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Wosiska, Ben Graham February 23, 2026 Marta E

This phase is not about results

All of these metabolites are known to be medium- or long-chain acylcarnitines with six or more carbons

Dragani B, Stenberg G, Melino S, Petruzzelli R, Mannervik B, Aceto A

The move also ties in with efforts by the broader pharma industry to move away from the unpopular system of high list prices for medicines that are then subject to opaque rebates and reductions by supply chain middlemen like pharmacy benefit managers

Key strategies: Gradual dose escalation (not rushing up doses) Avoiding very rapid weight loss Staying well hydrated Maintaining dietary fat balance (not extreme restriction) Regular clinical monitoring Clinical Takeaway Yes , you can often take Mounjaro with gallstones but case selection is critical Active gallbladder disease = caution or delay Post-gallbladder removal = usually safe The main driver of risk is rapid weight loss , not the drug alone CutKilo Approach At CutKilo, we dont just prescribe Mounjaro