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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.

  1. 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.

  2. 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.

  3. 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.

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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.

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Serving 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?

Yes. Prescribing an FDA-approved medication for a use beyond its original approval is called off-label prescribing, and it's a normal, legal part of medical practice. Mounjaro works on two gut hormones instead of one, which is why many patients and physicians find it effective for weight loss even before Zepbound (the weight-loss-labeled version) became available. At Pandora Family Medicine, Dr. Gougian reviews your full health picture before recommending any medication, so the decision is based on what actually makes sense for you.

What's the difference between Mounjaro and Zepbound? Are they the same drug?

They contain the same active ingredient, tirzepatide, at the same doses. The difference is the FDA approval and the label: Mounjaro is approved for type 2 diabetes, Zepbound is approved for chronic weight management. In practice, this distinction matters most for insurance coverage, since some plans will cover one but not the other depending on your diagnosis. Dr. Gougian can talk through which one makes more sense for your situation, including what your insurance is likely to cover.

Will my insurance cover Mounjaro if I'm taking it for weight loss, not diabetes?

It depends on your plan, and honestly, coverage for weight loss medications is one of the more frustrating moving targets in insurance right now. Some plans cover Mounjaro for weight loss, some only cover it with a diabetes diagnosis, and some don't cover GLP-1 medications at all. If prior authorization is an option for your plan, we handle that process for you, and we'll be upfront with you about what the out-of-pocket cost looks like if coverage gets denied so there are no surprises.

More answers on the FAQ page

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.

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