Mounjaro

Quick Intro

VEI Clinic Apgujeong is an English-friendly internal-medicine clinic providing doctor-led tirzepatide (Mounjaro, a dual agonist) care for type 2 diabetes and medical weight management where appropriate. We prioritize safety, evidence, and clear follow-up—no hype.

Who It May Be For

• Type 2 diabetes where A1c needs to improve and weight loss would help
• Overweight/obesity with metabolic risk (e.g., prediabetes, hypertension, fatty liver) where tirzepatide is appropriate under local guidance
• Patients who prefer a once-weekly injectable with stepwise titration

Not for type 1 diabetes or diabetic ketoacidosis. Not a replacement for lifestyle foundations.

How We Work (Safety-First)

• Evaluation & labs → A1c, CMP (kidney/liver), lipids (± ApoB), urine albumin/creatinine, pregnancy test if applicable.
• Medication fit → review history (pancreatitis, gallbladder disease, GI disorders), MEN2/MTC family history, other meds (insulin/sulfonylureas).
• Titration plan → gradual dose increases to limit GI side effects, with written sick-day rules.
• Follow-up → early check at 4–6 weeks, then 8–12 weeks with labs; adjust dose/adjunct meds.
• Lifestyle anchor → protein/fiber targets, zone-2 + strength template, sleep/stress supports.

Typical Titration (Personalized)

• Start low, then increase about every 4 weeks as tolerated to a maintenance dose.
• We coach on injection technique, site rotation, and what to do if you miss a dose.
• If you use insulin or a sulfonylurea, we’ll adjust those doses to reduce hypoglycemia risk.

Common Side Effects & What Helps

• Nausea, fullness, reflux, constipation/diarrhea → slow titration, small meals, fluids, fiber strategy, anti-nausea plan if needed
• Injection-site soreness → rotate sites, gentle pressure after injection
• Possible gallbladder symptoms (upper-right abdominal pain) → tell us early
• Rapid A1c drops in diabetes can transiently worsen retinopathy → we coordinate eye checks

Serious but rare—seek urgent care: severe abdominal pain (possible pancreatitis), persistent vomiting, black/bloody stool, chest pain, trouble breathing, signs of allergic reaction.

Absolute/relative cautions: personal/family history of medullary thyroid carcinoma (MTC) or MEN2, prior pancreatitis, pregnancy/breastfeeding (generally avoid), severe GI motility disorders. We’ll screen together.

Pre-Op & Travel Notes

• Procedures/sedation: GLP-1/GIP agents can delay gastric emptying; we’ll give guidance on pausing the medication before your procedure, in line with your surgeon’s or anesthesiologist’s instructions.
• Travel & storage: store pens as directed on the label (usually refrigerated; limited time at room temperature). We’ll provide a travel letter, packing tips, and a dosing schedule across time zones.

Visit Flow (Typical)

• Baseline consult (30–45 min) → history/meds, goals, vitals; order labs
• Results visit (20–30 min) → start/titrate plan, nutrition & training template, monitoring schedule
• Follow-ups → 4–6 weeks after start/change; then 8–12 weeks with labs (A1c, kidney/electrolytes as indicated)

What to Bring

• Photo ID (passport/ARC)
• Medication & supplement list (exact doses) and any diabetes data (A1c, glucose meter/CGM)
• Prior labs/eye exam if you have them
• Any work/travel deadlines

Pricing, Availability & Receipts

• We provide a clear quote before prescriptions or tests.
• Availability/brand and pharmacy pricing can change; we’ll discuss current options and alternatives if needed.
• Itemized English receipts (superbills) are available for personal/corporate reimbursement.