# Why Mounjaro 2.5mg Wears Off by Day 5: User Experiences Explained
Many people starting Mounjaro at the 2.5mg loading dose report strong appetite suppression in the first few days, followed by a noticeable return of hunger around day four or five. For some, this shift feels abrupt and worrying, especially if the early effects seemed dramatic. Others describe more gradual changes, with appetite suppression fading earlier each week as their body adapts to the medication.
The early weeks can feel unpredictable. Some people experience a powerful "first day" effect before things stabilise. Others feel consistent suppression for the first two or three injections and then notice that the same dose seems to wear off sooner. Because 2.5mg is designed as an introductory dose rather than a therapeutic one, this variability is expected — but it can still feel confusing when hunger cues return.
This article brings together real user experiences to help explain why day-5 hunger is so common, what patterns people notice, and how they manage the final days before their next injection. While everyone’s response is different, the overall theme is clear: feeling hungrier by day five is normal, and not necessarily a sign that the medication has stopped working.
Why the 2.5mg Dose Feels Strong at First
A dominant theme from users is that the first one or two doses often feel unusually powerful. Some people describe dramatic appetite suppression that later moderates, while others notice the medication feels like it "wears off" much more quickly after the first week.
One person summed up the early contrast between the first few days and the later part of the week:
"I’ve definitely noticed my appetite has returned over the last week or so. Is this normal for the body to adjust to the doses and become less effective over time?" -Fluffy250
Others echoed that the initial week felt very different:
"The first week I was on it I couldn't eat– the whole week. The second week it started to wear off around day 5 and I was hungry often and then through the next two shots it never had a real appetite suppressing effect again." -DeadpoolIsMyPatronus
Some people found the intensity of the very first dose surprisingly strong:
"IME nothing is ever quite like that first 24 hours. The rest has been good and the jab definitely helps. But that first day was like I’d had a total personality transplant." -mightyfishfingers
These experiences suggest that the body responds quickly to the introduction of a GLP-1 agonist. The initial "shock" of slowed digestion and reduced food noise can feel transformative, but the body adapts. What remains is often milder, steadier suppression — enough for many to continue losing weight, but not always at the same intensity as the very beginning.
The Day 4–6 Pattern: A Common Return of Hunger
A consistent pattern across many accounts is that hunger begins to return around days four to six. Some still feel full quickly when eating, but the drop-off in appetite suppression is noticeable.
People describe this pattern very clearly:
"I noticed I start getting hungry around day 4." -Maybe_Skyler
"Day 5 or 6, and the food noise is back." -MysteriousTraining16
"It works perfectly for the first 5 days – then it starts to wear off." -Unusual-Purchase-359
In some cases, hunger becomes intense and surprising:
"I woke up and was famished… it was so weird to me to all of a sudden be STARVING." -Global-Hand2874
Some people describe a weekly rhythm where the same pattern repeats:
"My shot day is Saturday. My appetite starts coming back Thursday and on Fridays I'm ravenous." -Agope
Others notice that the "wear-off" effect becomes more pronounced each week on the same dose:
"The pattern that has emerged is increased 'effects' for the first week of a new dose. Weeks 3–4 is when I start questioning if it's still working." -Mobile-Actuary-5283
This variation is normal. Many users highlight that hunger itself is not a failure of the medication but a return of natural appetite cues — and that satiety (getting full quickly) often remains.
Dose Increases, Timing Adjustments, and What People Try
Because 2.5mg is a loading dose, many users eventually move up to 5mg or higher to manage day-5 hunger. But people take different approaches depending on how they feel, their goals, and their doctor’s guidance.
Some find increasing the dose effective:
"I went to 5 for this reason after one month of 2.5." -11dingos
"I moved up to 5mg the following week and it was like the first 3 weeks again." -TheMVP1988
Others prefer staying at 2.5mg longer, especially if they are still losing weight:
"I've been on 2.5mg for the last 4.5 months and have lost 45 lbs… I plan on staying on this low dose." -Act_Ambitious
A number of people experiment with injection timing — taking the next shot slightly early, adjusting weekly cadence, or splitting doses. These decisions vary widely and should always be discussed with a clinician, but user accounts show the range of lived experiences:
"I take my shots every 5 days to combat that. I’ll push it to 6 if I’m ok on that day." -anonymous
"I’ve seen other posters that have split the dosage in 1/2 and give themselves a mid-week recharge." -Tongslinger
"I decided to stay on 2.5mg and take it every 5–6 days. Hopefully this works." -Unusual-Purchase-359
Some users take a more philosophical approach, reframing hunger as part of the process:
"Hunger is someone that will be present for the rest of your life, make it him friend." -EquivalentBeat9675
Across the file, one theme repeats: what matters most is whether weight loss or glucose control continues — not whether appetite is completely suppressed.
What Helps People Through the Last Days of the Week
While hunger returning on day five is common, people share a range of strategies that help them manage it without feeling overwhelmed. High-protein foods are a recurring theme:
"What I’ve found helps me is a lot of protein! I aim for anywhere between 90–160 grams a day." -Sandiemarie24
"On days where I feel like I might not be able to fight the hunger off, I will have my protein shake early… I can go 4+ hours without eating after." -elizrawr
Some people use predictable weekly patterns to plan their meals:
"I like to take it either Friday night or Saturday AM so I’m at work when it wears off." -MysteriousTraining16
Others highlight mindset and pacing:
"You are ok. It will be alright… Make healthier choices while giving your body what it wants." -ergendwen
And some emphasise the importance of recognising real hunger rather than assuming it’s the medication failing:
"Yes, normal — and remember, you might actually BE hungry." -kyloumom
Collectively, these strategies show that even when hunger returns, it is usually manageable with planning, balanced meals, and realistic expectations.
Pharmacist’s Comment
According to Alessandro Grenci, Superintendent Pharmacist at Medino, variations in appetite across the week are expected when starting a GLP-1 medication, especially at the introductory 2.5mg dose.
"Because the 2.5mg dose is a loading phase rather than a therapeutic dose, it often provides only a few days of strong appetite suppression before the level tapers. The medication is still working, but the initial intensity naturally decreases as your body adjusts." -Alessandro Grenci, Superintendent Pharmacist at Medino
"Most people feel hungrier toward the end of the dosing week because the drug level is falling. This doesn’t mean treatment is failing — it reflects the medicine’s half-life and how the body adapts."
"If hunger becomes difficult to manage or you stop seeing progress, it’s reasonable to discuss dose adjustments with your clinician, but feeling hungry on day five is not harmful or abnormal."
Final Thoughts
The return of hunger around days four to six on Mounjaro 2.5mg is one of the most widely shared experiences among users. While it can feel unsettling after the dramatic suppression of the first few days, it is a normal part of how the medication works and how the body adapts. The key question is not whether appetite returns, but whether someone is still moving toward their health goals.
Many people continue to lose weight on 2.5mg despite fluctuating hunger, while others find they benefit from increasing the dose when ready. Most emphasise the importance of high-protein foods, realistic expectations, and understanding that hunger itself is not a sign of failure.
As one user put it:
"It’s a marathon, not a sprint. You're lucky you got any suppression. The first month dose is just to get your body ready for the actual 5mg dose." -gristoi
Ultimately, the day-5 pattern is common, manageable, and not usually a cause for concern. Paying attention to your body, planning for the end of the week, and checking in with your clinician when needed can help you navigate these early weeks with confidence.