A New Player in the Weight Loss Drug Market
Weight loss drugs are having a moment. Ozempic, Wegovy, and Mounjaro have transformed how we think about obesity. Now, Eli Lilly has launched Mounjaro Plus, a new formulation approved by the FDA just last week. It’s a combination of tirzepatide (the active ingredient in Mounjaro) and a new compound that supposedly reduces side effects. I’ve struggled with my weight for years—BMI of 31, prediabetic—so I asked my doctor if I could try it. She prescribed it, and I’ve been taking it for 30 days. Here’s my honest experience, including the good, the bad, and the ugly.
What Is Mounjaro Plus?
Mounjaro Plus is a once-weekly injection that targets two hormones: GLP-1 and GIP. The original Mounjaro already did that, but the new version includes an additional agent that reduces gastrointestinal side effects like nausea and vomiting. The idea is to make the drug more tolerable so people can stay on it longer. Clinical trials showed an average weight loss of 22% of body weight over 12 months, which is impressive. But the side effect profile was still significant—about 40% of participants reported nausea. The new formulation aims to cut that in half.
My First Week: The Nausea Hits
I took my first injection on a Monday morning. The needle is tiny, barely noticeable. Within 12 hours, I felt a wave of nausea that lasted about two days. I couldn’t eat much—just crackers and ginger tea. The fatigue was real too; I felt like I had a mild flu. But by day four, the nausea subsided. I noticed I had no appetite. Food just didn’t appeal to me. I lost 5 pounds that week, mostly water weight. My doctor warned me about dehydration, so I forced myself to drink electrolytes. The first week was rough, but I pushed through.
Weeks 2-4: Gradual Improvement
By week two, the side effects diminished. The nausea was occasional, not constant. My appetite stayed low, but I could eat small meals without issues. I prioritized protein—chicken, eggs, Greek yogurt—to avoid muscle loss. By week three, I had more energy. The drug started affecting my blood sugar—I felt fewer cravings for sweets. I tracked my calories and was eating about 1,500 a day, which is a deficit for me. The weight loss slowed to about 1.5 pounds per week, which is healthy. By the end of 30 days, I had lost 13 pounds. That’s more than I expected.