at the lowest dose or the equivalen of 1 mg? Of course just want your opinion. Thanks

[@rosemarygaeta8205]

I'm on trulicity for awhile now. I saw my doctor yesterday and I'm starting ozempic on sunday. I'm T2 diabetic and never had any side effects on trulicity. I heard some people have terrible side effects. I'm a little nervous. I'm starting on .25

[@TheBooklyBreakdown]

How was the switch?

[@rosemarygaeta8205]

Fine. i had no issues

[@leeallen1556]

Information Valuable to the max

[@CG-bp1wb]

Thank you for such an informative video. Working with my Dr to identify an alternative since pharmacist is unable to fill my ozempic due to the drug shortage. Good to know there are other options. 👍🏼🙏🏼

[@HealthRX]

My pleasure. One of the options you can discuss with your doctor is Rybelsus. It has the same active ingredient as Ozempic, but in a pill form. All the best.

[@funnybunn1]

I last took trulicity 3mg and my doctor is switching me to wegovy 1.7mg… is that too high? I didn’t have any side effects on trulicity

[@karenvictorian]

I am gradually increasing from 1 to 2 mg of Ozempic. I have been on Ozempic for a year and have lost #65. I'm still losing about a pound a week. My doctor is hesitant to switch me to Monjoura as she feels my insurance won't cover it and the coupons are a short term offer. I have really struggled with constipation and have some vomiting every time my dose increases. Are side effects really that different between the two?

[@lisahodges9489]

I’ve been on Ozempic for a few months now, and I’m at 1mg weekly. I hardly have any side effects anymore, but also my weight loss completely stopped. Are you having any difficulties moving up to 2mg? Has it been any different than when you moved from .5mg up to 1mg? I think I may have to do that soon to get anymore benefits from it.

[@HealthRX]

If the Ozempic is working, in my humble opinion, there shouldn’t be any rush to switch. The side effect profiles are quite similar. With that said, some people may do better on one more than the other. I wouldn’t rock the boat if there is no reason to. All the best.

[@karenvictorian]

@@lisahodges9489 When I first increased to 1mg I would have horrible random periods of nausea. I would get really pale and sweaty. Dramatic! Went on for months. Now everytime I increase the dose somewhere between 12 and 36 hours after the injection I will vomit. Just once. Very brief nausea prior. Otherwise the nausea has resolved. I took my first 2 mg shot Thursday and so far it's all good. I'm really trying to focus on how much my body, not just my mouth, tells me it needs and that seems to help. I've definitely had plateaus of 2 or 3 weeks but the weight starts coming off again eventually.

[@personanongratano1]

@Pharmacist Conversations How do you switch back?? I was using a coupon code for Mounjaro bc my insurance wouldn't cover it, and was at 15 mg of Mounjaro using the manufacturer's coupon code. I'm not sure if they will renew my coupon code, but I have 4 months of Rybelsus 14 mg, previously prescribed, that was still working but much more slowly. If my Mounjaro is denied, I want to take the Rybelsus 14 mg and not have to titrate up from the start with it again. Can I just switch to daily oral Rybelsus 14 mg if my Mounjaro 15 mg is not renewed? +Pharmacist Conversations

[@HealthRX]

@persona non grata You may have to work the specific details of your particular situation with your doctor, but per the guidelines, if you are switching from a weekly med like Mounjaro to something else, your dose of the other med, in your case Rybelsus, will be 7 days after discontinuing the Mounjaro. The guideline states that patients can be switched to the maximum maintenance dose of the med they are switching to. as long as they were able to tolerate the max dose of the prior med without any significant side effects. So chances are that your doctor will be Ok to have you take the 14mg of Rybelsus, but you will have to discuss. All the best.

[@personanongratano1]

@@HealthRX thank you so much, this helps! I asked my Dr. re: what you said and she confirmed exactly this. So I should be fine. I appreciate your response.

[@sschwab06]

Thank you! Very helpful!

[@HealthRX]

Glad it was helpful!

[@alwaysvictorioushighlyfavo6065]

I didn't experience any weight loss on Ozempic, but my A1C is great 5.8. but due to the shortage the Dr. is switching me to Mounjaro. 2nd question. While on any of those can you take Wegovy also?

[@HealthRX]

Probably not a good idea to take Wegovy with any of them. Wegovy has the same active ingredient, (Semaglutide) as Ozempic hence that will be a direct duplication. Similarly combining Wegovy with Mounjaro will be considered therapeutic duplication, since their mechanisms of action are so similar. Doing so will significantly increase your risk of adverse effects. Please check with your doctor. All the best.

[@AyeKay220]

Thank you for this video!

[@HealthRX]

You’re welcome.

[@KTRocksgs]

I have been on trulicity for two years- lost 40 pounds. I switched to Monjaro a week ago - I am having horrible nausea - will this go away?

[@kendralynch1891]

Yes it will hopefully by now you've had that fixed but I always asked my doctor for Zofran for the nausea

[@jackysamir3837]

Is mounjaro’s side effects less than trulicity as I suffered from vomiting in trulicity ??

[@HealthRX]

It really varies from person to person. It is definitely worth trying though, if your doctor is in agreement, as there are cases of people who didn’t do well on one, but had success when they switched. All the best.

[@jenmoon1906]

What are your thoughts about using Monjaro for weight loss in someone who is not diabetic?

[@HealthRX]

While not yet approved for weight loss, a good percentage of people are currently using it for weight loss purposes and are achieving good results. Medications are used for off-label purposes all the time. Just have your doctor OK it based on your individual circumstances. All the best.

[@monkies232]

Making the switch from Mounjaro to Trulicity because my new insurance doesn't cover mounjaro. I've only been on mounjaro for 6 weeks now but I'm down 5 lbs, hoping it continues with trulicity!

[@HealthRX]

Wishing you the best.

[@dawnavila6077]

I’m switching today because of the Ozempic shortage. She was going to start me at 15 but that seemed too much so she put 5.0. I’ve lost almost 24 lbs on Oz since May 9. Slow loser compared but 6lbs from my second goal.

[@HealthRX]

Sorry to hear about the troubles with the shortage. The manufacturer claims it will be resolved by the end of the year. All the best.

[@mariaalbacea1]

Hi i just want to ask is trulicity can get you pregnant

[@lollybabe08]

not recommended to get pregnant on any of these meds

[@johnlutz9275]

Need right know

[@toddpa-c3826]

I went from 2mg ozempic and started on 7.5mg monjaro with no issues… shoulda started at 10mg.. forget loading doses.. that nuts

[@HealthRX]

Your doctor was probably erring on the side of caution.

[@onemorecast3913]

My doc just moved me from 4.5 Trulicity to 10 mg Mounjaro. I'm nervous about it, so thanks for sharing your experience.

[@norahauge9188]

I was using ozembic and was up to 2.4 mg. I did exceptionally well and lost 100 pounds. I need to lose some more and switched to Mounjaro . I had problems getting a ozembic suddenly, because my insurance would not cover it for some reason. I was off the ozembic for three weeks. The doctor started me on the initial 2.5mg dose of Mounjaro. I have been on the med for 1 week. I am having trouble with hunger and cravings coming back, and a desire to binge. I have had some weight regain. Is it possible that I need to be on a higher dose of Mounjaro because I was on the highest dose of ozembic? Thanks so much for the info!

[@kendralynch1891]

@@norahauge9188 I'm not a doctor but you should definitely not feel hungry when you're taking it. I had to force myself to eat so I wouldn't end up malnourished because I craved nothing. Maybe talk to your doc about trying 5mg if this hasn't changed by now.

[@Fbfbdjd]

I have lost 42 lbs in 6 months on Ozempic.

[@HealthRX]

That's an average of 7 lbs a month. Quite impressive. All the best.

[@ariesdr5502]

Did you have extreme fatigue and if so how long did it last. Also congratulations on weight loss

[@lollybabe08]

I have a quick question can you just change the maintenance dose from one to another, and not titrate if you are experiencing no side effects. considering changing from 1.8g victosa to 1.5g of trulicity. Worried about compromising HBA1C with titration.

[@lollybabe08]

Just want to update this. I did not titrate and went straight from 1.8mg of victosa to 1.5mg trulicity. No side effects at all. My endocrinologist was ok with same. I have taken 2 doses of trulicity so far.

[@LunMi-wn2il]

⁠@@lollybabe08Have you lost weight on Trulicity?