Treatment Timeline During the first two weeks, some patients notice immediate improvement in mobility due to reduced inflammation, while others experience gradual changes
Midis team of medical experts currently recommend turning to other research-backed solutions, depending on what outcome youre trying to achieve: If you want to recover faster: Physical therapy, cooling and warming therapies (like ice packs or heating pads), and functional support braces are the gold standard for speeding up healing
Microbial ecology: human gut microbes associated with obesity (in Eng)
Vitamin B12 / Lipotropic injections are started through the clinics in-office program

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
