Author: Florida Surgery & Weight Loss | Dr. Sergey Terushkin, MD, FACS

Tirzepatide, marketed as Mounjaro®, has rapidly emerged as one of the most effective medications for medical weight loss. At Florida Surgery & Weight Loss, Dr. Sergey Terushkin, a board-certified bariatric and general surgeon, offers this treatment as part of a comprehensive, physician-supervised weight loss program.
“The first month on Mounjaro is a foundational period,” explains Dr. Terushkin. “We set realistic expectations with our patients from the start. While some may see initial changes, our focus is on building a solid foundation for long-term success, not on a dramatic number on the scale in the first 30 days.”
Several factors can influence the results you see during your first month on Mounjaro:
Lifestyle Habits: A balanced diet and regular physical activity are crucial for enhancing the effectiveness of medication. Starting these habits in the first month is key.
Individual Metabolism: Everyone’s body responds differently to the medication, especially in the first few weeks as your system adjusts.
Starting Weight: Individuals with higher starting weights may experience greater early results, including a noticeable drop in the first month.
Dosage Titration: Mounjaro® doses are started low (2.5 mg weekly) and gradually increased. The first month is focused on building tolerance, and more significant weight loss often occurs after reaching a higher therapeutic dose.

The first month on Mounjaro is a structured process designed for your comfort and safety.
Your provider will start you on a low dose of 2.5 mg weekly to minimize potential side effects and allow your body to adjust. During this period, you may not see dramatic weight loss right away—and that’s okay. This initial phase is a critical step in building tolerance to the medication and preparing your body for the higher doses that will drive more significant weight loss in the coming months. What you will likely notice is a marked improvement in appetite control and reduced cravings.
Clinical research on Tirzepatide, while often tracking results over 12 weeks or more, provides insight into the drug’s potential. In trials, patients using Tirzepatide achieved an average body weight reduction of approximately 4-7% within the first 12 weeks (3 months), depending on the dose.
The initial results you see in your first month are the beginning of this journey. The most dramatic and consistent weight loss is often a compounding effect that builds as you reach and tolerate higher therapeutic doses.
At Florida Surgery & Weight Loss, weight loss isn’t just about a prescription—it’s about lasting change. That’s why Dr. Terushkin emphasizes:

Our goal is to help you build a new, healthier lifestyle that continues to work long after your first month on Mounjaro.
Q: Will I lose weight right away on Mounjaro®? A: You may see minor changes in the first month as your body adjusts, and it’s common to lose some initial water weight. More visible and consistent results typically occur after reaching a higher therapeutic dose in subsequent months.
Q: What is the typical starting dose for Mounjaro®? A: Most patients begin at 2.5 mg weekly. The dose is then gradually increased, typically in 2.5 mg increments, based on your goals and tolerance, up to a maximum of 15 mg weekly.
Q: What if I don’t lose weight in the first month? A: This is a standard and regular part of the process. The first month’s low dose is primarily for building tolerance. If you don’t see the scale move much, don’t be discouraged. Dr. Terushkin will assess your progress, review your lifestyle habits, and adjust your plan as needed to prepare you for more significant results.
Q: Does a higher dose lead to more weight loss? A: Generally, yes—clinical trials show that higher doses of Tirzepatide are associated with greater overall weight loss. However, dosage is always managed under careful medical supervision to ensure safety and minimize side effects.
Dr. Terushkin offers affordable Tirzepatide programs for patients across the U.S. via telehealth.
Our Tirzepatide Medical Weight Loss Program starts at just $36.95 per week and includes medication, supplies, and medical supervision. Choose from flexible 4-, 8-, 10-, or 20-week programs — with the 20-week plan ($779 total) offering the best value and long-term results. Doctor-supervised, affordable, and designed for real success.

Disclaimer: Pricing is based on a low-dose 2.2 mg plan. Dosage and pricing may vary based on medical evaluation. Please call us for more information.
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Dr. Sergey Terushkin, MD, FACS
Compassionate, affordable care for lasting weight loss.
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Contact Dr. Terushkin at (954) 551-3508 or fill out the form to schedule a consultation and start your journey towards a healthier lifestyle today! Our address 1911 Harrison Street, Hollywood, FL 33020

Disclaimer: This blog post is for informational purposes only and should not be considered medical advice. Always consult your doctor before starting any new medication or changing your treatment plan.
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