How to Switch from Ozempic (or Wegovy) to Mounjaro | Dr. Dan | Obesity Expert

[@gablovesplantssydney]

Good morning from Australia, thank you for this video. It was very informative. I can give your viewers a firsthand account of switching from Ozempic to Mounjaro. I was on 1.5 mg of Ozempic and after consultations with my GP (when Ozempic ran out of stock in Australia at the same time as Mounjaro was released) we decided to switch to 5 mg of Mounjaro. This was immediately more effective than the 1.5 mg of Ozempic. The side effects were very similar, for me, that includes constipation, a dry mouth, and a little bit of fatigue the day after the shot. After five weeks of 5 mg, I decided to try 7.5 mg. For me, the 7.5 was quite a bit stronger and I found it difficult to eat anything for the first four days after the shot. After two weeks at 7.5 mg, this week I decided to drop back down to 5 mg. I still feel great appetite suppression and no food noise in my head, although I am able to eat a bit more. For example, I take my shot on Fridays and on Saturday didn’t want to eat anything. On Sunday I managed a protein shake and a little bit of ravioli, and on Monday I had a salmon sushi roll and a bit of leftover ravioli. It’s Tuesday morning, and I am drinking a coffee with light white milk, half-and-half milk to water ratio. I will have a few tablespoons of yoghurt with a little bit of rolled oats sprinkled on the top for breakfast and see how I go. I have decided that I am going to stay on the 5 mg for as long as possible for two reasons. One, 5 mg seems to be very effective for me and Two, here in Australia, as you increase your dose of Mounjaro, you pay more money as it is not on our pharmaceutical benefits fund and the drug company can charge what they like. I believe in Canada it will be the same no matter what dose you are on. As Dr Dan has said in the past for those of you in Canada like we in Australia, Mounjaro will come in a single use vial which you can draw up into a very small needle to inject yourself. For those who might be watching in Australia, as there is a price differential, I currently have a prescription for 15 mg, and I am drawing up a third of that to give me my 5 mg, which works out to be less expensive than if I had a prescription for the 5 mg. You have to be confident in drawing up medications to do this as the amount of liquid you draw up and inject becomes very small when taking a third of a dose. Good luck to everyone who transfers over. I am so far extremely happy with my switch as I feel the new medication is more effective with the extra GIP molecule in it, and more importantly, we can actually get Mounjaro in Australia, while Ozempic is still in short supply. I am losing weight about 1.1 kg per week and so far lost 23.5 kg in the last 11 months. Slow and steady wins this race and I am lucky in that my skin has gone back so I do not have excess skin, which I did have when I got a gastric band and lost weight very quickly. A tummy tuck and breast reduction took care of the excess skin at that time, but slowly over 15 years, I gained the weight back (the band eventually failed, and I had a gastric sleeve instead but was never able to repeat the weight loss). I intend to stay on this drug for the rest of my life as for me, Obesity is a chronic lifelong problem. By the way, my goals, keep shifting due to the effectiveness of these drugs. I did want to get down to a healthy BMI (I am now 1.1 kg away from that). I am thinking another 5 to 10 kg is possible, which would set me up for old age very nicely. Also, for those of you not familiar with the metric system 23.5kg is around 52 pounds.

[@tatianabenke6554]

Thank you for the detailed information! I'm on a similar path, waiting to get mounjaro in Brazil...

[@gablovesplantssydney]

@@cloakster sorry about that. I dictated it while getting ready this morning. I’ll see if I can edit it. I rarely type when I can dictate these days.

[@cloakster]

@Gab Thanks. Much more readable now. 👌

[@fieldsofgold775]

Thanks. Very informative. I’ve been on Saxenda. Which was good for me. I lost 11 kgs. My Dr said to switch to Ozempic. I’ve just started after actually getting an ozempic script and starting dose of 0.25 mg & now realise that Ozempic is not readily available in Australia. So…I just found out about Mounjaro now. Your post has been very helpful. Thanks again.

[@nicistclair3922]

Wow! First off well done and congratulations! 🎉 and Thank you so much for this information ❤

[@PrettyPortUK]

I am on 2mg of Wegovy (use flexipen) and it's not supressing my appetite. I have lost 18 lbs over 7 months. I am very tired on the wegovy and as I have so much more to lose I have decided to switch to Mounjaro. I am so glad I watched your video. Here in the UK most of us have to buy it privately we rarely see a doctor it's all online. The recommendations are wait 4 weeks to get wegovy out of our system and go to lowest dose of mounjaro. I would probably gain all the weight back. Thank you Dr Dan!

[@user-wb8ih9dg4g]

Hi, I’m in the uk too and the company I use have approved and sent my Mounjaro, they have advised 5 weeks break. I was on 2.4 Weygovy but no wight loss for 8 weeks so felt I was wasting my money, been on it since March and lost just over a stone and a half, lost that in first 8 weeks though. Could I ask, did you have any break at all when switching? Aldo what dose did you start at? I I’ve had a two day break so far and dubious, but I don’t want you to wait 5 weeks x

[@PrettyPortUK]

@@user-wb8ih9dg4g I have two doses of Wegovy left in my pen which I will take. I will probably wait a couple of weeks before I start the Mounjaro and then start on 2.5 mgs. I think if I waited 4 weeks I would definitely gain the weight back. Good luck on your weight loss 🙂

[@kickinitketo6361]

I was on 2mg of ozempic for 2 years now I am on 5mg of mounjaro .. better blood sugars.. no weight loss.. moving to 7.5 this week.. hoping for better results with new dosage. Thank you for the great info. I did well on 5mg no adverse reactions besides fatigue. My hunger is back so I know it’s time to up the dose

[@amandamacias2624]

Finally someone to explain this! I have been wondering. Meet with my doc next week. We will definitely be going over this. I want to go from wegovy 2.4 to zepbound.

[@mr.papini7112]

Thanks for the video. I wish my doctor would have seen it before he moved me from 1 mg of Ozempic to 2.5 mg of Mounjaro, instead of 5 mg. I had zero side effects on Ozempic but he still insisted I start at 2.5 mg of Mounjaro.

[@maxhunter3574]

Which of the 3 molecules has the least muscle loss and other negative side effects?

[@SS5347]

👏🏽👏🏽. Thanks for this info. I was on .5 Ozempic and my dr put me on .5 MJ. It was too strong. So I have an appointment tomorrow and going to ask for 2.5.

[@lennypignatello7493]

Thank you, Doc for getting straight to the point you answered my question. I was on Ozempic for almost a year and lost about 30 pounds but stopped working after a while. It kind of reached its peak and switch to zep bound. My dock said even though I’ve been on the other for a while he recommend 2.5 or 25 units for four weeks and I had another doctor. Tell me he’s just trying to get you to stretch it out so you’ll end up having to get.

[@edgaracevedo9658]

Very helpful information. I've been on Ozempic for 17 weeks with no weight loss. However, it has helped my diabetes. I've been on 0.25 for 4 weeks and 14 weeks of 0.50. This week Wednesday I start 1MG Ozempic and I'm hoping it will reduce food noise and help me lose weight.

[@cloakster]

Sorry about the no weight-loss… study after study seems to confirm that it’s more difficult for T2D folks to lose weight on these meds (though many do, and plenty of it). An additional personal observation/anecdote is that many T2D ppl seem to need somewhat higher doses in order to lose weight. Perhaps Dr D can confirm/deny. 🤔

[@edgaracevedo9658]

@@cloakster I read somewhere that some T2D seems to produce less GLP1 than normal people so the medication kind of replaces the lack of GLP1. Thus a higher dosage is necessary for weight loss. The dosage I was taking never triggered the slow stomach emptying thus I continue to have a normal appetite. I did see my doctor on Thursday and he said some of his patients have lost weight with 0.5MG of Ozempic while others needed to go higher. I took the 1MG shot on Wed 11/29 and two days after injection, I don't feel as hungry for the first time. Lets hope this dosage continue to work for me. My doctor sent a refill for the 1MG and the pharmacy is out of stock and asked him if he wants to prescribe something else. Hopefully they will have it in stock when I finish the remaining 3 injections on the current pen or if not, it's mounjaro 5MG as per the advise of this video.

[@sherylkatz8827]

Due to shortages I switched from 7.5 Mounjaro to 1 Ozempic. I did find that side effects were a bit rough. I also found that diabetes control was not as good. I added metformin and have stayed on 1 Ozempic. Side effects have subsided. I would rather be on Mounjaro. I’ll go back when shortages end. This is useful. I’ll probably be at the weight I want to be before I get back on Mounjaro.

[@hugoaanica1760]

Thank you so much for taking the time to make this video, very informative.

[@johnlee-fg8ij]

Thank you. Excellent as usual

[@p.l.256]

I just started today.

[@rholt35]

Good morning from Texas ..I really love the information you provide and I am happy you noticed that Obesity is a disease. I've been off a Mounarjo for 2 months and have gained 15 pounds. This medication is for life 🙌 saver ..The sad part about the United States is that most insurance companies do not cover weight loss medication and most folks cannot afford to pay a $500-$1100 a month it's just a sad situation 😢

[@theofficialdrdan]

Yup its a brutal situation.

[@rholt35]

@@theofficialdrdan omg I hate talk to text ...lol I am so thankful you understood what I was trying to say before I went back and made corrections lol 😆 😅

[@hirabvb1144]

Hey Dan, im on wegovy 1.7mg and switching to mounjaro. My doctor recommended me to wait 5 weeks before starting mounjaro?? I did not want to be without the medication for 5 weeks as i wanted to lose more weight before my graduation. I stopped wegovy 2 weeks ago, can i just start mounjaro 2.5mg now? Thankyou

[@p.l.256]

What is your advice of going from Zepbound to Wegovy. I can't afford the Zepbound anymore and my insurance covers Wegovy and I can get it at no cost. I am on 7.5 Zepound. Do you feel it is safe to go to Wegovy 1.0 or 1.7?

[@starlettharris328]

I have the same question. How did it go for you?

[@mysticalmystic4779]

Great video thanks! I am going from Ozempic 2.4mgs after 13 months and 30lb weight loss, 5 month plateau, to Mounjaro 2.5mgs. My Dr said to supplement with Jardiance as I titrade up every 4 weeks if my blood sugar needs it with the lower dose as I am a Type 2 Diabetic, but to start Mounjaro with no Jardiance and see how it goes. As soon as paperwork application is approved I will switch over. Hopefully availability will be better than Ozempic in Calgary.

[@mysticalmystic4779]

My application for Mounjaro insurance coverage was rejected but the pharmacist said she will fill my Mounjaro prescription with a 20% discount so I will pay $360CDN in Calgary out of pocket if I decide to switch from Ozempic which is covered by my insurance. My A1C went from 8.6 13 months ago to 6.6 now and 30lbs lost but 5 month plateau so I am contemplating if I should switch to Mounjaro even though it is not covered for me.

[@mysticalmystic4779]

The Pharmacist said that because I am at 2.4mgs Ozempic for 13 months and I will start at 2.5mgs Mounjaro and tirade up every 4 weeks that it will likely take months before I see weight loss because I am starting at the lowest dosage in comparison to the highest dosage I am currently on. Do you agree or could I lose weight right away when I switch to Mounjaro? Thanks

[@mysticalmystic4779]

I am starting my very first dose of Mounjaro tonight after being on 2.4mgs of Ozempic. I am starting with 4 weeks of 5.0 mgs then 4 weeks of 7.5 mgs then meeting with my Dr to assess side effects and if to continue titrading up at that point. Can you please do a training video on how to use the syringe with vials for Mounjaro as the plastic pens are not available in Calgary right now. Thanks!

[@cloakster]

Nice vid, Dr D. 👍 And the specific advice makes tremendous sense… for instance, the weight-loss results for 5mg Mounjaro/Zepbound are pretty similar to what you get with top-dose (2.0 or 2.4mg) Ozempic/Wegovy. The potency seems to be roughly on par, so kinda makes sense to start there when switching. (Though you could see how someone who’d been on say 2.4mg Wegovy for a long time with minimal side effects, and was very ready to titrate up to a higher Wegovy dose that doesn’t currently exist, might wanna try to start on 7.5mg MJ/Zep. But, caution is very understandable… similar meds are still not the same.) Look forward to the ‘Here’s how you inject yourself from the Mounjaro vials’ vid for all the fortunate Canucks who’ve gotten their vials already (aka ‘Escape from Ozempic’). Though the fraction of same who’ve injected insulin probably know the drill already. 💉👌

[@Brainjoy01]

I have been doing Liraglutide one month and Semaglutide the next. Pharmacy is always out of one or the other. I like it because it keeps me rather nauseated

[@ns20417]

thank you for the information !!

[@tatianabenke6554]

What I really would like to know is if there are studies showing whether people who were on wegovy/ozempic and had stopped losing weight, of they benefited from additional without loss when switching to mounjaro...

[@theofficialdrdan]

No substantial trials yet

[@cloakster]

Trials (and the likely results) like that would be a great advertisement for Mounjaro/Zepbound… they could steal additional market-share from Novo. 😈

[@lasignoraluna2367]

very good video! thanks a lot 🙏

[@LAVERNECLARKE-ri8mf]

Hi, any advice about moving from mounjaro to something else.

[@alexandrewz4598]

Going from 10mg of Mounjaro what dose of wegovy would be best?

[@theofficialdrdan]

I'd start at 1.7 to be safe.

[@alexandrewz4598]

Perfect that’s exactly what I have!! I was getting ready to split it 😅

[@anir8023]

Can one use mounjaro and eat I want even icecream ?

[@theofficialdrdan]

You can eat whatever you would like. If you are in a calorie deficit you will lose weight.

[@AaAa-lf5gi]

Hi Dan, I was taking saxenda on and off for a year but could never be on it for extended periods of time because of constipation. I honestly believe that I would end up with a bowel obstruction if I took it continuously, it effects me that badly. Am I likely to have the same effect with Mounjaro?

[@theofficialdrdan]

It is possible. Some people anecdotally who had side effects with others do better on mounjaro. And some do worse.

[@starlettharris328]

Hello Dr. Dan. I just watched the video and wanted to clarify something. I am currently on 5mg of zepbound, but because of shortages I cant get a refill. Ive been on 5 mg for 8 weeks. My pharmacy has 1mg wegovy available. Do you think that would be a safe swap and can i just take the wegovy on the next injection day?

[@theofficialdrdan]

That should be OK. But follow up with your doc to review!

[@tony8ball]

Dr, Dan, I'm on 2.4 wegovy for the last 4 months no side effects really except a bit of bloating... lost 75 pounds in 7 months. Went from 286 to 211. Im supposed to start 7.5mg Mounjaro on Monday. Have you seen anyone go from 2.4 wegovy to 7.5 Mounjaro? If so was it terrible for them? should I ask my doc to start me on 5mg instead?

[@theofficialdrdan]

It is possible. It shouldn't be terrible but I always err on the cautious side. Keep following up with your doctor to determine best course for you.

[@silenthill4]

loperamide has the same hormonal impact that mounjaro adds to digestion

[@theofficialdrdan]

Pardon?

[@charlotteheadley9736]

Excellent explanation On Ozempic.5 went on Mounjaro 2.5 for 2 months then back to Ozempic.5 because of cost. From what I'm understanding you feel Mounjaro is much better than Ozempic from your past videos. Is it worth me spending more $$$'s or is it because Mounjaro is easier to get. I've lost 30# but nothing lately. Maybe go up to 7.5 on Ozempic. Little in put from my Dr. Whatever I want.

[@theofficialdrdan]

Based on the data it is. Depends if it works.for you!

[@ronnieholland7725]

I pay 25 dollars a month for mounjaro its doing wonders for me

[@Ungariansrock836]

Can we get Zepbound in Canada yet?

[@theofficialdrdan]

Not yet. Mounjaro is here but not zepbound

[@Ungariansrock836]

Are there any shortages of mounjaro? And how much will it be?

[@theofficialdrdan]

@lorraineungarian9755 yes some strengths of mounjaro are now shorted. The cost is ~$400/month.

[@phongkanphay]

Dr. Dan - I was just wondering if there was any study about taking Mounjaro + semeglutide togother? Mounjaro is prescribed and the semeglutide is being administered by a med spa?

[@theofficialdrdan]

Absolutely not. You would only get a get a world of side effects and no benefits