Restarting Mounjaro Treatment After a Break: A Guide for UK Patients

Many people are unaware that some pharmacies allow patients to restart Mounjaro after a break, even if their BMI is below the standard 30/27 criteria. This means patients do not need to regain weight to resume treatment, and this page lists the pharmacies offering that service.
If you’ve had to take a break and thinking about restarting Mounjaro
Whether the break is by choice or caused by medication shortages, it is important to restart carefully—especially if weight loss has brought your BMI below the usual thresholds (30 for obesity or 27 with related conditions). This guide sets out the process for safely resuming treatment in accordance with UK prescribing requirements.
Understanding How Your Break Affects Restarting Mounjaro
The way you restart Mounjaro largely depends on how long your treatment was paused. If you’ve only missed a week or two, your clinician might approve continuing at your previous dose. For breaks lasting 2-4 weeks, you’ll likely need to step back one dose level – so if you were on 7.5mg, you’d restart at 5mg. Those who’ve stopped for over a month should generally begin again at the starter 2.5mg dose to help your body readjust and minimise potential side effects.
Please note: This is not an exhaustive list.
We are in the process of compiling and verifying the latest information, but some pharmacies have yet to respond. As updates are made, we will refresh this list accordingly.
For the most current details, we recommend checking back periodically. Thank you for your patience.
Continuing Treatment When Your BMI Has Dropped Below Thresholds
Many patients successfully lose enough weight that their BMI falls below the standard prescribing criteria. The good news? UK private prescribers will often approve ongoing treatment if you can show:
- Proof of your original prescription and how long you were on Mounjaro
- Evidence it worked well for you, like documented weight loss or improved blood sugar control
This approach recognises that obesity is a chronic condition requiring long-term management, not just short-term treatment.
Getting Back on Track With Your Treatment
When you’re ready to restart, begin by consulting your original prescriber or a new specialist. Be prepared to show evidence of your treatment history, weight records and any relevant information. Most patients will need to begin again at a lower dose (usually 2.5mg) before gradually increasing. Keep a close eye on how you respond – tracking your weight weekly and watching for any returning side effects, especially digestive issues.
Restarting Mounjaro – Pharmacy Policies
Pharmacy policies can differ, so it’s always a good idea to phone ahead and check whether they can help with your specific situation. Since the list isn’t ranked in any particular order, reaching out directly will save you time and avoid any surprises.
You may also need to provide extra details, depending on the pharmacy’s requirements. Some might ask for recent blood tests, proof of your BMI, or additional approval from your doctor—especially if your prescription doesn’t follow the usual guidelines. It’s worth double-checking what they need before submitting any forms to avoid delays.
Restarting Mounjaro Providers:
LiveWell Weight Loss
Patients can restart Mounjaro after a break through the LiveWell Weight Loss service, which includes a clinical review to ensure it’s safe and appropriate to do so. Treatment typically resumes at 2.5 mg, following current guidance.
There is no set timeframe required between stopping and restarting, but all patients are reassessed to tailor the plan to their current needs.
Time limit for restart: No, but reassessment required
- Lowest Joining BMI: 21*
- Lowest Maintenance BMI: 21*
- Time-Limited Treatment: No
Changes to these thresholds may be made in response to the specific length of your treatment pause.
Cured Pharmacy
Cured Pharmacy were the first to let us know they support patients restarting Mounjaro and Wegovy after a break in treatment. Their current BMI requirements are for maintenance and restarting treatment.
- Lowest starting BMI: 23*
- Lowest maintenance BMI: 21*
- Time limited: No
The healthcare provider might adjust these thresholds depending on the duration of your treatment pause.
Swift Doctor
Swift Doctor offers a structured process for patients restarting weight management treatment after a break, including those with a BMI below standard prescribing thresholds. All returning patients undergo a clinical reassessment with a review of their treatment history and current health status.
However, clinicians consider the standard restart dose of 2.5 mg Mounjaro for breaks longer than 28 days, and they make final decisions on a case-by-case basis. Patients outside the usual BMI range may restart if they have shown weight reduction from previous treatment and have used weight loss medication within the past 12 months.
Moreover, qualified practitioners review each case individually according to medical protocols, which ensures treatment stays safe, appropriate, and guided by current health indicators.
Lowest joining BMI: 21*
Lowest maintenance BMI: 21*
Time limited: No
Adjustments to these thresholds may depend on the length of your treatment pause.
Medicspot
The healthcare provider maintains a structured approach for patients seeking to restart weight management treatment following a break in therapy. Moreover, their policy accommodates individuals whose BMI no longer meets the initial prescription thresholds by using a standardised evaluation process.
Restarting Mounjaro Treatment Resumption Guidelines:
- Mandatory clinical reassessment for all returning patients
- Documented review of treatment history and current health status
- Standard restart dosage (2.5mg Mounjaro) after breaks exceeding 28 days
Medicspot allow for clinical discretion in cases where patients have achieved weight reduction through previous treatment.
All decisions follow established medical protocols with appropriate practitioner oversight.
This measured approach balances treatment continuity with necessary clinical safeguards, ensuring patients receive care according to current health indicators rather than solely historical eligibility markers. The process emphasizes documented medical evaluation while maintaining flexibility within professional guidelines.
Lowest joining BMI: 21*
Lowest maintenance BMI: 21*
Time limited: No
These thresholds may be adjusted based on how long the treatment pause lasts.
Farmeci and Restarting Mounjaro
Farmeci takes a sensible, patient-centred approach when individuals need to pause and restart GLP-1 medications. Their policy recognises that successful treatment may reduce BMI below 30, but maintains flexibility for those who need to resume therapy.
Key aspects of their approach:
- Considers restarting treatment even if current BMI is below 30
- Reviews individual treatment history and progress
- Takes into account weight changes after pausing medication
- Determines restart doses through clinical assessment
Rather than rigid rules, Farmeci prefers case-by-case evaluations by medical professionals. They focus on sustainable weight management, understanding that each patient’s journey is unique. Patients are encouraged to share their full treatment history to inform these personalised decisions.
This balanced approach shows Farmeci’s commitment to supporting long-term health goals while maintaining appropriate clinical oversight. Their system appears designed to help patients maintain hard-won progress without unnecessary obstacles.
- Lowest joining BMI: 24*
- Lowest maintenance BMI: 21*
- Time limited: No
Thresholds may change depending on the duration of your treatment pause.
Get A Drip Restarting After a Break: Mounjaro & Wegovy
Get A Drip allows patients to restart Mounjaro or Wegovy after a treatment break, even if their BMI is below usual prescribing levels. The restart process depends on how many doses have been missed.
For Mounjaro, missing up to two doses means continuing at the same dose. Missing three doses requires restarting at 5 mg, and missing four or more doses means restarting at 2.5 mg. For Wegovy, missing up to two doses allows continuation at the same dose, while missing three or more doses usually requires stepping down one dose, based on clinical judgement and patient tolerance.
Patients must show evidence of previous treatment, either through a prescription or via the online assessment. Get A Drip is CQC- and GPhC-registered, ensuring care is delivered safely and in line with UK standards. The minimum BMI to start treatment is 22.0, and ongoing treatment is assessed individually, with adjustments made where needed. There is no set time limit for treatment.
- Lowest joining BMI: 22.0*
- Lowest maintenance BMI: 19.5*
- Time limited: No
TribElle Mounjaro Restart Information
Sometimes people decide to take a break from treatment , life gets in the way. It’s also common to feel concerned if weight starts to come back during that time. TribElle aims to make restarting easy and stress-free.
For those new to TribElle, a short video consultation is needed. This helps collect all the necessary information and gives a chance to ask the clinical team any questions.
- Less than 8 weeks: Restart at the same dose
- 8–12 weeks: May be able to restart at the same dose after speaking with the clinical team
- More than 12 weeks: Restart on the lowest dose
Returning customers just need to fill in the online consultation form.
- Lowest joining BMI: 22
- Lowest maintenance BMI: 21
- Time limited: No
However, clinicians may change these thresholds depending on the specific length of your treatment pause
Pharmacy Express Policy for Restarting Weight Management Treatment
Pharmacy Express uses a structured approach to help patients restart weight management treatment after a break. This policy acknowledges that some patients may no longer meet the original BMI thresholds and supports them through a standardized clinical evaluation process.
Key Guidelines:
- Mandatory Clinical Reassessment: All returning patients must complete a clinical reassessment.
- Review of Treatment History and Current Health Status: A documented review of the patient’s prior treatment history and current health is required.
- Standard Restart Dosage: If the break exceeds 28 days, treatment will be restarted at the standard dosage of 2.5 mg Mounjaro.
Pharmacy Express allows for professional clinical discretion in cases where patients have successfully achieved weight reduction with prior treatment. All decisions adhere to established medical protocols and include practitioner oversight.
Therefore, this approach ensures clinicians prioritise current health indicators when making treatment decisions, rather than relying only on past eligibility. It balances treatment continuity with essential safety and flexibility within professional guidelines.
- Lowest Joining BMI: 21*
- Lowest Maintenance BMI: 21*
- Time-Limited Treatment: No
Please note anyone re-starting will need to provide evidence of weight loss medication use. Thresholds may change depending on the duration of your treatment pause.
Pillsorted : Restarting Mounjaro
The pharmacy recognises that life does not always go to plan, holidays, medication shortages, or personal commitments may require pausing GLP-1 treatment. Therefore, its restart policy balances medical safety with practical flexibility.
Treatment Restart Guidelines:
- Under 8 weeks: Resume previous dose (with clinician approval)
- 8-12 weeks: Individual review – may adjust dosage
- Over 3 months: Requires full reassessment
While following NICE BMI guidelines, their clinicians take a personalised approach, considering:
• Weight changes during the break
• Existing health conditions
• Emotional wellbeing impact
• Patient commitment to treatment
This thoughtful method ensures patients get appropriate care while acknowledging the realities of long-term weight management.
- Lowest joining BMI: Varies*
- Lowest maintenance BMI: Varies*
- Time limited: No
Therefore, the specific length of your treatment pause directly influences how clinicians adjust these thresholds.