Stopping Mounjaro (tirzepatide) is safe but can affect your body in several ways.

Because the medication helps to reduce your appetite and stabilise blood sugar levels, you may notice physical and metabolic changes once you stop taking it.

In a clinical trial of adults with obesity, participants who lost a significant amount of weight with Mounjaro began to regain it after stopping the medication.

The results show that staying on Mounjaro helps maintain weight loss; and stopping it often leads to weight being regained over time.

Why people stop Mounjaro

Some of the reasons for wanting to stop Mounjaro include:

  • Side effects: Ongoing nausea, sickness, or stomach upset that do not ease with time.
  • Cost or supply issues: Price increases or stock shortages can make it hard to continue.
  • Goals have been met: Once a person achieves their target weight, they may wish to maintain it naturally.
  • Poor results: If weight loss slows or stops, your doctor may suggest other options.
  • Personal choice: Some prefer to manage weight through lifestyle changes alone.
  • Health reasons: Pregnancy, surgery, starting new medication, or other medical needs may mean pausing or stopping treatment.

Physical changes you can expect when stopping Mounjaro

Weight gain

When you stop taking Mounjaro, it is common to notice gradual weight gain. The medication helps reduce appetite and control calorie intake, so without it, your body may naturally return to previous eating habits.

Increased appetite and cravings

Mounjaro works in part by helping you feel full. After stopping, you may notice your appetite returning and cravings for high-calorie foods increasing.

Blood sugar fluctuations

If you have type 2 diabetes, stopping Mounjaro can cause blood sugar levels to rise. Your body no longer benefits from the medication’s glucose-lowering effects, so monitoring your blood sugar closely and adjusting your diet, activity, or medications, under your doctor’s advice, is important.

Gastrointestinal changes

Some people experience changes in digestion, such as nausea, bloating, or constipation, when they stop Mounjaro. These effects usually settle over time as your digestive system adjusts.

Energy and fatigue

Because Mounjaro can support weight loss and blood sugar stability, stopping it may lead to mild fatigue or lower energy levels initially.

Psychological changes you can expect when stopping Mounjaro

Mood changes

Some people notice mood fluctuations after stopping. The medication can affect appetite and blood sugar, which in turn influence mood. Feeling irritable, low, or anxious at first is common.

Food-related stress (‘food noise’)

Because appetite is no longer suppressed after stopping Mounjaro, you may feel more tempted by high-calorie foods or snacks. This can lead to feelings of frustration or guilt. Planning meals, keeping healthy snacks handy, and focusing on mindful eating can reduce stress.

Motivation and confidence

Some patients report a dip in motivation for weight management after they stop using Mounjaro. Losing the “boost” from Mounjaro can make lifestyle changes feel harder.

Anxiety about weight gain

It’s normal to worry about regaining weight, but being proactive with diet, physical activity, and follow-up appointments can help to manage these worries and prevent unnecessary stress.

Adjustment period

Overall, there is usually an adjustment period as your body and mind adapt to no longer taking Mounjaro. Emotional effects are often temporary, and establishing routines for healthy eating, activity, and sleep can make the transition smoother.

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How to keep weight off after stopping Mounjaro

Stopping Mounjaro can bring both physical and emotional changes.

These tips are here to help you handle these changes safely and feel more confident along the way.

  • Monitor and keep track of any changes to catch gradual weight gain early.
  • If you have type 2 diabetes, monitor your glucose levels regularly and report any significant changes to your doctor.
  • Focus on foods rich in protein, fibre, fruits, and vegetables to help control appetite and support blood sugar stability.
  • Regular exercise can help manage weight, improve mood, and stabilise your energy levels.
  • Structured eating can reduce cravings and prevent overeating.
  • Drink plenty of water to support digestion and overall wellbeing.
  • Talk to a healthcare professional if mood or anxiety changes persist.
  • Small, achievable lifestyle goals help maintain motivation and confidence.
  • Regular check-ins with your doctor or pharmacist can help adjust medications, monitor health, and support your transition.

How to stop Mounjaro safely

If you are thinking about stopping Mounjaro, it is important to do so carefully.

Coming off too quickly can cause your appetite to return and may make it harder to maintain your results.

Here’s how to stop Mounjaro safely and support lasting progress:

Speak to your prescriber

Always talk to your doctor before discontinuing Mounjaro. They can give tailored advice, especially if you have type 2 diabetes or other health concerns. Your prescriber can help you create a plan that keeps you safe and on track.

Reduce your dose gradually

Instead of stopping suddenly, tapering your dose allows your body time to adjust.

Gradual reductions (for example, by 2.5mg every few weeks) can make the transition smoother and reduce the changes of side effects and “food noise”.

Maintain healthy habits

The habits built while using Mounjaro are key to keeping the weight off.

Focus on:

  • Balanced eating: Choose lean proteins, high-fibre foods like vegetables and whole grains, and keep portions sensible. Mindful eating helps regulate appetite naturally.
  • Consistent activity: Aim for at least 150 minutes of exercise a week, combining cardio and resistance training to support your metabolism and mood.
  • Emotional wellbeing: Manage stress or boredom in non-food ways, such as walking, hobbies, mindfulness, or connecting with friends.

Track your progress

Track your weight, appetite, and blood sugar regularly. Set small checkpoints, for instance, if your weight starts to creep up by 2–3 kg, revisit your nutrition or activity plan early to stay in control.

Seek ongoing support

Consider working with a nutritionist, pharmacist, or health coach to keep you accountable. A structured support network can make it easier to stop Mounjaro and help you maintain your results long-term.

Frequently Asked Questions

Yes, you might regain some weight after stopping, because the medication’s appetite-suppressing effects no longer help control food intake. Maintaining a healthy diet and staying active can help reduce weight regain.

You will need to take a one-week break known as a ‘washout period’ to allow Mounjaro to clear your system before switching to another weight loss injection.

Further reading: How to switch from Mounjaro to Wegovy

No, however, you may notice a reversal of effects when stopping.


Whilst all of our content is written and reviewed by healthcare professionals, it is not intended to be substituted for or used as medical advice. If you have any questions or concerns about your health, please speak to your doctor.

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