Is there any advantage to the injected vs oral version, for dosing or otherwise? Do people respond differently to them?
Well, for one, Zepbound/Mounjaro is more effective for weight loss than Ozempic/Wegovy, but has not oral equivalent. So there’s that.
Then there’s convenience. Injections are fiddly and some may have a problem with the needle, but otherwise, it’s a once-a-week deal with no restrictions on when you take it. Oral Wegovy is a daily pill and has to be taken when you wake, with up to an hour wait before eating. Small hassle there.
Makes sense. Thanks for explaining.
I know what you meant, but just for the record: when it comes to medical weight loss, individuals respond differently to everything – medications, dosages, methods, etc. 
Surgical weight loss too, for that matter.
I’m very accustomed to getting injections in my life (I started with allergy shots at age 7, twice a week for a while), my only squeamishness is that I can’t look while they’re doing it. I have not had any problem with my Mounjaro injections because I can do all the prep (remove cover, twist to Unlocked, press the pen thing onto the squeezed fat) then look away and press the button, and wait for the final click that says it’s done. I never feel it anyway, but I still can’t look.
The only fiddly part for me is the refrigeration, I get 12 weeks’ worth at a time and it does take up some room in the refrigerator. I still have 12 weeks worth of the 5 mg dose, because I had just received a refill when I started getting sick. What a waste, if I never go back to that dosage level.
I got tired of the bulky pens and switched to vials. Sounds like that’s not an option for you as you kinda have to look to operate the syringe.
For the redundant 5mg pens, there is a solution if you never go back to that dose and if you can get help. You can buy sterile vials pretty cheaply, and it’s not hard to line up the pen to inject the vial. Then you draw out your 2.5mg dose with a standard hypodermic and inject that. You either then toss the surplus or save it for next week.
Some folks have gone so far as to inject the pens into vials of bacteriostatic water so you then have a safe way to preserve the contents across multiple weeks but there’s math in there that on the face of it is simple but that people screw up all the time anyway.
As someone who had never given themselves an injection, I think it’s a breeze. Takes under 2 minutes from the time I open the box to putting it away. I rarely even feel the needle and find it much less painful than finger pricks for testing my blood sugar.
Agree. In fact, I prefer the vial and hypodermic method because it hurts less than the pen. And admittedly, the pen doesn’t hurt much, but the mechanism isn’t particularly gentle and I think the needle is a little more robust to survive that action. The 31 gauge needles on my hypodermics are borderline undetectable.
I had the sense that @FinsToTheLeft was referring to the prepared pen, rather than the vial and hypo method, but perhaps they could clarify.
Google AI says that Mounjaro pens use 32 gauge needles. I certainly don’t feel them at all. If you do the injection yourself, is it in the same place (belly fat)?
Correct, I use the 2mg Ozempic pre-filled with a 32g tip. I rotate between left and right side of my belly and thighs. I’m not sure if it really makes a difference for 1/week versus the multiple times a day my dad had to inject insulin.
Ah, gotcha. Missed that detail.
Thanks for doing the actual research! I assumed based on my perception that the pens were stouter needle-wise. I still maintain that while the pens are not painful, I get more of a twinge out of them due to the suddenness of the deployment. And yes, I pretty much always use the stomach area, regardless of delivery area.