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Rachel Hall, Principal Doctor at Second Nature Our research at Second Nature shows that fatigue typically follows a predictable pattern: Weeks 1-4: Nearly half of patients (44%) report increased tiredness Weeks 5-8: Fatigue significantly improves, with only 22% still reporting tiredness Beyond week 12: Most patients return to normal energy levels as the body adapts For some patients, tiredness can persist longer, particularly if theyre not consuming adequate nutrition or have underlying issues like poor sleep habits or nutrient deficiencies
The fatigue that sleep does not fix
Specific situations requiring medical review include: Severe or persistent gastrointestinal side effects from Mounjaro that significantly limit your food intake for more than a few days You are taking metformin in addition to Mounjaro, as this combination increases B12 deficiency risk You have a history of pernicious anaemia, gastric surgery, or conditions affecting nutrient absorption You are considering stopping B12 injections whilst taking Mounjaro You experience any unexplained neurological symptoms Urgent medical attention is needed if you develop severe, persistent abdominal pain (which may radiate to the back), persistent vomiting, fever, or yellowing of the skin/eyes, as these could indicate pancreatitis or gallbladder problems Your GP or practice nurse can arrange blood tests to check your B12 levels (serum B12, holotranscobalamin, and if borderline, methylmalonic acid levels may be used where available) and determine the appropriate frequency of B12 injections if deficiency is confirmed
Some people lose 5% of body weight in the first month
Absorption optimise en format liquide : contrairement aux glules ou comprims, la monodose liquide permet une assimilation plus rapide des actifs ds la prise
What makes our weight loss program more effective
