Mounjaro Maintenance Policy

Given that many of our patients have successfully reached their goal weight and are transitioning to the maintenance phase of their treatment with Mounjaro, addressing your concerns and providing clear guidance is crucial. Here's how you can approach the key points that you may be curious about:

How to determine the right dose for Mounjaro Maintenance?

- Adjusting the Dose: Patients can often be concerned about whether they should increase or decrease their dose during maintenance. It is essential to remind them that dose adjustments should be guided by us at Cloud Pharmacy, however, depending on how you feel, based on factors like your ongoing weight, BMI, tolerance to the medication, and overall health goals can determine which strength you continue to take. Some patients might find that their current dose works well for weight maintenance, while others might require small adjustments, whether that be a reduction or an increase. The current ‘maintenance doses’ are 5mg, 10mg or 15mg. It is important to note that your ‘maintenance dose’ is one whereby your appetite is supressed enough to allow you to consume enough calories to keep your weight he same; you can calculate your maintenance calories using our weight care
portal.

- Monitoring Signs: We encourage all our patients to monitor their appetite, weight trends, and side effects. Unwanted weight loss, significant side effects, or feeling like you are regaining weight could signal the need for a dose
review with us.

BMI of 22 on Maintenance and Ensuring Safety

- Achieving a BMI of 22: When patients reach a BMI of 22, they are typically within the healthy weight range. At this point, the focus of using Mounjaro shifts from weight loss to weight maintenance and potentially stopping
Mounjaro altogether.

- Safety and Wellbeing at a Healthy BMI: At Cloud Pharmacy, we put emphasis on regular monitoring to ensure the safety of patients at this BMI. This may include routine check-ins, evaluating potential side effects, and
ensuring that patients are maintaining a balanced diet and lifestyle. Patients will continue to receive support and personalised advice from Cloud Pharmacy’s healthcare professionals to navigate this phase safely. When
approaching a BMI of 24, we will begin to ask for photos and/or videos of your progress at your monthly check-in.

Can I use Mounjaro for life?

- Extended Use of Mounjaro: It is important to inform patients that Mounjaro can be used safely beyond two years if it continues to benefit them, and they do not experience significant side effects. Ongoing medical supervision is key
to managing long-term use effectively.

- Myth About the 2.5mg Maintenance Dose: We have received various reports from our team and patients in the USA, where we often hear about a "2.5mg maintenance dose," but there is no scientific evidence supporting a
specific maintenance dose for everyone. Each patient’s maintenance dose will vary depending on individual needs, tolerance, and response to the medication.

Not a Another Subscription Service

- Flexibility in Treatment: Unlike subscription-based models, Cloud Pharmacy offers a more flexible approach to treatment. This means patients have the freedom to adjust or pause their treatment based on their health goals and
lifestyle, under the guidance of our healthcare professionals. This flexibility can be particularly beneficial during the maintenance phase- you don’t have to worry about remembering to cancel your subscription.

Implications of Stopping GLP-1s and Effects of Long-Term Use

- Stopping GLP-1 Medications: Patients may wonder about the consequences of stopping Mounjaro. If you choose to stop the medication, you may experience an increase in your appetite and potential weight regain,
if you have solely relied on taking Mounjaro without adjusting your lifestyle. However, if you have made inherent life-style changes whilst on this treatment, over time, your relationship with food and exercise will have changed and you will likely be able to continue keeping the weight off without medication. Adequate support from communities or other well-being professionals will also aid in you maintaining your weight without medication.

- Long-Term Effects of GLP-1 Agonists: Current research suggests that GLP-1 medications like Mounjaro are generally well-tolerated for long-term use. However, patients should be informed about possible side effects such
as gastrointestinal issues. Regular follow-ups and reviews with healthcare providers are crucial to monitor any long-term implications and manage them effectively. It is imperative that you read the patient information leaflet
provided with your medication and to listen to your body if you being to feel symptoms occurring out with the norm. If you are experiencing side-effects that are new or intolerable, then stop taking this medication immediately and
contact 111 for advice.

The Last Stop on Your Weight Loss Journey

At Cloud Pharmacy we are committed to providing long-term support to patients, offering consultations, dose adjustments, and advice on maintaining your weight and overall health.