Mounjaro (tirzepatide) · weight loss · type 2 diabetes
Mounjaro, Prescribed Thoughtfully. Not Just a Prescription.
Dr. Rachel Gougian is a Diplomate of the American Board of Obesity Medicine and prescribes Mounjaro for both type 2 diabetes and weight loss at Pandora Family Medicine in University Park, MD. She handles prior authorization directly, so you are not left figuring out the insurance piece on your own.
At a glance
- Board-certified in obesity medicine (D-ABOM)
- Mounjaro prescribed for diabetes and off-label for weight loss
- Prior authorization assistance included
- $200 initial visit · $150 follow-up
- No subscription required
- ★ 4.7 Google rating
What Is Mounjaro and How Does It Work?
Mounjaro is the brand name for tirzepatide, an injectable medication taken once a week. It works by activating two hormone receptors at the same time: GIP and GLP-1. Most GLP-1 medications, like Ozempic or Wegovy, target only the GLP-1 receptor. That dual action is what sets Mounjaro apart, and it's why clinical trials showed particularly strong results for both blood sugar control and weight reduction.
Practically speaking, Mounjaro slows how quickly your stomach empties, reduces appetite, and helps your body respond to insulin more effectively. Patients often describe feeling full sooner and thinking about food less. Those effects are real, and they are the mechanism, not a side effect.
Like all GLP-1 class medications, Mounjaro can cause nausea, especially early on. Starting at a low dose and increasing gradually helps most people tolerate it well. Dr. Gougian goes over this with you before you start, so you know what to expect.
Mounjaro for Weight Loss: Off-Label Use Explained
Mounjaro is FDA-approved for type 2 diabetes, not for weight loss. But physicians prescribe it off-label for weight loss regularly, and that is completely standard medical practice. Off-label prescribing is legitimate medicine. It means a licensed physician has determined that the evidence supports using a medication for a purpose beyond its original approval.
Before you come
In this case, the evidence is strong. Tirzepatide, the active molecule in Mounjaro, was later approved under the brand name Zepbound specifically for chronic weight management. Weight loss and diabetes share significant biological overlap, and Dr. Gougian's D-ABOM credential reflects the specialized training to make that clinical determination appropriately.
The visit
If you are coming in specifically for weight loss and Mounjaro is the right fit, she will tell you that. If Zepbound is a better option for your situation, she will explain why. The goal is the right medication for you, not a one-size approach.
Follow-up visits and adjusting your plan
Mounjaro doses are typically increased gradually, and your follow-up appointments are where we figure out what's working and what needs adjusting. If insurance coverage becomes an issue, we handle prior authorization on your behalf, including appeals if a request gets denied. You're not left to sort that out on your own.
Mounjaro vs. Zepbound: The Same Molecule, Different Approval
Mounjaro and Zepbound contain the exact same active ingredient: tirzepatide. The difference is FDA approval. Mounjaro is approved for type 2 diabetes. Zepbound is approved for chronic weight management in adults with obesity or overweight plus a weight-related condition.
Why does this matter? Mostly because of insurance. Some plans cover Mounjaro for diabetes but not for weight loss. Others cover Zepbound for weight loss but not Mounjaro. The coverage depends on your diagnosis, your specific plan, and sometimes the prior authorization criteria your insurer uses.
If you are already on Mounjaro for diabetes and wondering whether switching to Zepbound makes sense, that is a conversation worth having. Dr. Gougian can walk through both options with you at your visit.
For patients with type 2 diabetes, Mounjaro is an on-label, FDA-approved treatment. It lowers A1C effectively and often produces meaningful weight loss at the same time, which itself improves blood sugar control. For many patients, it addresses both problems with a single medication.
Schedule OnlineServing the Washington, DC Metro Area
Our office is at 6300 Baltimore Ave, University Park, MD 20782, on Route 1 between Hyattsville and College Park, a short drive from Washington, DC and close to Metro’s Green Line.
Before You Book
Can Dr. Gougian prescribe Mounjaro for weight loss even though it's not FDA-approved for that?
What's the difference between Mounjaro and Zepbound? Are they the same drug?
Will my insurance cover Mounjaro if I'm taking it for weight loss, not diabetes?
Schedule Your Weight Loss Consultation
Appointments are available at our University Park, MD office at 6300 Baltimore Ave. Schedule online or call 301-200-0960 to discuss whether Mounjaro is right for you.

