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Mounjaro and Anxiety: Understanding the Connection + Strategies to Help

While anyone will recognize the name Ozempic, the GLP-1 weight loss drugs that have been taking the world by storm come in many packages. Today, We’re talking about perhaps the most well known GLP-1 after Ozempic: Mounjaro. Known generically as tirzepatide, it is a pretty new addition to the arsenal of treatments that doctors use to help patients manage obesity and control metabolic disorders like type II diabetes.

But despite the popularity of drugs like Mounjaro – one in eight or 12% of adults say that they have at some point used a GLP-1 drug, with 6% reporting that they are on one right now – GLP-1s carry a risk of side effects just like any other medication. Today, we’re going to do a deep dive on how Mounjaro affects anxiety, including:

  • How Mounjaro works in the first place
  • Research on any links between Mounjaro and anxiety
  • Strategies for dealing with anxiety while on Mounjaro

So let’s get started.

Understanding How Mounjaro (Tirzepatide) Works

Mounjaro is a novel medication approved for the management of obesity and type 2 diabetes. It belongs to a class of drugs known as GLP-1 receptor agonists, but with a unique twist—it also has activity on the GIP (Gastric Inhibitory Polypeptide) receptor. This dual-action approach helps regulate blood sugar levels and supports weight loss by mimicking hormones that play a role in appetite control and insulin regulation.

Common Side Effects

Like any other medication, Mounjaro can cause side effects

Common Mounjaro side effects include nausea, vomiting, diarrhea, and decreased appetite. 

While these side effects generally don’t have too serious of an impact on most individuals, they can still contribute to an overall sense of discomfort and stress, which may exacerbate anxiety in some people who are prone to, well… being anxious.

Research published by the American Diabetes Association has highlighted that gastrointestinal side effects are among the most frequently reported issues with GLP-1 receptor agonists. Since these side effects can be rather embarrassing, it’s no wonder there’s a potential link between Mounjaro and anxiety here.

The Link Between Mounjaro and Anxiety

young woman sitting leaning against the wall
People taking weight loss drugs are generally less susceptible to anxiety, weight loss is a complex journey and anxiety is definitely something you can experience while on it. 

Weight loss is a tricky subject. On the one hand, it seems like losing weight under doctor guidance should take some of the stress off. If your doctor has been concerned about your weight and related risk factors for other illnesses for a while, when the weight starts coming off, you have to worry less about those things, right? Not to mention, weight loss has been proven to help people feel better physically and emotionally. And overall, people taking weight loss drugs for diabetes management are 60% less likely to be diagnosed with anxiety.

But anxiety doesn’t play by the rules, and weight loss is too complex of a topic to assume that every person will experience it the same way. 

Weight loss medications can have a significant impact on users. Even when the medication is “working” and you’re seeing results, the process of significant weight reduction and the accompanying lifestyle changes can lead to various emotional responses. Anxiety is one emotional response that may arise due to a combination of factors including body image concerns, changes in eating habits, and the stress of managing a new medication regimen.

What the Research Says 

A limited but growing body of research has started to explore the psychological effects of Mounjaro. A study published in "The Lancet” observed that while Mounjaro is effective for weight loss, it can also affect mood and mental well-being. Participants reported feeling anxious about the potential side effects, the impact of the medication on their daily lives, and the pressure to maintain weight loss results.

Another study in "Obesity Reviews" discussed the general psychological effects of weight loss medications, noting that changes in body weight and the accompanying lifestyle adjustments can lead to increased anxiety, particularly in individuals who are already predisposed to anxiety disorders.

When It’s More Than Just Jitters

While many of the side effects of GLP-1s are more uncomfortable than life-threating, serious side effects do exist. One potential serious side effect of Mounjaro is low blood sugar, or hypoglycemia. If not managed, this can be a serious side effect.

🚨 Hypoglycemia can be a life-threatening condition. If you see any of these symptoms, talk to your doctor right away because in severe cases, hypoglycemia can even lead to coma or death. 🚨

If your anxiety is accompanied by other symptoms of a hypoglycemic episode, be sure to talk to a doctor right away. These symptoms include:

  • Blurred vision
  • Slurred speech
  • Shaking and weakness
  • Fast heart rate
  • Disorientation
  • Loss of consciousness
  • Seizures

Strategies for Managing Anxiety While on Mounjaro

Simple strategies can help you overcome anxiety while taking Mounjaro.

1. Understand and Prepare for Side Effects

Knowledge is power when it comes to managing anxiety related to medication. Understanding the potential side effects of Mounjaro, including how they might impact your mental health, can help you prepare for and manage these effects more effectively.

  • Educate Yourself: Familiarize yourself with the common and less common side effects of Mounjaro. Understanding what to expect can reduce uncertainty and help you feel more in control. Resources like the official prescribing information and consultations with healthcare providers are valuable for this.
  • Track Your Symptoms: Keeping a detailed record of any side effects you experience can help you identify patterns and triggers. This information can be useful in discussions with your healthcare provider, allowing for more targeted management strategies.

2. Implement Stress Management Techniques

Effective stress management techniques can also be super beneficial in mitigating any anxiety associated with taking Mounjaro. Here are some evidence-based strategies for cutting down on stress:

  • Mindfulness and Meditation: Mindfulness meditation involves focusing on the present moment and accepting it without judgment. Studies published in "JAMA Internal Medicine" have shown that mindfulness practices can reduce anxiety and improve overall mental well-being.
  • Deep Breathing Exercises: Deep breathing exercises, such as diaphragmatic breathing, can help calm the nervous system and reduce feelings of anxiety. Research in "The International Journal of Yoga" demonstrates the effectiveness of deep breathing in managing anxiety.
  • Physical Activity: Regular physical activity is known to reduce anxiety and improve mood. Engaging in moderate exercise, such as walking or swimming, can help manage stress and support mental health. The "Journal of Clinical Psychiatry" highlights the positive impact of exercise on anxiety and depression.

3. Build Your Support System

Having a strong support system can significantly alleviate anxiety. Surround yourself with people who understand your journey and can offer emotional support. This can look different for different people, but here are a few ideas to get you started:

  • Support Groups: Joining a support group for individuals taking weight loss medications or managing anxiety can provide a sense of community and shared experience. Online forums and local support groups offer a platform for discussing challenges and sharing coping strategies.
  • Therapy and Counseling: Engaging in therapy or counseling can be highly effective in managing anxiety. Cognitive-behavioral therapy (CBT) is particularly useful for addressing anxiety related to medication use. 
  • Open Communication: Maintain open communication with your healthcare provider about any concerns or symptoms you experience. Your provider can offer guidance, adjust your treatment plan if necessary, and provide reassurance.

4. Manage Body Image and Self-Esteem

Changes in body weight can impact self-esteem and body image, contributing to anxiety. Addressing these concerns is crucial for overall mental well-being.

  • Positive Body Image Practices: Focus on positive body image practices, such as self-affirmation and body appreciation exercises. 
  • Set Realistic Goals: Set achievable and realistic weight loss goals that prioritize health and well-being over appearance. Avoid comparing yourself to others and focus on personal progress. 
  • Celebrate Achievements: Recognize and celebrate your achievements, no matter how small. Positive reinforcement can boost self-esteem and reduce anxiety. Research in "Health Psychology" shows that celebrating successes can improve mental well-being and motivation.

5. Establish Healthy Routines

Developing and maintaining healthy routines isn’t just good for maximizing the success of your weight loss and blood sugar management – it can support your mental health and help you manage anxiety, too.

  • Consistent Sleep Schedule: Prioritize a consistent sleep schedule to ensure adequate rest. Poor sleep can exacerbate anxiety and affect overall health. Research in "Sleep Medicine Reviews" highlights the importance of good sleep hygiene for managing anxiety and stress.
  • Balanced Nutrition: Maintain a balanced diet to support both physical and mental health. Nutritional deficiencies can impact mood and contribute to anxiety. Studies in "Nutrition Reviews" show that a well-balanced diet is crucial for mental well-being.
  • Regular Check-ins: Schedule regular check-ins with your healthcare provider to monitor your progress and address any concerns. Regular follow-ups ensure that any issues related to Mounjaro and anxiety are promptly addressed.
  • Manage side effects: Other side effects of GLP-1s – like nausea and diarrhea – can be part of what makes taking Mounjaro anxiety-inducing for some. But simple adjustments to your wellness routine like adding Dr. Emil Nutrition’s Total Gut Complex complete pre-, pro-, and postbiotic can help minimize these uncomfortable and stressful effects. 

6. Explore Alternative Therapies

In addition to conventional approaches, alternative therapies may offer additional support for managing anxiety.

  • Acupuncture: Acupuncture is an alternative therapy that may help manage anxiety.
  • Herbal Supplements: Some herbal supplements, such as valerian root and chamomile, are known for their calming effects. However, consult with your healthcare provider before using any supplements, as they may interact with Mounjaro.
  • Yoga and Tai Chi: Yoga and Tai Chi are gentle exercises that combine physical movement with relaxation techniques. Studies have shown that these practices can reduce anxiety and improve mental health.

7. Work On Resilience and Coping Skills

Building resilience and developing coping skills are essential for managing anxiety associated with Mounjaro.

  • Develop Problem-Solving Skills: Strengthening problem-solving skills can help you navigate challenges related to anxiety and medication management. 
  • Practice Self-Compassion: Be kind to yourself and practice self-compassion. Recognize that managing anxiety and medication is a process, and it’s okay to seek help and make adjustments along the way. 
  • Stay Engaged in Enjoyable Activities: Engage in activities that bring you joy and satisfaction. Pursuing hobbies and interests can provide a positive distraction and reduce anxiety.

Mounjaro Pen
Mounjaro is delivered at different levels during different phases of treatment, but some people might need these levels adjusted to work better for their body. Image courtesy Mounjaro

8. Monitor and Adjust Treatment As Needed

Ongoing monitoring and adjustment of your treatment plan are crucial for managing anxiety effectively.

  • Regular Assessments: Schedule regular assessments with your healthcare provider to evaluate the effectiveness of Mounjaro and its impact on anxiety. This allows for timely adjustments to your treatment plan as needed.
  • Medication Adjustments: If anxiety persists or worsens, discuss potential medication adjustments with your provider. In some cases, adjusting the dosage or exploring alternative medications may be necessary.
  • Integrated Approach: Consider an integrated approach that combines medication with therapy, lifestyle changes, and alternative therapies. Managing anxiety while taking Mounjaro is do-able. 
A young woman raises both hands
Even with assistance from a GLP-1 like Mounjaro, the weight loss journey can be anxiety inducing. But with these strategies for managing Mounjaro-related anxiety, you can look and feel your best inside and out. 

Successfully treating obesity and type II diabetes with Mounjaro means managing your body’s physical and emotional wellbeing.

Understanding the connection between Mounjaro and anxiety, supported by research, is the first step toward effective management. Implementing strategies such as preparing for side effects, practicing stress management techniques, building a support system, and establishing healthy routines can significantly alleviate anxiety.

Remember, managing anxiety is a journey that requires patience and persistence. By taking proactive steps and seeking support, you can successfully navigate the challenges associated with Mounjaro and achieve your health goals while maintaining mental well-being.

You should consult a licensed health care professional before starting any supplement, dietary, or exercise program, especially if you are pregnant or have any pre-existing injuries or medical conditions.

These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any diseases.

Author: Dr. Emil Hodzovic

Holding degrees in both medicine and Sports + Exercise Science from renowned research institution Cardiff University, Dr. Emil Hodzovic has the dual distinction of being a practicing clinician and respected authority in nutrition and supplementation.

During his parallel careers as a personal trainer and professional athlete, Dr. Emil recognized a critical flaw in the supplement space: too much emphasis on appearance and performance—and zero concern for making holistic health and happiness accessible to everyone.

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