How Much Weight Can You Lose on Mounjaro?

headshot of medical editor brenda Ikeji

Medically reviewed by

Dr. Ikeji

Last reviewed: 13 Jan 2025

A week by week guide to losing weight on Mounjaro

Mounjaro is a weight loss injection that contains the active ingredient tirzepatide. It is one of the most effective weight loss treatments with studies showing it can help you lose up to 22.5% of your body weight over 72 weeks. However, the amount of weight you can expect to lose varies based on factors such as your starting weight, diet, and how much you stick to your treatment plan.

In this guide, we’ll break down the potential weight loss you might experience with Mounjaro week by week, what to expect while taking it including the potential side effects, and how you can maximise your results for a successful weight loss journey.

How much weight can I lose on Mounjaro?

How much weight you can lose on Mounjaro will depend on several factors including your diet, exercise and dosage.

Here, we’ll explore how much weight you could lose on average and what to expect across the first 13 weeks of treatment.

Weeks 1 - 2 (Starting Dose)

During the first 2 weeks of Mounjaro treatment, you’ll begin on the lowest starting dose of 2.5mg per week to help your body get used to the medication. Before you begin, you’ll need to pick a day and time that’s convenient for you to administer your injections. It’s best to pick a time that you know you’ll be available week on week.

In these 2 weeks, you will consider the necessary lifestyle changes needed alongside your treatment with Mounjaro for a successful weight loss journey. We’ll provide you with support materials, such as a weight loss tracker and food diary as part of the weight loss programme from Superdrug Online Doctor. These tools can help you monitor and track your treatment goals and outcomes.

During this period weight loss is likely to be modest as your appetite begins to decrease. You may also begin to experience some of the common Mounjaro side effects as your body adjusts to the medication, such as:

  • feeling or being sick
  • headache
  • diarrhoea
  • constipation
  • tummy pain
  • weakness or tiredness

Weeks 3 - 4

By weeks 3 and 4, Mounjaro should be fully active in your system, and you’ll likely start noticing its effects, particularly feeling fuller for longer periods between meals.

After 4 weeks of treatment, study shows that the average weight loss is around 4%, although this can vary from person to person.

Although you’ll still be on the low starting 2.5mg dose, you should continue to focus on eating balanced meals that contain lean proteins, fibre and healthy fats to support your weight loss targets.

Weeks 5 - 8

At this stage your Mounjaro dose is likely to be increased to 5mg per week. So, you may experience some of the side effects returning or increasing as your dose titrates (gradually increases) up. These should settle down again once your body gets used to the increased medication.

In most cases you can manage mild side effects at home with rest, drinking plenty of fluids, and taking over-the-counter painkillers, if needed. However, if you are concerned or finding any of the Mounjaro side effects difficult to manage, contact your doctor for advice.

After 8 weeks of Mounajro, the average weight loss is around 6%.

Weeks 9 - 12

After 8 weeks, if you have tolerated your current Mounjaro dose well, it may be increased to 7.5mg per week.

During these weeks, you are likely to start seeing some of the effects of weight loss. After 12 weeks of treatment, you might expect to lose up to 8% of your body weight.

Week 13 and beyond

From week 13 onwards, the weight loss results you can achieve with Mounjaro should become more consistent. Over time, you could lose up to 22.5% of your body weight, depending on how long you use the weight loss injection for and the maintenance dose you choose.

The maintenance dose for Mounjaro is 15mg per week, but you may choose to use a lower dose if you find it difficult to tolerate the side effects associated with a high dose, or if you think a lower dose is more effective for you.

What can affect your Mounjaro weight loss results

While Mounjaro is highly effective for weight loss, everybody’s weight loss journey looks different which means effects can vary from person to person. The reason for this is several factors can influence how well tirzepatide works for you, including your lifestyle, age, and overall health and wellbeing.

Understanding how these factors can impact your weight loss goals is crucial so you can make adjustments to maximise your success. Below are some of the key factors that can impact your progress with Mounjaro and some tips on how you can address them.

1. Diet

Eating a healthy calorie controlled diet is crucial for maximising your weight loss results with Mounjaro. Your diet should focus on whole, nutrient-dense foods while avoiding processed and convenience/fast foods.

Staying hydrated by drinking plenty of water and clear fluids is important for curbing hunger, supporting your metabolism, and managing side effects like headaches and feeling sick.

  • fruits
  • vegetables
  • wild and brown rice
  • wholewheat bread and pasta
  • quinoa
  • legumes
  • avocados
  • nuts
  • seeds
  • yoghurt
  • olive oil
  • water
  • cakes
  • pies
  • pastries
  • processed meats
  • butter
  • cheese
  • ice cream
  • cream
  • fried food
  • frozen pizza
  • crisps
  • sweets
  • chocolate
  • sweetened or fizzy drinks
  • ready meals
  • white bread and pasta
  • white rice
  • alcohol
  • 2. Exercise

    Alongside dietary changes, it’s important to establish an exercise routine that works for you and your lifestyle. Ideally, you should aim for at least 150 minutes of moderate intensity exercise each week. Activities such as taking the stairs instead of the lift, and walking to work or the shops can make a real difference and count towards your exercise routine. Other activities include:

    • brisk walking
    • dancing
    • swimming
    • gardening
    • water aerobics
    • fitness classes

    3. Age

    Research shows that as we age, our metabolism slows down which can lead to weight gains and an accumulation of body fat.

    A slower metabolism can make it harder to lose weight, but be patient and continue making healthier lifestyle choices, including keeping on top of your diet and exercise, this will help increase and maintain the effectiveness of Mounjaro.

    4. Underlying health conditions

    Some underlying health conditions can slow your weight loss progress, such as:

    • depression
    • thyroid disorders
    • diabetes
    • nutrient deficiencies

    How these conditions can affect weight loss vary, and you may need some extra support or to consider extending the time it takes to reach your goals.

    However, it isn’t impossible to lose weight if you have an underlying health condition with Mounjaro.Speak to your doctor if you think it is taking you longer than expected to lose weight, they may want to investigate further and find ways they can better support you.

    5. Sleep

    Sleep is important for health. If you do not get enough sleep or find your sleep pattern is broken, it can increase circulating cortisol levels, a hormone linked to stress. It can also negatively affect your metabolism which can lead to weight gain.

    You can improve your sleep by practicing good sleep hygiene and trying things like:

    • going to bed at the same time each night
    • setting an alarm to wake you at the same time each morning
    • ensuring your sleep area is clean, tidy, quiet, and cool
    • avoiding screens at least 2 hours before going to bed

    6. Stress

    Stress raises your cortisol levels which can promote fat storage and cause you to eat more food than you need to. You can help to limit your response to stress by identifying your triggers and practicing stress management techniques such as (but not limited to):

    • yoga
    • meditation
    • regular exercise

    7. Your dose is not high enough

    You may not have reached the Mounjaro maintenance dose yet, which is the most effective dose to help you lose weight. When you begin Mounjaro treatment, you won’t start on this dose. Instead, you’ll begin with a low starting dose and gradually increase it over several weeks to allow your body to get used to the medication until you safely reach your chosen maintenance dose.

    Mounjaro can effectively help you lose weight at different dosages. On average, after 72 weeks people who took:

    • the 5mg dose lost 16% of their total body weight
    • the 10mg dose lost 21.4% of their total body weight the highest 15mg dose lost 22.5% of their total body weight

    So, if you haven’t lost as much as you would like, it may be that you’ve not reached the effective maintenance dose yet.

    8. You need to give Mounjaro more time to work

    Mounjaro isn’t a ‘quick fix’ weight loss medication. Although it can help you to lose up to 22.5% of your starting body weight on the highest maintenance dose, this is supposed to happen gradually over a 72 week period.

    Therefore, although Mounjaro will help you lose weight faster than diet and exercise alone, it is still a gradual process. It is also important that you follow and maintain the lifestyle changes necessary to make the most out of your Mounjaro treatment, such as exercising regularly and keeping on top of your healthy diet.

    9. You're in a weight loss plateau

    A weight loss plateau happens when you have been steadily losing weight over time and then suddenly stop, even though you’ve made no changes to your lifestyle to halt your weight loss. This is normal and happens to lots of people during their weight loss journey.

    There are several reasons why a weight loss plateau can occur. One is that your body goes into survival mode, storing more calories as fat to make sure you have enough in reserve. However, this is usually only a temporary effect of losing weight. Another reason is that you’ve lost water weight but this isn’t fat loss.

    If you think you are in a weight loss plateau, you should:

    • continue with your Mounjaro treatment
    • adjust your diet accordingly
    • increase the amount of exercise you’re doing

    Weight loss plateaus are normal but if you’re not sure why you may be experiencing one, speak to your doctor for further advice.

    Alternatives to Mounjaro

    If Mounjaro isn’t suitable for you, there are other weight loss medications available including other injections and tablets.

    Weight loss injections

    If you're still unsure if Mounjaro is right for you, there are other weight loss injections available which might be more suitable.

    Wegovy

    Wegovy works in a similar way to Mounjaro because it reduces your appetite, slows digestion and is injected once per week, but it contains the active ingredient semaglutide. It is an effective weight loss medication and can help you to lose up to 15% of your starting body weight after 68 weeks at the highest maintenance dose. You can find out more on the difference between Wegovy and Mounjaro and how to switch from Wegovy to Mounjaro, in our guide.

    Liraglutide

    Liraglutide is a daily weight loss injection that contains the active ingredient liraglutide. It works in a similar way to Wegovy and Mounjaro and can help you lose on average 8% of your starting body weight after 56 weeks on the highest maintenance dose.

    Weight loss tablets

    As well as weight loss injections, there are several weight loss pills available. At Superdrug Online Doctor we offer the following:

    Orlistat/Xenical

    Orlistat, the generic version of Xenical, is a weight loss pill that reduces the amount of fat your body absorbs from the food you eat. It can be taken up to 3 times a day with a meal that contains fat. Instead of being absorbed, the fat leaves your body as stool waste. Research shows that orlistat helps 37% of people lose at least 5% of their initial body weight after 12 weeks.

    alli

    alli works in exactly the same way as Xenical and orlistat, but it is available at a lower dose and over-the-counter without a prescription.

    MySimba

    MySimba contains the active ingredients naltrexone and bupropion to help reduce your appetite and suppress food cravings. It’s been shown to help people lose an average of 8.1% of their starting body weight over 56 weeks.

    If you are thinking of switching from Mounjaro to any of these weight loss medications, you must consult your doctor for advice.

    FAQs

    How quickly does Mounjaro start working?

    Mounjaro starts to work after your first dose has been injected, but the effects on weight loss can take a few weeks to months to become apparent. Everyone is different and you may need to increase your dose to feel the full effects on your appetite.

    What is the average weekly weight loss on Mounjaro?

    Some research shows that you can lose around 1% of your body weight per week for the first 4 weeks on Mounjaro, but this can differ from person to person.

    Further studies have shown that on average Mounjaro can help you to lose up to 22.5% of your starting body weight on the highest maintenance dose of 15mg per week over 72 weeks.

    Do you lose more weight on higher doses of Mounjaro?

    Yes, however not everyone can tolerate the higher Mounjaro doses or find that a lower dose is effective for them.

    In one study, the following average weight loss was achieved over 72 weeks on these maintenance doses:

    • 16% at 5mg per week
    • 21.4% at 10mg per week
    • 22.5% at 15mg per week

    Why am I gaining weight on Mounjaro?

    Weight gain while using Mounjaro can happen if it is not used alongside a healthy diet and exercise plan. Therefore, you may need to adjust your diet or increase your activity levels.

    If you are already doing these things, you may have an underlying health condition, or you may be on the wrong dose. If you are gaining weight while on Mounjaro, contact your doctor for advice.

    Is Mounjaro safe to take long term?

    Yes, Mounjaro can be taken long term. Research has investigated its effects over 72 weeks and have found it to be safe and effective for weight loss even at its highest dose.

    Will I gain weight back after stopping Mounjaro?

    Yes, it is common to regain weight after stopping Mounjaro because the active ingredient will no longer be in your system and working to suppress your appetite. Some research shows that stopping Mounjaro can lead to a 14% weight gain. However, there are things you can do to reduce the risk of regaining weight, including:

    • eating a healthy, balanced, calorie-restricted diet
    • getting regular exercise
    • avoiding stressful situations
    • treating any underlying health conditions
    • setting realistic goals
    • seeking support

    Patient Reviews